Ablation Liver Mets

[Trissh]

Would love to hear from anyone who has had local therapy to the liver. My oncologist is not enthusiastic (to say the least). From what I understand, ablation to liver mets or Y90 has a positive influence on overall survival when used along with systemic treatment. What are your thoughts on this? Have any of you discussed with your doc? --Trish

[fancydog]

Your Oncologist needs to explain why they are not supportive of local treatment. I think it probably depends on the location of the mets, how many and how large.

[Trissh in reply to fancydog]

She told me that they wouldn't suggest local therapy to liver unless they needed to because of liver function. But that seems reactive and I prefer to be proactive.

[LDR1]

There was a post 2 days ago from JulieB76 describing her experience with ablation, fyi 💜

[Oberammergaux2]

Trissh

I have had three separate liver mets episodes during this journey. They were each single mets and each was about 6mm. All were treated with gamma radiation.

Highly recommend this route if available!

[Chamisa]

l have brought this up to my doctors many times. They say no, that for me systemic treatment is better. That ablation risks damaging other, healthier liver tissue. 😟

[jersey-jazz]

I've had several ablations liver lesions. It's risky. The instrument slipped and made a hole between my liver and colon. It. has mostly healed up but took my health pretty far down.

[Trissh in reply to jersey-jazz]

Yikes!!! So sorry you had to go through that trauma!

[Coddfish]

I have had 2 microwave ablation procedures to my liver. It’s done under general anaesthetic, generally requires an overnight stay and has a reasonably quick recovery time. I am not sure of its effectiveness - after the first ablation, my liver tumour regrew. I have recently had my first scan after the 2nd procedure, not yet got results so the jury is out.

Combining it with some form of systemic treatment reduces the risk of a new metastasis popping up somewhere else. I had around 5 months of treatment with Pembrolizumab combined with NAB-Paclitaxel between my ablations (I have PD-L1 positive metastatic TNBC). Unfortunately I had to stop the treatment following a major immunotherapy related ‘adverse event’ during which I sustained significant organ damage. However the pembro had had a significant effect on my liver mets so I am a bit more hopeful that the 2nd procedure will have had a more lasting effect.

[Coddfish]

As an addition to my previous reply, I now have my scan results. I am in remission, so definitely worth it!

[Trissh in reply to Coddfish]

Amazing! So happy for you ❤️