A member asked:

2ary liver cancer 6+7cm(esophagus 1ary but very small after chemo)lymph nodes on chest. best treatment available? anywhere in the world?!best option

2 doctors weighed in across 2 answers

Need more details: Having your complete medical history will be helpful, especially which chemo drugs have you received so far? Who is your current oncologist and at which Cancer Center? If you have the funds, go to the US where there is a lot more expertise available at centers like MD Anderson(Houston, Texas) or at Memorial Sloan Kettering center(New York) or Yale Cancer Center, seek new Immunotherapy treatments

Answered 3/12/2020

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ChemoRT: Primary Esophageal Ca is best handled even in the face of mets by RT+ plat. Gemzar (gemcitabine) can be added and these will have secondary effect on the mets. Frequently transesophageal ultrasound will show complete regression of primary but Ca cells may remain in muscular wall. Liver lesion can then be treated by intra-arterial chemoembolization. Primary site may then be resected.

Answered 10/2/2015

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