Postby catstaff » Wed Jul 28, 2021 2:32 pm
Not cancer-free but my husband has a met (really, likely a local recurrence) in the sacral area, which they say is unresectable because of a nexus of blood vessels in the area. They are doing chemo for it. He has other mets so I am not sure whether that will preclude any form of radiation treatment on the "butt met." If it were the sole one *and* it were sufficiently far from the small intestine for safety, they could do radiation. There is also proton therapy, which is more focused even than SBRT and is safe for patients with previous X-ray exposure, but again, they may just want to do chemo.
I am sure there are some with a good outcome but honestly, complete response to chemo alone is pretty rare. The butt met had shrunk quite a bit on the last CT but it's still there, and his CEA is still elevated.
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-