mCRC Stage IV mets to LV and LN - what can we do more?

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beach sunrise
Posts: 1041
Joined: Thu Mar 05, 2020 7:14 pm

Re: mCRC Stage IV mets to LV and LN - what can we do more?

Postby beach sunrise » Mon May 08, 2023 8:53 pm

I am crying with you!
I am so very sorry for the loss of your wife. My heart is hurting so bad right now.
You both did everything right, know that and remember it when and if your mind wonders to what could I have done.
You and your family are in my thoughts and prayers and will be forever.
8/19 RC CEA 82.6 T3N0M0
5FU/rad 6 wk
IVC 75g 1 1/2 wks before surgery. Continue 2x a week
Surg 1/20 -margins T4bN1a IIIC G2 MSI- 1/20 LN+ LVI+ PNI-
pre cea 24 post 5.9
FOLFOX
7 rds 6-10 CEA 11.4 No more
CEA
7/20 11.1 8.8
8/20 7.8
9/20 8.8, 9, 8.6
10/20 8.1
11/20 8s
12/20 8s-9s
ADAPT++++ chrono
CEA
10/23/22 26.x
12/23/22 22.x
2023
1/5 17.1
1/20 15.9
3/30 14.9
6/12 13.3
8/1 2.1
Nodule RML SUV 1.3 5mm
Rolles 3 of 4 lung nodules cancer
KRAS
Chem-sens test failed Not enough ca cells to test

IDF108
Posts: 15
Joined: Wed Nov 16, 2022 4:23 am
Location: Massachusetts

Re: mCRC Stage IV mets to LV and LN - what can we do more?

Postby IDF108 » Tue May 09, 2023 9:16 am

My sincere condolences, IM64. You have done everything possible, went far above and beyond, and I am sure your dear wife knew that too. Memory eternal.

skimom
Posts: 78
Joined: Fri Mar 17, 2023 12:24 pm
Location: Oregon USA

Re: mCRC Stage IV mets to LV and LN - what can we do more?

Postby skimom » Tue May 09, 2023 9:32 am

I am so very sad to hear of your loss. You were an amazing caregiver for your wife. You responded to a post of mine and my husband was amazed by the dedication you had for helping her and even others here on this forum.
May she rest in peace and May you find peace somehow through this tragedy. My heartfelt prayers are with you

~Sara-
47yo F at DX
DX 12/11/22 Stage IV (liver & lung mets) KRAS PIK3CA
12/15/22 Primary tumor removed from Transverse Colon (4.3x4.0x0.6cm G2 3/15 lymph nodes. Clear margins)
01/06/23 started Folfox (10 cycles)
Initial CEA 5608
CEA after 4 rounds 1319
CEA after 6 rounds 427
CEA after 9 rounds 95
HAI pump installed 06/20/23
Start FOLFIRI and FUDR 07/05/23
CEA down to 37
31
21
18
9/2023 Switch back to FOLFOX due to new lung nodules
11/23 FOLFOX fail CEA up to 62

claudine
Posts: 809
Joined: Tue Mar 12, 2019 2:41 pm
Location: Montana

Re: mCRC Stage IV mets to LV and LN - what can we do more?

Postby claudine » Tue May 09, 2023 11:46 am

This awful disease - there seem to be no logic to it, no obvious rhyme or reason, why it takes some so fast and not others, despite all their fight and efforts. I am so terribly sorry for your loss. Wishing you and yours much strength for the days ahead XXXXX
Wife of Dx 04/18 (51 yo). MSS, KRAS G12A, no primary

Tumors: L4 04/18; left adrenal gland & small lung nodules 03/19
rectum 02/22 (pT3 pN0 stage 2A); L3 09/22

Surgeries: intestinal resect. 05/18 (no cancer - Crohn's); adrenalectomy 02/20
L3-L4-L5 fusion and corpectomy 05/20; LAR 04/22; ileo reversal 09/22
L2-L3 fusion and corpectomy 09/22

Treatments: EBRT 04/18; SBRT 02/19; Failed adjuvant Xelox ; Folfiri/Avastin 03/19 - 01/20
adjuvant chemorad (Xeloda) 06/22; SBRT 11/22; Xeloda/Avastin since 01/24

MadMed
Posts: 216
Joined: Sun May 02, 2021 5:52 pm
Location: Massachusetts

Re: mCRC Stage IV mets to LV and LN - what can we do more?

Postby MadMed » Tue May 09, 2023 6:59 pm

I’m so sorry.
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
NED as of 4/06 CT/MRI/sigmoidoscopy
On W&W 04/06/2022

IM64
Posts: 90
Joined: Wed Nov 02, 2022 5:51 pm

Re: mCRC Stage IV mets to LV and LN - what can we do more?

Postby IM64 » Wed May 10, 2023 5:25 am

Thanks a lot for all warm words and support. I'm praying for all of you. Please win your battles and be safe. You can do it.
Husband of DX 10/2022 (50 yo), Stage IV, MSS, KRAS G12A, PIK3CA, G545L
Multiple bilateral Lung mets/Extensive bilobar Liver mets, CEA 4163
10/2022 Colostomy, Biliary drain, FOLFOX (+Avastin 4 rounds)
1/2023 Biliary drain removed, CEA 498
3/2023 FOLFOX failed after 9 rounds total, CEA raised to 651, started FOLFIRI w/o Avastin

rp1954
Posts: 1855
Joined: Mon Jun 13, 2011 1:13 am

Re: mCRC Stage IV mets to LV and LN - what can we do more?

Postby rp1954 » Wed May 10, 2023 1:49 pm

My heartfelt condolences. I'm still shocked, I can not image yours.
Thank you for sharing your journey here.
watchful, active researcher and caregiver for stage IVb/c CC. surgeries 4/10 sigmoid etc & 5/11 para-aortic LN cluster; 8 yrs immuno-Chemo for mCRC; now no chemo
most of 2010 Life Extension recommendations and possibilities + more, some (much) higher, peaking ~2011-12, taper chemo to almost nothing mid 2018, IV C-->2021. Now supplements

rnb828
Posts: 6
Joined: Sun Oct 16, 2022 11:52 am

Re: mCRC Stage IV mets to LV and LN - what can we do more?

Postby rnb828 » Thu May 11, 2023 8:08 am

So incredibly sorry for your loss, IM64. You were an amazing caregiver to your wife, truly going above and beyond. Our hearts go out to you. Wishing you peace and comfort in these coming days.
Wife of Dx 8/2022 (42 yr old)
Stage IV- Sigmoid Colon, Liver/LN Mets
MSS/KRAS G12A
Baseline CEA-65; Began FOLFOX w/Avastin 9/22
4/23- Liver & Colon Resection (T4bN0M1a)- 0/23 LN
5/23- Began Xeloda; CEA 5
7/23- CEA 3


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