47, rectal cancer. Mets to RUL and LLL

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Joined: Thu Jun 21, 2018 1:48 pm

47, rectal cancer. Mets to RUL and LLL

Postby JulesW » Tue Jun 26, 2018 1:16 pm

Healthy male diagnosed with rectal cancer after a sudden bleed 12/16. LAR with temporary ileostomy 1/17. Cat scan 1/17 showed four spots right upper lung largest 8 mm too small to identify with pet scan. Spots were thought to be most likely scarring from old pneumonia. Six months xeloda. Repeat CAT scan 4/17 showed stable nodules. Repeat CAT scan 6/18 showed: Four mets to right upper lobe largest 14 mm. Three new mets to left lower lobe, largest 19 mm. Just started first round of Folfiri with Avastin through a port. Follow-up CT scan 8/18
I am interested in learning more about centers in the United States or abroad that are routinely doing lung sparing surgery such as laser surgery or cryoablation with good results and low complications. I'm looking into a second opinion at M.D. Anderson but on their website they do not offer cryoablation for things other than prostate or kidney cancer. Any thoughts?
46 rectal ca. 12/16
LAR 1/17 rectal tumor stage 2b, 0/30 nodes +
Xeloda x 6 mos
CT 6/18 - 4 nodules R lung + 3 new spots in left lower lung
6/18 folfiri + Avastin x 5 cycles
LAPM Germany 10/18 - 10 nodules removed right lung, 4 cancer
11/1/18 R pneumothorax - chest tube placed surgically
11/6/18 L lower lobe subtotal resection
12/18 blood in urine -> rectal ca met on bladder
3/1/19 bladder surgery, no peritoneal spots noted
4/19 MSK self referral
Avastin + xeloda x 6 mos
10/19, 1/20 CTs look good

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