[al from Canada]

Jessica,

Have you considered alternatives to this procedure? The thought of a ICV reconstruction makes my head spin as well! Just to confuse you some more, (just kidding):

1. Selective Internal Radiation Therapy;

2. Radio frequency abalation

3. Cryotherapy (cold)

4. Heat therapy

5. Alcohol therapy (direct injection into tumor)

6. Heptic arterial infusion (direct infusion into tumor at up to 100X the systemic dosage

Some of these techniques could be used to downsize the tumor pre-resection.

From my readings, resection has by far the best results however it may be prudent to consult with other surgical oncologists before hacking away at the ICV.

Here is another thought; why not put this desicion on hold for 2 weeks until the SABCS is over as it may provide other options and updated stats.

Good luck,
Al