12 doctors weighed in:

My son has pancreatic cancer and it has matastized to the liver. That tumor is small and the cancer is no where else. Why not remove the liver tumor?

12 doctors weighed in
Dr. David Jin
Internal Medicine - Hematology & Oncology
8 doctors agree

In brief: Thanks for asking!

Patients with stage 4 cancer(metastatic disease) are usually not considered as candidates for surgery (unless it's for alleviation of symptoms).
Consult medical oncologist for systemic chemotherapy or targeted therapy.

In brief: Thanks for asking!

Patients with stage 4 cancer(metastatic disease) are usually not considered as candidates for surgery (unless it's for alleviation of symptoms).
Consult medical oncologist for systemic chemotherapy or targeted therapy.
Dr. David Jin
Dr. David Jin
Thank
1 comment
Dr. Sewa Legha
Surgery to remove liver metastasis is useful only if there is No other visible cancer. if there is only a single liver lesion and nothing new appears over 3 months(in the meantime give systemic chemotherapy), would surgery be considered as an option. Pancreatic cancer rarely lends itself to such surgery because other metastatic lesions are present or show up in overwhelming percent of such cases.
Dr. Carlos Encarnacion
Internal Medicine - Oncology
3 doctors agree

In brief: Sorry to hear, Ma'am

I'm not sure what you mean by not being anywhere else.
Did he already have surgery to remove the one in the pancreas or is it still there? It is hard to give an answer without more data but i tend to agree with those who do not think liver surgery is an option. Anti-cancer drugs are probably his only option. Can't imagine what you are going through, may god give strength to both of you.

In brief: Sorry to hear, Ma'am

I'm not sure what you mean by not being anywhere else.
Did he already have surgery to remove the one in the pancreas or is it still there? It is hard to give an answer without more data but i tend to agree with those who do not think liver surgery is an option. Anti-cancer drugs are probably his only option. Can't imagine what you are going through, may god give strength to both of you.
Dr. Carlos Encarnacion
Dr. Carlos Encarnacion
Thank
1 comment
Dr. Mary Maluccio
If the tumor is biopsy positive in the liver, it is stage IV disease and the biology of the disease will influence outcome more than any other variable. Chemotherapy is the standard of care approach. If the disease is still limited to the liver after chemotherapy, one an look into liver directed therapies, including surgery.
Dr. James Ferguson
Pediatrics
2 doctors agree

In brief: Worrisome info

This might seem a logical next step.
Yet the presence of a lesion in the liver means the cancer has probably sent tiny seeds for more tumors to additional sites throughout the body. These may not show for weeks or months, but this may be their reason.

In brief: Worrisome info

This might seem a logical next step.
Yet the presence of a lesion in the liver means the cancer has probably sent tiny seeds for more tumors to additional sites throughout the body. These may not show for weeks or months, but this may be their reason.
Dr. James Ferguson
Dr. James Ferguson
Thank
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