Doctor insights on:
Liver Cancer Surgery Recovery
Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?
Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
If SIRT is done for liver mets , can this significantly prolong survival in metastic colon cancer pt?
Possibly: Removal of liver metastases can sometimes be helpful for patients with colon cancer. A remarkable amount of cancer can be removed usually after there has been some response to chemotherapy. If surgery is not recommended alternatives such as radioembolization, chemoembolization, radiosurgery, or rfa or cryoablation may be considered. Get with an experienced team to determine the best course! ...Read moreSee 5 more doctor answers
Improving: With more experienced surgeons ; more modern technics. ...Read more
Liver cancer stage 4 , lung cancer and spleen cancer with cirrhosis and hep c can I take chemotherapy treatment to reduce tumor maker?
Will avastin (bevacizumab) increase survival significantly for metastic colon cancer with liver mets ?
Is it a risky drug
Slight benefit: Bevacizumab (Avastin (bevacizumab)) is one of those drugs that is extremely expensive and often has limited benefit. Patients with metastatic colon cancer who received Avastin (bevacizumab) plus chemotherapy lived 1-2 months longer on average than those receiving chemo only. Because it has marginal benefit but costs ~$30,000 the U.K. Health Service won't pay for it. It can cause skin rash, bleeding or wound healing problems. ...Read more
If so, not much: Albain et al tried to show that surgery improved survival in operable iiia, but there was no statistical benefit. The subset that got just a lobe removed possible benefited, but would need a larger study to prove. Those that had the entire lung removed actually faired worse. For most patients, it is not the thing that makes a difference, but response to chemo/rt signals benefit. ...Read moreSee 1 more doctor answer
Not good: Overall, the probability of 5 year survival is in the single digits. There are exceptions. Single metastases to the brain or adrenal gland, if the lymph nodes are uninvolved, can be treated sequentially and followed with chemotherapy. The survival is 35-30 or so percent. If the adrenal gland metastasis shows up later, rather than at initial diagnosis, surgery and chemo can yield 45% 5 yr. Survival. ...Read moreSee 1 more doctor answer
Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?
Yes, for both: Hepatocellular Carcinoma is commonly treated with Sorafenib which is a type of targeted therapy. This is a good choice of treatment in case you have not yet received this drug. Immunotherapy using PD-1 inhibitors has also shown some modest evidence of benefit although it is not yet FDA approved for this indication. Ask your oncologist to guide your treatment further. ...Read more
10%: If a patient is a candidate for a Whipple, meaning no nodes or spread of tumor at the 1-2yr interval the survival is 10%. This may change since new immunothrapeutics are being developed. It will require a vaccine which turns on humoral immunity to produce the necessary monoclonals to prevent recurrent. The vaccine has been developed for tumor specific protein and not GVAX ...Read more
Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option. Life expectancy w/o treatment?
Depends: Believe it or not, it can sometimes still be cured. It depends on the disease burden in the liver. After resection, they can do adjuvant therapy and follow up with hepatic resections if it is limited. Also for palliative reasons - if it is causing an obstruction, then the obstruction needs to be relieved to allow for simple gut function. ...Read moreSee 1 more doctor answer
Wt to expect:hep c-cirrhosis, liver cancer spread to spleen, lung and bone- tumors in the spine compressed spinal cord-caused paralysis, done surgical
It is possible: Several factors regarding colon cancer liver metastasis predict long term survival. Where the mets present when the original tumor was discovered? How many mets are present? Is the CEA level over 200? How large are the liver mets? How many lymph nodes were positive from the colon specimen? Can all of the liver lesions be removed or ablated? Are there metastasis present elsewhere ie: the lungs. ...Read more
GB cancer is: Uncommon, so few studies done prospectively. Looking at results in people treated empirically, perhaps one person in 10 will respond. That needs to be balanced against side effects that tend to occur in most. Frank discussion about symptom rrelief focus rather than "shrink tumor" at all cost. ...Read moreSee 1 more doctor answer
Stage IV means: Distant metastases, usually to liver or lungs. Treatment will require surgery to remove the primary cancer and some form of treatment for the mets. Surgery if technically possible, chemotherapy, or radiation are mainstays of treatment of distant mets. Discuss with your surgeon and oncologist all the options available. Complete recovery might not be possible. ...Read more
Depends on type: Survival after surgery for liver cancer depends on the nature of the cancer, whether it is primary (cancer is from the liver), or secondary (cancer goes to the liver). It also depends on the underlying condition of the liver, does it have cirrhosis? It depends on the size and number of cancer lesions and whether other structures in the liver are affected. Lastly it depends on the type of surgery. ...Read more
Depends on tumor: Nowadays you'll almost certainly leave the hospital alive after surgery. If it's a primary liver cancer and quite small and the surgeons are optimistic about getting it all, you chance of a cure nowadays is probably better than even. Even metastatic disease can be managed for some tumors over years or even decades. You have a right to know the odds from your physician, though, ; decide. ...Read more
Tumor spread: Cancers can spread to different areas in the body. It is not uncommon for lung cancer to spread beyond the lung to other areas such as the liver and bone. If you have a known lung cancer and an abnormality in the liver it may be spread of the lung cancer. Certain tests like an MRI may be helpful to see if it is an often seen benign lesion (hemangioma). If it can't you may need a biopsy. ...Read moreSee 2 more doctor answers
Can surgery completely cure liver cancer? It’s stage 1 liver cancer, and the doctor says he should be able to get the whole tumor, no problem. Does that mean i’ll be cured?
