How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 26759
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

Can I discuss this issue with you quickly?

Resolved Question:

Can I discuss this issue with you quickly?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi--what issue?
Customer: replied 2 years ago.

HI Sorry Dr Chip, I hadnt realised the question was not on there.


 


It is about secondary liver cancer, my mum has just been to a meeting with her oncologist. She has been told she has secondary liver cancer and there is a 10 cm tumor - they said there is nothing they can do other than put her on Zelboraf on Monday. They said this could shrink the tumour significantly and give her more time. I just want to know if there is anything that can be done AT ALL COSTS. We are getting a second opinion as my mum has had melanoma's removed from her skin and theyve always been in situ and not metastatic.

Expert:  Dr. Chip replied 2 years ago.
Secondary David? How did he know that and if it is, where is the primary cancer?
Customer: replied 2 years ago.

my mum has had a lump removed from her head and was told that was in situ in 2009, in 2011 she had occular growth treated with a plaque fitted to the back of the eye. She was again told this was not as a result of a spread and that the door was closed on that growth and it will not spread. In 2012 she had a small lump removed, that was initially identified as metastatic and she was told all they could offer was palleative care, the sample was sent to a professor in london who completely disagreed and said it was in situ. She has been told by two professors that she has a rare form of malignant melanoma. The oncologist today had a ct scan (which we didnt see) and he is confident it is secondary with an unknown primary and thinks it has spread from the arm growth.

Expert:  Dr. Chip replied 2 years ago.
Has your mom had a colonoscopy?
Customer: replied 2 years ago.

No, she has had an ultrasound which detected the liver cancer.

Expert:  Dr. Chip replied 2 years ago.
Sorry to hear about this David--what exactly would you like to know?
Customer: replied 2 years ago.

With this history, could it be primary? On Zelboraf, what is the prognosis, is there anything that can be done, i know zelboraf may decrease the tumor size if she reacts well to it, can it then be removed with surgery then chemotherapy used?? I know there is a chance it will come back but is there a chance it could not, i know my mums cancer is rare but as such should she be given a chance of survival?

Expert:  Dr. Chip replied 2 years ago.
It could still be primary or it could be colon cancer--that really can't be told without a full workup and a biopsy of the liver tumor itself. Yes, the tumor can be surgically removed if necessary but I can't right now give you a prognosis for her--it could be fairly good but I just don't have enough information right now to tell you David. Keep me in the loop whenever you have any more information
Customer: replied 2 years ago.

Ok - thanks for your honesty.


 


The consultant said something about a metastatic spread on the ct scan.


 


I suppose my real question is that if it is secondary from the skin, can there be an 'effective cure' for years rather than months if chemotherapy is used. I understand at the moment it is too big, but will/can the zeboraf reduce the size so it can be operated on? The impression I got today was that the NHS were not willing to go this far and just want my mum to take the zeboraf until it doesnt work anymore and then to die.

Expert:  Dr. Chip replied 2 years ago.
Chemotherapy can give a good prognosis for at least a few years but that's really not precisely predictable. The zebrograf will likely shrink the tumor and might shrink it to the point where surgery isn't necessary. Try to keep yours and your mum's spirits up for now
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 26759
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Dr. Chip and other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions