recurrence questions

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  • #37090
    linda-z
    Spectator

    clkempf,

    Hooray for month 9!!! and many more. Keep on praying and fighting this cancer.

    Linda Z.

    #37089
    raye
    Member

    Good for you clkempf!

    #37088
    clkempf
    Spectator

    I am in month 9 and seeing the green grass I was told I would never see. Praise be to the Lord Jesus Christ.

    #37087
    mlepp0416
    Spectator

    Clkempf: Thank you so much for your words of encourgement! We are hoping that all goes well at Mayo Clinic this week. You also continue to fight your fight and never give up!!!!

    Go with God and KEEP KICKIN’ THAT cancer.

    Margaret and Tom

    #37086
    clkempf
    Spectator

    Dearest Margaret,
    I too have this dreaded cancer. My largest living tumor has shrunk from the size of a orange to the size of a jelly bean. The tumor itself is still large but mostly dead. The smaller ones are gone, all thanks to The Mayo in Minnesota, and Fort Wayne Onocology.
    So far I have underwent Sir-Sphere (read on Google/Bing) and chemomembolization and chemo. I have Stage 4 with mets to the liver and lungs. I was told originally I had less then 6 months. That was over 8 months ago. I feel good and so far look good.
    Never stop hopeing! I will pray for your husband. Tell him to fight, and pray…it is what counts. I have been through the journey your going thru, and it is hard….cry, scream, but never give up. I plan on being here as long as I can.
    Clkempf :)

    #37085
    linda-z
    Spectator

    anp:

    I’m a little later in posting here, but thought I would let you know my journey so far. I had liver resection surgery April 1, 2009, with subsequent chemotherapy 3 months after recovery. My first CT scans were clear and the doctors said they were confident they had a “clear margin” around all cancer. I’ve heard that a lot on this site.

    My subsequent scan a few months later showed a recurrent spot where a tumor had been burned (again saying that it was burned with a clear margin around it). I am currently undergiong my second round of chemotherapy in hopes to reduce the tumor and have surgery again.

    I would say that by reading so many of the posts here, that recurrence is very common. This disease is horrible and is not very predictable. However, I have also seen success stories. We can only hope that we will all experience a little bit of those success stories along the way until we can finally get rid of this cancer.

    Early detection and frequent follow-ups can help keep up on it.

    Good luck.

    Linda Z.

    #37082
    lainy
    Spectator

    Dear ANP Welcome to our Family and glad to hear that your father is already a survivor. Unfortunately you have to play the waiting game with CC and Scans. I believe that is one of the hardest parts of this whole routine. When you find out the results then you can come up with a game plan either way and that always seems to be better than wondering. We try to be optimistic as attitude helps so much. We will be hoping for the best for you and please keep us posted.

    #37083
    anp
    Spectator

    Margaret,

    Thank you so much for your reply. I will be praying for your husband.

    My father did not undergo any chemo post resection. He had a 1 inch clear margin, and he was in such bad shape, (due to surgery as well as other medical issues) that he was afraid he may not even survive going through it. Of course, now looking back we wonder if we should have done something different. We will definitly add chemo to our list of things to talk with the doctor about.

    My dad’s “set” appt. with the oncologist is on the 13th, unless the doc wants to see him sooner. I hope your appointment on the 14th goes well and your husband can get the internal stent put in. This disease is just so terrible, and frustrating trying to learn how to deal with the unknowns.

    #37084
    mlepp0416
    Spectator

    anp:

    Welcome to the best CC site that I have found on the internet. My husband Tom has Cholangiocarcinoma and his was dectected early through blood work and following an ERCP here in Green Bay Wisconsin, it was found to be cholangiocarcinoma. He underwent a liver resection in June 2008. He developed a bile leak and had an external drain for 7 1/2 months. He did not have any chemo or radiation post surgery. In October 2009 after a PETScan, they told him he was cancer free, however apparently there was a ‘hot spot’ in the liver which his surgeon said was the ‘liver still healing’.

