Radiation this week at MSK

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Radiation this week at MSK

Postby ginabeewell » Mon Nov 29, 2021 9:25 am

Scans two weeks ago showed regrowth at the same site on my liver that keeps appearing / disappearing with chemo.

Dr K recommended radiation, so that’s the plan starting later today. In proper MSK fashion, I went from scan results to radiology consult to tattooing over the course of about 24 hours; and with the holiday in between I feel like this has really crept up on us.

I’ll have six treatments: today thru next Monday.

Anything besides the obvious (nausea, fatigue, dryness) that I should know?
45 YO mom of twins (9) and lucky stepmom of 14/17 year olds
9/17/18 DX stage 4 CRC w inoperable liver mets CEA 931
10/18 FOLFOX + Vectibix
12/18 typhlitis (7 days in hospital) but largest met down to 5 cm.
12/18 CEA 4.6
1/18 Resume chemo (#6-8)
3/19 HAI pump placement / colon resection
4/19 Resume chemo (#9-19) FOLFOX (no OX) + Vectibix
5/19 CEA 1.3
7/19 liver resection
10/19 liver resection
1/20 NED! CEA 0.6
3/20 two new liver mets; FOLFIRI (5) and then add Vectibix (5)
8/20 CEA 0.7
Resection next?

Posts: 79
Joined: Sun May 02, 2021 5:52 pm
Location: Massachusetts

Re: Radiation this week at MSK

Postby MadMed » Mon Nov 29, 2021 9:54 am

I hope you don't get this, it surprised me after radiation of the rectum: Radiation enteritis.

I don't know about radiation to the liver and if it is something that can happen, i would ask though.
Radiation does work, it is effective for the most part, so that hopefully means you can get rid of this regrowth for good.

Best wishes.
52M DX: RC lower rectum, guessing now 2cm from AV 4/27/2021
T3N0M0 adenocarcinoma with signet ring cell features
Tumor size 30mm
Tumor grade: G3
Baseline CEA 1.0
MSI status: MSS pMMR
Started Folfox 5/12/2021
Switched to FOLFIRINOX from session 2. 8 rounds total.
CT+MRI tumor contained shrunk 80%, no spread to other organs.
CRT started xeloda + 28 days Radiation 9/27-11/04
surgery postponed until after 2/23 sigmoidoscopy

Posts: 620
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Re: Radiation this week at MSK

Postby Rock_Robster » Mon Nov 29, 2021 9:51 pm

Given it’s the liver, this is most likely to be a highly-targeted form of radiation known as SBRT (or SABR). This has the benefit of (usually) minimal systemic side effects when compared with typical wide-field radiation. A lot of work will go into trying to avoid radiating healthy tissue, which may also include inserting tiny fiducial markers prior to the treatment.

As you point out, fatigue is likely, and some nausea is possible. Most folk seem to tolerate this process well, and local tumour control rates are generally very good.

Best of luck for it!

39M Australia
2018 Dx RC, 12cm from AV
Mod diff, EMVI+, LVI+. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Nov-18= 14; then 2.0-3.1. Nov-21: 5.4
11/18 FOLFOX x6
3/19 Liver resection #1
5/19 25x pelvic IMRT radiation
07/19 ULAR w ileo, 1/27 LN+
08/19 Liver spot
12/19 Liver resection #2
02/20 Ileo reversed
03/20 NED since Dec ‘19
11/21 35mm liver lesion; celiac LN. Some v. small (<2-3mm) lung things
12/21 PVE
1/22 Planned liver & node resection (TBC)

Posts: 1549
Joined: Sat Aug 17, 2013 5:46 pm

Re: Radiation this week at MSK

Postby stu » Thu Dec 02, 2021 2:38 am

Great plan . Hope it is very successful for you .
Take care ,
supporter to my mum who lives a great life despite a difficult diagnosis
stage4 2009 significant spread to liver
2010 colon /liver resection
chemo following recurrence
73% of liver removed
enjoying life treatment free
2016 lung resection
Oct 2017 nice clear scan . Two lung nodules disappeared
Oct 2018. Another clear scan .

Posts: 582
Joined: Tue Mar 12, 2019 2:41 pm
Location: Montana

Re: Radiation this week at MSK

Postby Claudine » Thu Dec 02, 2021 2:25 pm

My husband had SBRT for his L4 met (3 fractions), nothing to report beside fatigue and nausea (but liver may be different?). Burn, baby, burn!!
Wife of Dx 04/18 (51 yo). MSS, KRAS G12A
No primary (involuted?)
Lytic tumor L4 vertebrae, EBRT 04/18, SBRT 02/19
Resect small intestine 05/18 (no cancer - Crohn's)
Failed adjuvant Xelox
Folfiri + Avastin 03/19 to 01/20
6.7 cm left adrenal mass 03/19, successful resection 02/20
CEA since 03/19: high 81.1, low 3.2, now 51
Scan 03/19: Multiple small lung nodules, now gone/calcified
L3-L4-L5 fusion surgery and partial corpectomy 05/20
PET 12/17/2021: uptake in upper rectum, colonoscopy next

Posts: 161
Joined: Fri Sep 28, 2007 4:40 pm
Location: central Texas

Re: Radiation this week at MSK

Postby texazgal » Sat Dec 04, 2021 12:51 pm

I had 28 rounds of radiation and 5 chemos as the initial treatment for esophageal cancer and it really knocked the tumor out. But, it has since then it has metastisfied to liver and hip bone. Bummer! But the radiation had few side effect. They told me I might have a very sore throat as the treatment was ending but I didn't.
DX rectal cancer Aug 04
Surgery Sept 04, perm ostomy, "BarbieButt" Sept 23, 04.
June 2019 stage 3 esophageal cancer
Aug. 2019 28 radiations, 5 chemo
Nov. PET shows original tumor and mets resolved, 2 new mets in liver and bone.
May 2020 port installed, started Folfox hope to do 12 rounds, cure not expected
Keytruda April 2021 8 rounds
scan showed small growth in tumors
Paclitaxol started summer 2021.
Scan July 30, 2021 showed small decrease in size of tumors in liver and bone

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