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Tom · 10-31-2006, 09:21 PM

Karen,

My first thought with respect to the liver tumors, is to ask your oncologist to order a consult with a good surgeon, and inquire about cryoablation (percutaneous freezing) of the tumors. This, as well as other forms of ablation such as radio frequency ablation, are being used more often now when hepatic tumors become problematic to the patient's immediate prognosis. If you do a search of this website for those words, you may find a few articles I posted about it. It would seem to me that the liver metastases would be the most serious right now.

I hate to keep asking you more questions, but you didn't mention whether your BC was progesterone or estrogen receptor positive or negative. This is an important subset of tumor characteristics that may provide for additional treatment options. From looking at your chemotherapy plan, it seems that you are most likely estrogen and progesterone receptor negative, but it would help to know for sure.

I was also curious as to whether you had any type of biopsies of the liver tumors. It has been shown that the receptor status of BC tumors can change over time. This would be another important question to ask of your doctors.

10-31-2006, 09:21 PM	#5
Tom Senior Member Join Date: Sep 2005 Posts: 290	Karen, My first thought with respect to the liver tumors, is to ask your oncologist to order a consult with a good surgeon, and inquire about cryoablation (percutaneous freezing) of the tumors. This, as well as other forms of ablation such as radio frequency ablation, are being used more often now when hepatic tumors become problematic to the patient's immediate prognosis. If you do a search of this website for those words, you may find a few articles I posted about it. It would seem to me that the liver metastases would be the most serious right now. I hate to keep asking you more questions, but you didn't mention whether your BC was progesterone or estrogen receptor positive or negative. This is an important subset of tumor characteristics that may provide for additional treatment options. From looking at your chemotherapy plan, it seems that you are most likely estrogen and progesterone receptor negative, but it would help to know for sure. I was also curious as to whether you had any type of biopsies of the liver tumors. It has been shown that the receptor status of BC tumors can change over time. This would be another important question to ask of your doctors.