Surgery on Stage IV Cholangiocarcinoma with Primary Sclerosing Cholang
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- This topic has 18 replies, 12 voices, and was last updated 12 years, 9 months ago by schrums4.
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February 18, 2012 at 1:13 am #55905schrums4Member
You are in excellent hands! Dr. Marsh and Dr. Geller of the UPMC Liver Cancer Center also were involved in my husbands surgery. I will be keeping you both in my prayers!!
February 7, 2012 at 5:37 pm #55904jelizparMemberDr. Selby decided to do the liver resection in two stages. The first surgery was a center resection. And after some recovery time, he will resect the far left section which also has a tumor. That will take place in about 3 weeks. On the recovery note – Mark has been doing great. He is recovering slow and well. Everyone has been so wonderful. Thank you for your thoughts and prayers. You have all been so supportive and wonderful. We will keep you posted.
January 28, 2012 at 4:07 pm #55903tiff1496MemberPraying for your family.
January 28, 2012 at 7:15 am #55902marionsModeratorJelizpar….congratulations on being the most aggressive advocate possible for your husband. Jelispar, I am wondering, what type of follow-up surgery is in the plan?
All my best wishes for a speedy recovery,
MarionJanuary 28, 2012 at 3:02 am #55901pamelaSpectatorDear Jeanne,
I am so happy for you and your husband. Way to go on being an awesome advocate for your husband and searching for your best option. Great job Patti for recommending the right doctor for them. What an uplifting story!! All the best.
Love, -Pam
January 28, 2012 at 1:36 am #55900wallsm1SpectatorJelizpar,
I know Dr Marsh from UPMC. He is such a sweetie and an excellent surgeon. I truly believe he really cares about his patients. His colleague Dr David Geller also from UPMC did my resection. They are both such wonderful surgeons.
I’m so happy for you both. I hope your husband has a speedy recovery!
Best wishes!
Susie
January 27, 2012 at 11:03 pm #55899lainySpectatorSometimes we have a few hits and misses but the important thing is to land where we belong and you have done that. You need to also give yourself a few kudos for the advocacy role you have literally jumped in to and doing a fabulous job at it as well!!!
January 27, 2012 at 9:54 pm #55898jelizparMemberThank you Lainy and thank you for your wisdom of getting the second opinion. I have a bit of a background in the medical field (very small) and when we went to UCLA, I believe they were very much interested in candidates for their clinical trials. Well, my background is sort of working in clinical trial studies so I felt like my husband was only being considered from that aspect. Thus if he wasn’t going to fit in the trial guidelines, they were not going to consider him at all or see him as a real individual. I believe UCLA is an excellent health organization, just wasn’t the answer we wanted.
January 27, 2012 at 9:41 pm #55897lainySpectatorJelizpar, this is the most wonderful and amazing news! It really proves what some research, knowledge and tenacity will do along with our great Board! Wishing your husband a speedy recovery and please do keep us posted. You have an angel called Patti!
January 27, 2012 at 9:25 pm #55896jelizparMemberDear All – Well it has been a whirlwind holiday around our place. You would not believe it. First of all, I have to thank Patti for writing her story about Dr. Wallis Marsh. Because of her, I was able to email Dr. Marsh requesting him to review my husband’s case. To which he replied, “Yes”, and so much has changed since then. We were originally told by UCLA that Mark had PSC and he was inoperable. Further, that with palliative care, he had about 3-15 months to live. Well, after much research on my part and getting in touch with Dr. Marsh, he generously reviewed Mark’s case and determined that he thought he was able to have a resection. He contacted a colleague of his in LA at USC, Dr. Rick Selby and literally 3 weeks later, my husband had a 12 hour resection surgery just 2 weeks ago. This was possible because Dr. Selby determined, among other things, (after really reviewing the PETscans) that Mark did not have PSC which we were led to believe. Anyway, he is doing well and in a few weeks, he will be going in for his final portion of his resection surgery – Dr. Selby will be doing that surgery as well. Thanks to Dr. Wallis Marsh and our amazing surgeon Dr. Rick Selby at USC, Mark has been given extended life and we feel so blessed. We know he is not out of the woods yet, there will be therapies following the surgeries, but we feel it is worth it. Thank you Patti for sharing your story about Dr. Marsh – he is truly an amazing man.
