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Old 03-13-2011, 07:43 AM   #8
Lori R
Senior Member
 
Join Date: Jan 2008
Location: Evergreen, Colorado
Posts: 454
Re: Liver Mets - Cryo vs Radiation vs Surgery

Hi team,
First of all, thank you for all the support!! Missy, it is so encouraging that the stats some of the Surgeons are sharing might not be too optimistic. I'll pm you as I think of those scarry surgery thoughts in the middle of the night.

Michka, I was on Navelbine following my 2nd chryo and honestly it didn't seem to do anything. The Drs. are thinking that for some reason the chemo is not getting to the part of my liver with a tumor. My onc is thinking that since I have remained NED in other parts of my body that throwing more chemo at my system might not be beneficial. I do worry about just destroying my system with all these non-targeted drugs. Yet, I do like the idea of a follow up for escaping cancer cells.

Michka, are the little mets all in the same lobe of the liver? If so, that would be a good thing for surgery. It is also good that the mets are very small. The Sterotatic radiation is good for very small mets. The radiologist quoted the 90% recurrance free after 1 year.

Leez, the Sterotatic readiation is a targeted beam of radiation. I don't know if the microspheres procedure you are referring to involves implanting radioactive particles in the liver. The stereotatic option is extremely sophisticated and precise. I understand the planning for the treatment takes the radiologist 2 weeks to develop. One of our wonderful, wonderful sisters Lily used Sir - Spheres and I don't believe it worked for her either.

One final consult with one of the best liver surgeons in Denver on Monday. (but has a notoriously unfriendly bedside manner) I've decided that if he will take my case, I will use him. (we call him Dr. grouchy) Then....just need to get on his schedule.

Thank you again for all of your warm thoughts...lots of hugs.

Lori
__________________
2007
Oct - Diagnosed - Stage IV
5 c.m. IDC - Left Side er/pr- Her2+++
Node + 2/14 - Single Liver Met
Double Mastectomy
Nov - Begin T+H
2008
Feb-Complete 6 cycles- T&H- NED
March - Continue - Herceptin Only
April - Rads for 6 weeks
2009
Continue Herceptin - Continue NED
April - Recurrance- 3 cm. Liver Met
May - Cryosurgery
June - November - Abraxane + Herceptin
Aug - PET/CT - CTC = 0 Back to NED
2010
January - Continue NED
July - Recurrance - 3 cm Liver Met CTC=1
August - Cryosurgery #2
August - November Navelbine
November - Back to NED - End Navelbine
2011
Feb - Recur - 4 cm Liver Met - Same Left Lobe
March Surgery it is -Couldn't get a clean margin
July - Confirmed continued liver involvement
August - Begin Herceptin + Tykerb
October - Mixed results from H+T
Add Abraxane + H + T - Nov - April
2012
January PET Scan - It's working!!
April - Back to NED
July - Recurrance
August - Begin TDM-1 Trial (Taxol + TDM-1)
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