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Radiology treatment success for liver mets

Arisgram profile image
Arisgram

Has anyone had successful radiology treatments for their liver mets? I'm researching proton therapy, Y90 and SBRT. Please let me know your experience.

All the best, Andi

19 Replies

Sorry but I can't help you with this. I do have liver mets but aside from the two tumors mets seem to be spread throughout the liver. As yet, that has not been an option for me. But, I am very interested in following your procedures.

Arisgram profile image
Arisgram in reply to blms

Can you explain "aside from the two tumors mets seem to be spread throughout the liver"? I don't understand.

blms profile image
blms in reply to Arisgram

liver shows nodular morphology with heterogeneous echogenicity and echotexture consistent with diffuse

metastatic disease and pseudocirrhosis.

Only two tumors in liver, not particuarly large but the liver is suffering across the board with cancer. Let's see what the next scan says. I no longer have any liver pain, for which I am extremely grateful.

Arisgram profile image
Arisgram in reply to blms

Thank you. I'm certainly glad you're not in pain. The 3 tumors I have were extremely uncomfortable. What is your current treatment? I'll be sending good thoughts for effectiveness!

blms profile image
blms in reply to Arisgram

Taxol three weeks on / one off And faslodex once a month

Hi Andi,

I asked my oncologist about Y90. She basically told me that there is not enough data as to whether it will prolong a patient’s life but she did set up a meeting so that I can discuss it with the radiation oncologist.

Best,

Jade

blms profile image
blms in reply to Wintervt

Sometimes it is about quality of life and maybe help with any liver pain, if that is issue. But, I have no information on that.

Arisgram profile image
Arisgram in reply to Wintervt

I had it suggested to me at MDA last year before Everolimus and Xeloda. Dr. Lim did say it was very new. Generally, the data looks promising....just not sure about MBC. I have an appointment on the 25th. I want to be prepared for the conversation as I think the Xeloda is failing. I'll be sure to let you know what he says.

Wintervt profile image
Wintervt in reply to Arisgram

Please keep me in the loop, Andi!

Hi there, I've had Radio Frequency Ablation to liver mets 3 times & have none in the liver now. I'm in the UK.

queeneee profile image
queeneee in reply to Mamacass67

Hello Mamacass67, I am in Scotland and very interested in your RF Ablation. I enquired about this with my oncologist and she said there is no protocol to do this for MBC. I am about to open up that conversation again with her - so any info you have would be useful. Where did you get it done, how large were your mets, who is your onc.. etc PM me if you feel more comfortable / thanks

Mamacass67 profile image
Mamacass67 in reply to queeneee

Hello queeneee,

I asked my Onc in Maidstone to be referred to a liver specialist at Kings Hosp, London re RFA. Kings said It wasn't an option at that time as too many liver mets (looked like someone had shaken salt & pepper through my liver is how they described it) Kings suggested SIRT which you need funding for from your PCT (which I managed to get!) Went back to Kings to discuss SIRT & there had been significant reduction in mets due to chemo that Kings agreed to do RFA. They didn't get it all first time so I had it done again 6 mths later. NED for 5yrs then it came back in liver, went on Capecetabine & then had RFA again followed by another 5yrs NED.

Hope this helps.

Arisgram profile image
Arisgram in reply to Mamacass67

Wow your liver has been through it! Congratulations! What drug therapy followed the RFA?

Mamacass67 profile image
Mamacass67 in reply to Arisgram

I went on Tamoxifen for 5yrs then Letrozole for 5yrs which was strange they both stopped working almost to the day!

queeneee profile image
queeneee in reply to Mamacass67

Thanks very much Mamacass67. Did you have any pain or side effects or need recovery time from the RFA?

Mamacass67 profile image
Mamacass67 in reply to queeneee

Yes the 1st time as they had to make an incision but the other times were carried out through the skin.

Memorial Sloan Kettering offers microwave ablation. I had it for a large liver tumor ablation in February.. so far ir ha been a complete success. A scan in July will be the true test.

Can you please explain microwave ablation? I have seen this term mentioned several times on this site, but am not sure what it is. Thank you!

Dear love2golfwell-----I am sorry to say that the way microwave ablation works is beyond my knowledge. What I can tell you from my layman's place is that it burns the cells away. and that it is the latest method used in MSKCC. My personal experience was absolutely fine as I have written elsewhere on this forum. I was under anesthesia for the procedure and when I woke up I had pain which was promptly removed by drugs. They gave me a pain medicine pump which I used with gay abandon, stayed in the hospital for two nights, went home and took only three more heavy duty narcotics for the pain and that was the end of it. I assume that the burnt out cells will be absorbed by the body. In July, I will have a scan which will reveal all.

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