Is liver resection possible for brother w/stage 4 colon cancer mest to liver w/lots of tumor.

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!
Probab ly not. If there are widespread metastases, it is better to treat with systemic and/or regional chemotherapy. Should there be an extraordinry response, maybe a liver s resedtion can be considered.
Maybe. Whether liver metastases can be removed can best be determined by having an experienced liver surgeon review the imaging studies. The number of tumors is no longer considered critical; the question is whether there is a way to remove all the tumors while preserving an adequate part of the liver. In some cases tumors that start out unresectable can be converted to resectable with chemotherapy.
Depends. It depends on the location of the tumors. Resection, ablation, liver directed chemotherapy such as hepatic artery infusion pumps and tace may be options. Consultation with a hepatobiliray surgeon should be done.
Maybe. It certainly depends on the extent of disease and whether it involves both right and left lobes. There are other options if surgery is deemed not possible such as chemo embolization or y90 treatment.
Unlikely. Resection is considered if there is less than 3 lesions in one lobe of liver, without lymph node metastases. If there are lots of tumor in the liver, it is not possible to resect lesions without leaving tumor behind, and therefore would be futile. Chemotherapy would be a consideration, depending on extend of metastases.

Related Questions

Brother diagnosed with stage 4 colon cancer mestastic to the liver- report reads "tumors on liver too numerable to count", he's on chemo, his chances?

Not good. . Chemotherapy regiments, including targeted therapy, have improved response rates, including regional chemotherapy into the hepatic artery via a pump or with microspheres, all of which may prolong survival and improve quality of life. Read more...
Depends on response . With a number of the new protocols the results have been encouraging for increasing lefe span. Read more...
Not great. Chemotherapy can certainly slow down the progress of colon cancer spread to the liver, but the disease ultimately progresses. From what you said it sounds like the tumors are on both sides of the liver which rules out partialiver resection. Another palliative measure might be heat treatments to any of the tumors that get very painfull. Read more...

How helpful are radio active beads for stage 4 colon cancer and what number should the liver result be (is 2 ok)?

Not aware it is used. Of all the treatments for stage 4 colon cancer, i'm not aware of the use of radioactive beads; perhaps it is an experimental treatment which would not yet be available to the public, unless one is in the study. The liver is the most common organ for colon ca to metastasize, but could go to other areas of the body. Read more...
Not sure what "2" is. Sir-spheres are highly radioactive yttrium glass microspheres that are injected into the hepatic artery that supplies the colorectal cancer metastasis to the liver tumor. It is designed to treat those that failed traditional chemotherapy. It is effective and prolongs life expectancy. A lung shunt study is required before being treated, perhaps the "2" refers to that test. Read more...
More info please. There are more then one kind of radioactive microsphere for treatment of hepatic metastases. Because liver metastases are often the most life limiting issue in stage IV crc, local catheter directed cancer therapies can be very effective. This should be reviewed by a multidisciplinary team to advise you best. Vascular and interventional radiologists are the only providers who in fact perform the tx. Read more...
Effective. When stage 4 colon cancer is limited to the liver, this tumor can not metastasize out of the liver but grows locally. As such several lesions at one site can be treated by chemo embolization where an angiogram defines the hepatic artery branch to the tumor. Rather than infusing chemo, radiolabelled Yt microspheres are injected into the tumor and the vessel embolized, effectively destroying tumo. Read more...