New here! Have CC, surgery in Apr 09 – looking to connect with others

Discussion Board Forums Introductions! New here! Have CC, surgery in Apr 09 – looking to connect with others

Viewing 9 posts - 1 through 9 (of 9 total)
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  • #36532
    gavin
    Moderator

    Hi Linda,

    I hope all goes well for you on Tuesday with your first chemo session. And you are so right about not dwelling on the negative as the affects your time right now.

    My best wishes to you,

    Gavin

    #36531
    marions
    Moderator

    Dear Linda….I would also like to chime in and welcome you. Adjuvant therapy, post-resection I believe, is hotly debated by physicians therefore, the opinions will vary. In fact, the Cholangiocarcinoma will be offering a web conference on this subject. This study is currently recruiting patients.
    http://clinicaltrials.gov/ct2/show/NCT00789958
    This much I know: this cancer is microscopic and very difficult to detect. The fact that one of your lymph nodes proved positive leads me to believe that the disease has been systemic. I am not a physician therefore, you might want to discuss this with your treating doctor in order to clarify some of the question you still have. On the other hand, we have seen, on this board, great responses to some of the treatments offered. Please, do not give up hope. Our Kris said it so well: stay hopeful and realistic. Miracles do happen. We have seen plenty on this site.
    All my best wishes are coming your way,
    Marion

    #36530
    lainy
    Spectator

    Linda, good luck Tuesday. By all means that little munchkin comes 1st!!! The other will all fall in to place. You have to do what you feel is right for you and no one else. I have been the Caretaker for Teddy for 4 1/2 years now. His CC was in his bile Duct Valve and he had a Whipple. For these 4 years I have my own way of practicing Medicine. I call it my GUT feeling. So far it has worked wonderfully. If you ever reach a point where you are having some areas of doubt don’t forget you have the right to get other opinions. I think you are doing fine and your attitude sounds very good. Please stay in touch and kisses to the little one.

    #36529
    linda-z
    Spectator

    Thanks to everyone for making me feel so welcome here. After my surgery, I was sure that everything was gone and there was no need for any support system for me, as I thought that was it! I know better now and need this very much.

    First, Lainy, I wanted to address your questions about the chemo. My surgeon originally said he was very certain that he got all the cancer, there were clear margins around the part removed, as well as the part that he burned, and the lymph node that had signs of cancer. In his words, he didn’t “think I needed chemo OR radiation, but would defer to his oncologist colleage” and would agree with what he suggested.

    After seeing the oncologist at Univ of Chicago Medical Center too, he suggested chemo as a “precaution” but again didn’t feel that I needed radiation treatment. I went through 3 months of the chemotherapy for what I thought was precautionary. And the first CT scans showed no cancer, which I felt was because surgery was successful, not that the chemo “worked”.

    I saw a radiology oncologist after chemo treatment was completed, who mentioned that it was not a good idea to do radiation at that point, because the liver had started to grow back into the area where the cancer had been removed, as well as the other organs (stomach and intestines) were now moved into that area more. Radiation had too high of a risk to other areas just for “in case”. If radiation had been done prior to chemo (when there was a big hole there), it would have been safer; less chance of damaging organs as well as the liver. I don’t know why the oncologist felt radiation therapy was not necessary at all except that the surgeon and he were so confident that they got the cancer early, and “why put you through the effects of radiation if it isn’t necessary”. Now, of course, I wish that I had known more and saw every Dr. first before any treatment to do everything I could to prevent it from returning.

    The reason for the change in chemo drugs, is that even though the Drs. thought the chemo was only a precaution, and even though the first CT scans showed no cancer, the chemo in essense didn’t actually work to kill off any cancer cells if they grew and/or came back. They want to hit the cancer with something it hasn’t seen or been exposed to before to try to knock it out. Or at the very least reduce it enough so surgery can be done again.

    I was told that surgery is really the only sure way to beat the cancer. Most of the time chemo only buys more time, shrinking the tumors and then they grow back, then chemo shrinks them again (and so on) until the cancer becomes resistant to the meds it’s hit with. I don’t know if this is true or not, I was putting all my trust in the doctors there that really seemed to be very skilled at what they did. I know now that it is time that I look into treatments that are out there and listen to others who have gone through the same things.

    Bear with me too here, as I am just getting used to the site. Thanks for the suggestions about the searches too. I wish I had more time in the day to do things though. Having such a young son makes me want to prepare so much for him in the event that I won’t be around, like life ins that I don’t have and won’t be able to get. But then I’m dwelling on the negative, and I can’t do that or I lose the time that do I have right now. Everything seems more urgent now than it was before.