Yes/ No: It is possible for very early cancers to be cured by surgery but there are many factors which are important. If this is hepatocellular carcinoma, there is a risk of local and distant recurrence even in early cancers. Most of the numbers and percentages we discuss are based on previous studies and probability, but your tumor is specific to you. It will be important to discuss this with your doc. ...Read moreSee 1 more doctor answer
How long does one 5cm large liver cancer tumor grow to spread? Doctor suggested surgery but dad wants to know how long can he wait before surgery?
When preparing for a liver transplant surgery due to stage 3 liver cancer, when do you start to take medications for the surgery?
Should a liver cancer patient receive the 4th tace treatment or not ? 60yrs old, surviving 5th year after surgery of getting rid of a bottom tip of liver (5cm) has to make a decision whether to take another treatment, transarterial chemoembolization. Diag
Quality of life: Tace doesn't cure liver cancer. It will help extend life in some patients. If you have tolerated treatments in the past without much difficultly it is likely you will not have a huge problem with this treatment either and it could help to extend your life. If you have a really hard time with the procedure and are sick for weeks afterwards you have to take that into account. ...Read moreSee 1 more doctor answer
Life expectancy of previously never sick, active healthy 67 year old after colon cancer surgery +12 rounds chemo, 6 months later spread to liver&lung?
Your best bet: Is to review a question like this with your medical oncologist. There are many different factors that contribute to survival statistics and you want to make sure you're being provided with accurate information. This requires a more complete understanding of your medical/oncologic history. ...Read more
Following colon cancer surgery, is it safe to undergo chemo treatments when the liver isn't 100% healthy? Liver damaged slightly due to past drinking, no alcohol consumed for over 25 years now. Always healthy and strong. Exercise and healthy diet always.
Probably yes: Chemotherapy for colon cancer is typically a regime abbreviated to folfox. There is an agent which has some liver toxicity but is generally safe. You will be closely monitored while on chemotherapy. And the oncologist will take into account your liver function and history before stsrting therapy. ...Read moreSee 1 more doctor answer
How to extend my mom's life? Metastases liver cancer at stage 4. My mom did surgery for breast cancer before. How to extend life besides treatment?
Quality: If you want, you can look for aggressive treatment for her or getting her entered in a study. It is her decision. I'd urge you to focus at this time on making her last months (or it may be years) matter. Remember the good times, seek healing if need be, stay involved with her and help her do and enjoy the things that are important to her. Add life to the time, more than time to the life. Bless you. ...Read moreSee 2 more doctor answers
Colorectal cancer surgery and colostomy? Why does the doctor have to do a colostomy as part of colorectal cancer surgery? What is it exactly (a hole in my abdomen?) and how long will I have it?
Some : Some ostomies are for ever and other temporary. For low rectal cancer a temporary may be use to proted the new conection alowed to be healthy.If the cancer is to low involving the muscle to control the stool a penmanented ostomy is need. Yes a stoma is a open in you abdomen that alowwed a small portion of teh bowel to come out and it is cover by a ostomy bag. ...Read moreSee 1 more doctor answer
While your: Urologist may have another answer, if you can achieve an erection, you may attempt sexual intercourse. Do not anticipate an ejaculation (which is different from an orgasm), since the prostate makes the majority of the juice in an ejaculate, and your prostate is now gone. It's good you are thinking about sex which means your libido works. Good luck! ...Read moreSee 1 more doctor answer
Surgery: Colon cancer surgery would be done under full general anesthesia. Open or laparoscopic surgery can be 2 options. The offending part of the colon and nearby lymph nodes are removed. Most often the colon is then connected back together. Less often a colostomy is needed. Discuss with the operating surgeon to get more specific details. ...Read more
This is up to you.: Much of body image is how you feel about yourself. Everybody wants to look their best, but after a point, it is how you feel about yourself that is probably the main factor. If you can feel good with what you have done to improve your body image, then that is enough. Options like support groups can help by seeing other people who are dealing with the same issues you are and how to handle them. ...Read more
Depends on type.: Cancer treatment is usually divided into local (the organ where the cancer started) and systemic (the rest of the body) therapy. Both surgery and radiation therapy are local rx's--their side effects are dependent on which organ is being treated. Which specific cancer type are you referring to? ...Read moreSee 1 more doctor answer
I had cancer surgery 3 months ago, but i'm having a hard time quitting smoking. Besides patches, what can I do?
Different programs: 1 800 no butts.Get a more detailed answer ›
Following cancer surgery i had 2 clear pet scans.Now after 5 yrs the pet scan is abnormal.What can be the reason, what to do?
Abnormal PET....: It is difficult to say without knowing your exact history. What type of cancer was it? Was the pet performed at the same institution and interpreted by the same person? Abnormal pet could mean recurrence but without the report it is difficult to say. There are many causes of false positive on pet. Please look further into this calmly and discuss with your doctor to understand the details. ...Read more
I have had 2 blood test in the past month that have shown elevated potasium levels. What are sympthoms and causes? I have copdand alergys, no other medical problems that I am awre off, all though i did have cancer surgery in 1991 with no reoccurance of p
This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more
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