OK, so this is a bit shit….
We spoke with a liver transplant surgeon on Monday and he confirmed that surgery is not an option. One of the lesions is right against the primary vein draining the liver. Any damage to that vein is not good.
There is also a difference of opinion between two radiologists as to whether the lesions seen on the live CT during the cancelled ablation are treated disease or disease progression (both her onc and myself believe disease progression).
We have a late scheduled PET-CT tomorrow; this will confirm if the new liver lesions “light up” along with indicating any new possible lesions that may have popped up elsewhere since Dec’22.
Chemo, modified FOLFOX (no Oxaliplatin, no Avastin, no Irinotecan) will begin Monday. (Other chemo drugs will be added as needed after the PET and once a path has been established, there is a focus on QoL)
Recommended treatments moving forward:
CyberKnife then selective SIRT (we have been advised that they can’t do SIRT then CyberKnife)
Surgical RFA (open RFA).
A lot is riding on the PET-CT tomorrow.
I’m guessing she’s not going to be a contender for “Who are the longest stage 4 survivor's on here?”