Liver lesions

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KarenE
Posts: 10
Joined: Sun Feb 14, 2016 1:56 am

Liver lesions

Postby KarenE » Thu Mar 19, 2020 11:39 pm

Hello everyone. Haven't logged on for a couple of years but still visit often. Reaching out to get an opinion on latest ct scan please? Declared NED in 2018...clear scan and cea was 2 at last blood test 6 months ago. Usual simple cysts still visible and unchanged but new low density solid lesions have appeared which are deemed to be suspicious for metastatic deposits. G.P is arranging appointment with specialist. Does this mean a biopsy will be required to confirm? Many thanks forum friends, appreciate any advice.xxx
DX March 2013 rectal cancer,T1NOMX 0/15 nodes,lymphovascular invasion present/moderate, 2 liver lesions, 1 lesion spleen probable cysts. Parastomal hernia. Latest scan shows change/ bowel wall thickening at anastomosis site.

plastikos
Posts: 338
Joined: Wed Jan 14, 2015 6:09 am

Re: Liver lesions

Postby plastikos » Fri Mar 20, 2020 11:46 am

Hi Karen. I’m not an expert but I don’t think they would do a biopsy in this case. A PET scan or PET-CT might be the next step.
St. IV Colon CA @ 37, male, Kras wild, MSI-high (2014)
11/2014 Right Hemicolectomy + Liver Resection
12/2014 - 6/2015 FOLFOX + Cetuximab
10/2015 - Recurrence liver
Liver resection 10/2015
FOLFIRI 11/2015 - 5/2016
Recurrence liver, nodes 11/2016
Pembrolizumab started 12/2016 -> pseudoprogression(?) -> biliary obstruction -> biliary stenting
Chemo 4x: most mets inactive and smaller on PET-CT
March 2017 - Back on Pembrolizumab again
Sept 2017 - SIRT - > NED
2019 NED

KarenE
Posts: 10
Joined: Sun Feb 14, 2016 1:56 am

Re: Liver lesions

Postby KarenE » Fri Mar 20, 2020 4:52 pm

Thank you for the info. Just waiting now for an appointment to confirm one way or the other.
DX March 2013 rectal cancer,T1NOMX 0/15 nodes,lymphovascular invasion present/moderate, 2 liver lesions, 1 lesion spleen probable cysts. Parastomal hernia. Latest scan shows change/ bowel wall thickening at anastomosis site.


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