Doctors Lounge - Oncology Answers
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Forum Name: Esophageal Cancer
Question: Primary Esophagial / Mets Liver
|kisleysa - Sun Sep 30, 2007 2:01 pm|
My primary tumor is undifferentiated for the last 2.5 years. The secondary Liver involvement has grown from 1cm to 3cm as evidenced between quarterly CT Scans. Liver tumor is in the corner of the right lobe. PET is scheduled for tomorrow. What are the benefits from resection, possibilities? With primary under control, non-surgically, what other possibilities for control of the secondary Liver involvement are out there?
|Dr. Tamer Fouad - Sat Oct 20, 2007 10:11 pm|
That is a very specific and confusing question. While surgical resection for limited liver metastases in colorectal cancer has been shown to have a survival benefit, it was unclear whether this would offer patients with other cancers a similar benefit.
Recently, there is some data to suggest that resection of limited liver metastases in conditions such as esophageal cancer may offer benefit when the primary disease is under control. It would differ according to the patient's condition.
Since you appear to be a very smart person, I would suggest that you ask your doctor to supply you with more details on the reasons for his decision.
Be sure to keep this post updated.
|kisleysa - Sun Oct 21, 2007 8:55 pm|
Age - 49
Sex - M
PD - EC w/mets to Liver
PS - None
FH - (2) cases EC (1) Heart Disease
CM - Gabbapentin, Celebrex, Prevacid
Last PET showed the secondary involvement in the Liver to be a new tumor located near vena cava while initial tumor does appear dead.
Primary location with follow-up EDG shows a positive mass approximately 1cm.
Plan is to reduce liver site with chemo, resect primary site with radical esophajectpmy. Allow time for recovery and then resect tumor locations in the liver.
Although this appears to be a radical and somewhat heroic action, with no other metastic sites viewable this might offer the best chance for extended life while we continue to watch for additional disease. During the esophajectomy there will be an opportunity to first look for node involvement. If everything appears sedentary, the operation will continue.
I will keep you posted,
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