    In November of 2009 he started turning yellow and I immediately knew something was wrong. We started searching for answers and his veterans oncologist told him that chemo and radiation would not work and that he should go home and he gave him 6 months.

    We sought other opinoins and have now learned that he should have had chemo even after a successful liver resection with clean margins. After reading through all the medical records from the VA hospital in Milwaukee Wisconsin we have learned that he surgeon ‘re-used’ the stent that was in the left lobe of the liver and placed it during surgery in the remaining right biliary tree. (One wonders if this is why he has now presented with a 2.5 inoperable tumor in the right biliary tree??)

    We did not like the 6 months diagnosis and went to Marshfield Clinic and although the oncologist agreed with the inoperable part, she did not agree with the no chemo and no radiation.

    We then went to the Vince Lombardi Cancer Center here in Green Bay and Tom has had 28 radiation treatments and has started Chemo (Xeloda). His biggest problem is that they were unable to stent the liver bile duct internally, and he has had an external drain since December to drain off the bile that was starting to inflitrate his system, turning him such a horrible shade of yellow.

    Without the bulk of the bile getting into his system, he is not pulling much nutrition from the food he eats, therefore he is loosing weight. He is now down to 117 lbs. After the docs here in Green Bay trying 5 times to get the internal stent in I feel that they have given up. We asked for a consult with Madison and the doctor there agreed with the doc in Green Bay that “There is nothing more to try”…..

    Unsatisfied with that answer, I asked his oncologist to consult with the Mayo Clinic in Rochester Mn. We have an appointment there on Wednesday, April 14th. and we believe that they are going to review everything and try to place the internal stent. The tumor is dead through the radiation treatments, and the chemo is finding any remaining cancer cells lurking around in his body and KICKIN those in the behind.

    My recommendations (and I am by no means a medical professional) is that even after a successful liver resection, one SHOULD have at least a few rounds of chemo as a precaution…..to catch any remaining cancer cells. All of Tom’s new doctors all say that IF he’d had the chemo after his resection he may not be in the position he is in today.

    I do not know what the outcome will be for Tom. If they are unable to place an internal stent or somehow remove the dead tumor, I feel that we will be making funeral plans in the near future. Because without the bile to help him digest his food, he will continue to lose weight and he will continue to get weaker and weaker. Very sad, but true.

    By the time the tumor started causing the blockage, it was already too late to place an internal stent because of the placement of the tumor. My husband also has diabetes. I would certainly questions the doctor’s about some rounds of chemo for your dad. Your post does not indicate if your dad has had chemo….but if not, I would insist upon it.

    You can read more about my husbands journey with CC under my login name.

    Go with God, prayers are coming your dad’s way from Wisconsin.

    KEEP KICKIN’ THAT cancer.

    Margaret (My husband and cholangiocarcinoma)

    #37081
    marions
    Moderator

    Hello anp….welcome. I am sure for others to extend a “warm welcome” to you also. I don’t think that recurrence of this cancer ever is far from our mind however, many times have we seen on this board that or worries were unsubstantiated. As our Kris has mentioned; we are staying optimistically realistic. I am crossing my fingers and wishing for a great scan result coming your way.
    Please, stay in touch. And, I am happy that you have found us.
    Thinking of you, tomorrow.
    Best
    Marion

    #3394
    anp
    Spectator

    I am new to the site and am hoping that some of you out there can give me some insight. My father was diagnosed with CC June 2009, underwent liver resection in July 2009 and had a clear scan November 2009. (Apparently he was one of the lucky ones seeing as how he had CC for well over a year before it was caught. The lesion was thought to be a hemangioma for some time.) Anyway, he had a follow-up scan last week (9 months post surgery) and there are “several” lesions noted. There are 2 that are “measurable.” He is going for PET scan tomorrow, and I am wondering what the chances are that the CC has returned. The dr. mentioned a possibility of fatty deposits due to diabetes. I just want to know from anyone who has had experiences with recurrence what the chances are that this is anything OTHER than CC and if not, what are the best options, if any. Thanks for any help, as I am trying to get a grasp for what we may be dealing with.

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