When to do the HAI Pump?

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Joined: Thu Jun 04, 2020 2:00 pm

When to do the HAI Pump?

Postby Annmont » Fri Jul 24, 2020 12:58 pm

Hello all, this is my very first post here. My DH was diagnosed with colorectal cancer in August 2018. He had chemo/radiation prior to surgery, removal of part of colon/rectum and then pump chemo every other week for 4 months. We were so happy to have two clear scans after that. Then due to COVID, a scan was pushed back. Last scan in June showed a 2cm mass I his liver. Luckily the tumor was able to be surgically removed with clear margins. The plan is to start Xeloda next week. My question is when should the HAI pump be considered? We love our oncology team and they are an hour away. MSK is many states away from us. I just want to make sure we make the right decisions. Is an HAI pump mainly to get you to surgery or should it be chosen as a maintenance? Any experience with similar situation, Xeloda, etc. is appeciated. Thank you all for your help. This forum is a Godsend, so full of hope and inspiration.
DH diagnosed August 21, 2018 with colorectal cancer
6 weeks chemo/radiation
Surgery December 2018/ileo
4 Months Chemo pump
July 1, 2019 Ileo reversal
two clear scans then boom June 2020 mass in liver
Liver resection July 1, 2020, scheduled to start Xeloda

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Posts: 10205
Joined: Sun Feb 10, 2008 6:00 pm

Re: When to do the HAI Pump?

Postby CRguy » Sat Aug 01, 2020 8:39 pm

I am not an HAI pumper here BUTT .....
just wanted to "bump you up" in case some other members may have missed your post

I know we do have some members who could give you more info !

Cheers and best wishes on the Journey
Caregiver x 4
Stage IV A rectal cancer/lung met
13 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

Posts: 509
Joined: Thu Oct 25, 2018 5:27 am
Location: Melbourne, Australia

Re: When to do the HAI Pump?

Postby Rock_Robster » Sat Aug 01, 2020 9:49 pm

I’m also not HAI myself as I’m not in the US, but from everything I’ve observed I think the best answer is “as soon as a reputable hospital would be prepared to offer you one”.
38M Australia
10/2018 Dx 3.5cm RC adenocarcinoma, 12cm high
Mod diff, EMVI+ LVI+. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Oct-18= 12; Nov-18= 14, Mar-19= 2.4, Aug-19 <2.0, Mar-20=2.2, May-20=1.9, Jun-20=2.1
11/18 FOLFOX x6
3/19 Liver resect
5/19 25x pelvic VMAT radiation; complete met. response
07/19 Robot ULAR w ileo, 1/27 LN+
08/19 Found liver spot
12/19 Liver resect #2
02/20 Ileo reversed
03/20 NED (PET+MRI)
06/20 NED (CT+MRI)
07/20 Clear scope

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