Cryoablation for PMs?

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roadrunner
Posts: 204
Joined: Sun Jan 12, 2020 8:46 pm

Cryoablation for PMs?

Postby roadrunner » Thu Dec 09, 2021 4:22 pm

Ok, now that I’m home from my VATS surgery on 1/2 small nodules, I’m trying to educate myself on options for the second one. (The one we took out was 6.8mm and its pathology is pending. It had a relatively steady, if slow, growth rate over the last 2 years. The point of wedging it out now was to get a profile, really). The other, more centrally located, one is 6.3mm but arguably “stable,” as it’s been hovering in that neighborhood at least since March. My current plan is to get SABR on it or watch it, and my radiation oncologist (whom I love) has so far said he can do it, but it’s pretty close to hilar structures and my reading has indicated that I should at least learn about cryoablation (seems to have the lowest toxicity in such situations). All of this will depend on the pathology of the removed lesion, of course, but if it’s a met (likely) and doesn’t have a profile amenable to systemic treatment, I’m going to want the other one out or zapped.

So do you guys know who the best IRs who do cryoablation are? I’m in PA, so anywhere from East Coast to Midwest would be ideal. Thanks!
7/19: Rectal cancer: Staged as IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.
8/22 -10/14 4 rounds FOLFOX neoadjuvant, 3 w/Oxiplatin (side effects/reduced size est. 70-75%)
neoadjuvant chemorad 11/19
4 rounds of FOLFOX July-August 2020
ncCR found 10/20; biopsies negative
TAE 11/20, small amount of tumor removed, lung nodules orig id’d 6/20 stable Nov 2020
Chest CT 3/30/21 small growth in 2 nodules (3 and 5mm)
VATS 12/8/21 to remove sub-pleural met 7mm. Considering SBRT for remaining nodule.

prayingforccr
Posts: 213
Joined: Sun Jun 28, 2020 4:44 pm

Re: Cryoablation for PMs?

Postby prayingforccr » Thu Dec 09, 2021 6:17 pm

Tried to send you a pm, but user not specified?

Send me one, and I’ll respond with some good info.
11/19: colonoscopy
12/19: diagnosed with stage 3 rectal cancer 6+cm tumor
1-3/20: 20 sessions of radiation, mon-fri capecetibine+clinical trial drug m3814
7/20: 8 treatmentsFOLFOX
11/20: Primary tumor had complete response. Possible tumor deposits on latest mri. Biopsy negative for cancer.
5/21: Multiple lung nodules (3-6mm) on ct scan
10/21: md anderson gives me 1 year without treatment/3 years with folfiri/avastin (refused)
3/22 Will begin immunotherapy/sbrt at weill cornell and nyu/langone in march

JJH
Posts: 352
Joined: Mon Apr 24, 2017 7:26 am

Re: Cryoablation for PMs?

Postby JJH » Fri Dec 10, 2021 8:24 am

roadrunner wrote:...
So do you guys know who the best IRs who do cryoablation are? I’m in PA, so anywhere from East Coast to Midwest would be ideal. Thanks!

roadrunner-

Would you be able to clarify what you mean by "IR"?

Thank you.
"The darkest hour is just before the dawn" - Thomas Fuller (1650)

roadrunner
Posts: 204
Joined: Sun Jan 12, 2020 8:46 pm

Re: Cryoablation for PMs?

Postby roadrunner » Fri Dec 10, 2021 10:47 am

Sorry, interventional radiologists.
7/19: Rectal cancer: Staged as IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.
8/22 -10/14 4 rounds FOLFOX neoadjuvant, 3 w/Oxiplatin (side effects/reduced size est. 70-75%)
neoadjuvant chemorad 11/19
4 rounds of FOLFOX July-August 2020
ncCR found 10/20; biopsies negative
TAE 11/20, small amount of tumor removed, lung nodules orig id’d 6/20 stable Nov 2020
Chest CT 3/30/21 small growth in 2 nodules (3 and 5mm)
VATS 12/8/21 to remove sub-pleural met 7mm. Considering SBRT for remaining nodule.

JJH
Posts: 352
Joined: Mon Apr 24, 2017 7:26 am

Re: Cryoablation for PMs?

Postby JJH » Sat Dec 11, 2021 5:30 am

roadrunner wrote:Sorry, interventional radiologists.

Thank you for the clarification. I had thought that cryoablation procedures would be done by liver surgeons.
"The darkest hour is just before the dawn" - Thomas Fuller (1650)


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