Not all resections are performed equal;please read the above message I revised today.And if you had resection done,don’t be alarm about the CTscan or MRI reports of increasing in size in the lesions,it may be included the clean margins .
Again,I just revise the above info. I added the suggestion of using PET scan as the scan of choice for the first scan after the resection.
I am a patient and have the same CC descriptions as yours.
Usually when the surgeons(liver specialist) perform resections,they will use intra-operative ultrasound to detect the CC they cannot see in the liver (those deep inside the liver) and do ablations (RFA) to burn the tumors dead with1cm or more margins unless the tumors are too close to vital organs..So you should not worry too much about the clear margin .
The most important is to REMIND the surgeon when they open you up and after the resection and RFA done.do they ALWAYS use intraoperative ultrasound to detect the tumors that they cannot see with his/her naked eyes. and burn them off with a margin. I was told by my oncologist that one of his patient after resection is performed ;the follow up CT scan still so 2 tumors left in the patient’s liver.and my oncologist is not happy with that general surgeon.So you see not all the surgeons are created equal,and if they do not care about you or they are in a hurry for just doing surgery for you or they are inexperience in CC surgery.That is what you got in care. In short,even you have the chance to have surgery ,you still need a liver surgeon specialist to operate on you,not just a surgeon in general practice.
The chemo you will receive most likely is the adjuvant therapy consist of either Gemzar or a combination of Gemzar plus one of the platin group agents
like(Cisplatin, oxaliplatin);Or 5Fu.
I suggest the first scan 3 month after surgery should be PET scan so you will know whether they removed all the cancer lesions. CC is a relatively slow growth tumor,so it would not light up as hot spots in the same sizes just 3month after the resection if they did a good job during the first resection.(ie:compare the locations and sizes of the lesions with the before and the after scan and you should known,if not sure, ask the radiologist for confirmation.)CAT Scan or MRI with contrast every 3 -4
month from then on is recommended ;CEA,CA19-9,CBC and BMP labs should be done prior to oncologist visit is also recommended 4-8 weeks after resection ;make sure the lab reports are seen by the oncologist or bring along a copy with you.