    I start chemo on Tuesday. We’ll go on from there one step at a time.

    Linda

    #36528
    katieloumatt
    Member

    Hello Linda,

    Please can I join with everyone in welcoming you to the board. A great place for support, guidance and to make friends.

    Wishing you lot of good wishes with your upcoming treatment.

    Come back and update us often…..

    Katie

    #36527
    cherbourg
    Spectator

    Hi Linda,

    A very warm welcome to the site! Just wanted to mention there is a search function at the top of the page you can use to query specific questions or read the individual posters stories.

    Please come often and know we are all here to help.

    Hugs to you, Jim and your son!

    Pam

    #36526
    gavin
    Moderator

    Hi Linda,

    Welcome to the site although I am very sorry that you have to be here. You have come to the right place as will get a load of support and help from all of us here. Please feel free to ask any and all questions that you will have, there are no stupid questions at all!

    Thank you so much for sharing your story with us all as I know that it will help others. I can’t really help you with your specific questions regarding chemo as my dad never had chemo. His CC was deemed inoperable and his treatment was photodynamic therapy. Lainy is right in what she says about getting other opinions if you are not happy with what you have been told. I look forward to reading more of your posts.

    My best wishes to you, Jim and your son,

    Gavin

    #36525
    lainy
    Spectator

    Hello Linda, and WELCOME to our wonderful Family. I am so sorry to hear about your turn of events. May I ask, if the first chemo cocktail worked so well why are they changing the cocktail this time? My husband did not have chemo so I am just curious. I always say to read and read some more. Use our search engine at the top of the page and type in a word and you will get answers. Look at our old posts. If you are not 100% comfortable with the game plan that you have received you have the right to gather your records and get a second opinion. Heck, many just get 2nd and 3rd opinions anyway.
    Listen to your gut, mine has guided me for 4 years now for Teddy. Most of all enjoy that 5 year old, they grow up faster than you think!

    #3304
    linda-z
    Spectator

    Hi everyone. I’ve only read a few of your posts, so I’ll start with the basics….
    My name is Linda. I’m 53 years old, married to my husband Jim for 11 years and we have a 5 year old son born after years of fertility treatments. Mar 2009, I was diagnosed with intrahepatic cholangiocarcinoma after seeking treatment for what I thought was possibly an ulcer or gallbladder problems. I had no other symptoms except minor stomach aches (like an ulcer) which I had for about a year.

    Apr 1st I had 40% of the left lobe of my liver removed, along with the gallbladder and 25 lymph nodes. Of those lymph nodes, one tested positive for cancer. Another small tumor in the right lobe was “burned”. The University of Chicago surgeon was VERY confident that he had clear margins around the cancer in the part removed, as well as in the section burned. According to him, the lymph node that showed cancer, was also just in the liver and he felt there was also a “clear margin” around the node when removed.

    Radiation therapy was not recommended after surgery, but I had 3 months of chemotherapy (Gemzar and Cisplatin) which was very well tolerated. My first CT scans were clear.

    My second set of scans however, showed that the tumor that had been burned, was back as well as a new smaller tumor nearby. It also showed a possibility of metastasis to my lungs (“numerous nodules spread throughout both lungs”). I was told they are too microscopic to biopsy or for a PET scan to detect. The oncologist said there could be a possibility that it is not cancer, only environmental, but they would have to wait to see.

    I will be starting my second round of chemotherapy on Tuesday, 3-16-10 (Oxaliplatin and Xeloda) and then the Drs. want to do another CT scan hoping for the tumors to shrink and my lungs to be clear. They will then revisit possibility of more surgery.

    I had a tremendous amount of confidence after my surgery and chemo. especially when the first CTs came back clear. Now that it has recurred so quickly, I am terrified that my 5 year old may soon be without his mother. I really didn’t know that this form of cancer was so devastating, and by chance I came across this website.

    The doctors never gave me a “stage” for my cancer, only were so sure that they had gotten it all after “catching it early”. Now I’m revisiting the severity of the disease. I’m looking forward to finding out as much as I can about treatments, and new medical advancements that may help, as well as connecting with those of you who are also dealing with this.

    Thanks for allowing me into your lives on this website, as I hope to share mine with you.

Viewing 9 posts - 1 through 9 (of 9 total)
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