Liyang86

Hi Gavin,

Thank you so much for the article. I was wondering if anyone went through chemoradiation after adjuvant 6 month chemo?

My dad was diagnosed with stage 3b perihilar cholangiocarcinoma in 5/2017 – locally advanced with 2 lymph nodes positive and lymph vascular invasion. He went through curative surgery in may 2017 with removal of left and right infected hepatic bile duct, common bile duct and gall bladder. Afterwards he had aspirational pneumonia and stayed in hospital till end of July. After rehab he started in August adjuvant chemo with Capecitabine for 8 cycles. Now we are done with chemo. CT shows abdominal area still clear. There is a nodule in lung continuously reducing from 10mm (August) to 7mm (November) and smaller (Feb 2018). Doctor recommended monitoring lung and   chemoradiation with proton for abdominal area where tumor was removed.

The article indicates they don’t Recommend proton because of the proximity of stomach/intestines. Would proton cause more damage than the regular X-ray radiation? But my Dad’s radiation oncologist says proton is actually better in terms of causing damage to adjacent organs because of its better control. Any idea? I’m confused.

Any help or suggestions are greatly appreciated. We are in Chicago area seeing radiation doctor in Chicago Proton center.

LI