Lee wrote:Are you in the USA? If you are, get a 2nd opinion at a major cancer hospital. You want a team of aggressive doctors dealing with your current situation. Major cancer hospitals tend to be on the leading edge of today of what is deemed tomorrow standard of care.
Completely agree with this - re-resections (aka ‘salvage’ resections) of the (peri-)rectum and pelvis/peritoneum are definitely done but usually only by specialist colorectal / peritoneal surgeons in this area. I’d suggest doing some research for names, and considering travelling for a direct consult if necessary.
10/2018 Dx RC, 12cm high
Mod diff, EMVI+ LVI+. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Nov-18= 14, Mar-19= 2.4, Aug-19 <2.0, Mar-20=2.2, May-20=1.9, Jun-20=2.1, Sep-20: 2.1, Dec-20: 2.3, Mar-21=2.5
11/18 FOLFOX x6
3/19 Liver resection
5/19 25x pelvic radiation; complete met. response
07/19 ULAR w ileo, 1/27 LN+
08/19 Found liver spot
08/19 FOLFOX x1, FOLFOXIRI x1, FOLFIRI x5
12/19 Liver resection
02/20 Ileo reversed
03/20 NED (CT/PET/MRI/scope) - latest scans Mar ‘21