Peritoneal mets and ileus

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Tueffel
Posts: 13
Joined: Sat May 15, 2021 12:53 pm

Peritoneal mets and ileus

Postby Tueffel » Wed Sep 01, 2021 6:26 am

Hello,
My Papa is home now after the surgery to repair hs ileus situation. Unfortunately, they found out that there are peritoneal metastasis and these were the reason. We are getting 2nd opinions now but my Papa is getting less I feel and I am scared mre and more. Google is not really a friend in this.
Tueffel
Papa *64
Has MS, 18/19 w Alemtuzumab
01/20 dx adeno
pT3, pN1c (0/13; deposits), pM1 liver
Pn1, R0, G2
KRAS G12V
Treated: Germany
4x folfox
05-06/20 liver + colon surgery
08-11/2020 folfox, 60% oxaliplatin
02/21 2nd liver surgery
04/21 recurrence
2 weeks: 50% growth
Since 05/21 5x TACE, 5x Folfiri + bev
08/21 CT, still growth, maybe lung, ileus surgery and peritoneal mets, 2nd opinion pending

catstaff
Posts: 138
Joined: Wed Mar 03, 2021 11:37 am

Re: Peritoneal mets and ileus

Postby catstaff » Wed Sep 01, 2021 7:56 am

I'm very sorry to hear that. That's always the fear when a GI cancer patient has an obstruction. I know I was terrified when my husband had his SBO but it resolved on its own without surgery, which it would be very unlikely to do if it were due to tumors invisible to CT (he had CTs and conventional X-rays that didn't show any masses, but as we know sometimes peritoneal mets don't show up on CTs). Depending on the burden, a cytoreductive surgery may work, though with the progression in the other areas that may be more questionable.

PS You should look into clinical trials. I don't know what information is specifically available for Germany, but you can go to clinicaltrials.gov and select by country to see only trials that are or may be recruiting in Germany.
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-


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