Postby catstaff » Mon Sep 20, 2021 10:48 am
Sounds like that is definitely for the best.
My husband's last CT (a week ago) seemed to show the lymph node mets resolved, and the "butt met" (it was never clear whether that was a local recurrence or another lymph node) is apparently at the resolution limit, at least the radiologist said he couldn't measure a size for it (??). The bone met is of course still there. It is mixed lytic/blastic but the sclerotic part seemed to be entirely around the "rim" (what the radiologist said) so the onc thought it represented bone replacing cancer. Unfortunately the radiologist used a scan from over a year and a half ago as his baseline, not the one from last February, so he thought he discovered that met, and also we have no comparison. Other than that it was the most thorough read I've seen from this radiology practice that the private hospital uses. (We also use the local university hospital since that's where he had his surgery, and those reads are by residents and tend to be thorough since they are motivated.)
He is on his 12th folfiri/bev cycle and is getting pretty worn out. He's currently scheduled for two more, then perhaps a break. After seeming to stall out a bit for two cycles the latest CEA had a slightly larger decline (down from 7.3 to 6.8 ).
D/H Dx 10/2019 RC age 61
Clinical T4bN2M1a (common iliac and para-aortic lymph nodes)
MSS KRAS G12D
CRT 11/19-1/20 FOLFOX 3/20-7/20
Pelvic exenteration w/LAR 8/20
ypT4bN0Mx G3 0/14 nodes LVI not seen PNI-
CEA 10/19:20, 1/20-11/20:1.6, 4.3, 3.4, 2.7, 2/21:9.0 3/21:18,40 4/21:28,19, 5/21:13.3,8.6
PET 3/21 recurrence in distal nodes, L5 vertebra, pelvis
FOLFIRI+bev 3/21-