What have I learned from this experience? Like many of you taught me? Don’t give up hope. Yes you can be realistic but educate yourself and do the research. Don’t take no for an answer the first time. My husband had no idea I contacted Dr. Marsh in the first place – he probably would have told me I was crazy to do so. He believed and trusted in our first opinion (i.e. UCLA) and he was ready to accept their recommendation of palliative care therapy. I wasn’t and now he is thankful I wasn’t. But for whatever reason, consider seeking other options if possible. There can be hope.
December 22, 2011 at 9:32 pm #55895pamelaSpectatorDear Jeanne,
I would just like to welcome you to the site. My daughter has CC and has been told if her tumors shrink enough she could be considered for surgery. She has one whopper tumor that has shrunk 2cm. each way from 4 rounds of chemo. She will have scans on Jan.5 to see if they are shrinking more. She doesn’t want to know what stage she is so her doctor just says to say she has advanced CC. I wish you and your husband all the best in fighting this disease.
-Pam
December 22, 2011 at 8:09 pm #55894gavinModeratorHi Jeanne,
Welcome to the site. Sorry that you had to find us all and I’m sorry to hear about your husband. But I am glad that you have joined us all as you have come to the best place for support and help, and you will get tons of both from all of us. If we can help in any way just ask and we will do what we can to help. Please keep us updated on how your husband gets on and I wish you every success with seeking another opinion.
My best wishes to you and your husband,
Gavin
December 22, 2011 at 6:52 am #55893marionsModeratorJeanne…I would like to follow everyone else in welcoming you to our site.
Not everyone has the ability to be resected for numerous reasons, but that does not mean that other options are not available to your husband.
As you are in Los Angeles and are looking to gather another medical opinion, I am enclosing the names of two physicians very familiar with this disease.http://www.doctorsofusc.com/doctor/bio/view/72479
http://ccnt.hsc.usc.edu/colorectalcenter/team.htmDon’t give up on hope…others have treated this cancer like a chronic disease and have faired rather well. Please, keep us informed. We care and we are in this together.
All my best wishes,
MarionDecember 22, 2011 at 6:15 am #55892peggypMemberHi Jeanne,
My husband had a resection over three years ago; he is Stage IV intrahepatic CC. He had a mass inside his liver the size of a softball. They removed over 70 percent of his liver, his right kidney, gallbladder, part of colon and part of stomach cavity. I don’t believe they knew what they were dealing with until after the surgery. Six months later he presented with multiple tumors in his liver. He has been on chemo since March ’09. He takes one day at a time and does as much as he can each day. He is on Xeloda and Avastin now and is starting to have some side effects from the Xeloda. The Gem/Cis that he had been on caused damage to his remaining kidney so they said he would not be able to take that again. He will have scans on January 3rd to see where we stand. We had hoped that he might qualify for a clinical trial but the specialist we saw said that his kidney function had to be at a certain level before he could even be considered for a trial. We have tried to create as many memories as possible since his diagnosis. John is a fighter and tries to be as positive as he can; I’m not as strong as he is. Tell your husband to fight with everything he’s got because I believe that attitude plays a big part in this fight. I hope that you and your husband will keep asking questions and looking for answers; and hopefully, there will be something that will help your husband in his fight. Wishing you both good days ahead, PeggyP
December 22, 2011 at 12:49 am #55891pcl1029MemberHi,
I believe your husband has extrahepatic cholangiocarcinoma (ECCA).
but you also mention a few tumors in other places.
I s it possible you can quote a few words from the CAT or MRI reports about the “other few tumors”,where they are? how bid are they? and BTW how old is your husband? <50 yrs old?
I am Just a patient like your husband . and I am not a doctor;but I may be of help if I know what exactly your husband’s situations are?
God bless. -
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