Hello, this is Dr K.. Answers are not medical advice and do not constitute a doctor/patient relationship. I look forward to helping you today.
Hi there. You have to type in a question in order for an expert to answer.
Ok my dad had colon cancer surgery in march. A tumor was removed from bowel with lying nodes no spread at that point.
A recent scan has shown 1 liver met of 16mm . The uptake on that was 5.2 SUV max . Is that high ?
Also 1 aortocaval node of 10 mm has a met.
Yes its high as it is over 3.5 but that does not necessarily mean it is a metastasis. A solitary or single node is not always a metastasis. In addition, a single met can sometimes be resected or surgically be removed but not always. The aortocaval node may not be a met, though it could be.
30 percent of people may be cured if the metastasis to the liver can be completely removed. It will be important to know what the other node is.
Well he has started folfiri . Had 2 sessions . Luckily he is ok with it . But they said that due to the node they cannot resect the liver met yet . Will folfiri get rid of these ?
Ok I see the rest now
What does Yet mean and have they determined the node is cancerous
He has been started on chemotherapy with the assumption that the node is cancerous thereby making him not a candidate to resect the liver met. While this will give him some time, no it will not cure him
You need a second opinion and to pursue whether this single node is a met. He has a better chance if the liver met is removed. It the other node is cancer it does not benefit him to remove the liver met
No biopsy done but based on images and the uptake on the pet they are saying the node is cancerous . But it's 1 node so can it not br
Can it not be radiated etc and then liver met removed ?
Its not the case that it's large volume mets so could
He have a good prognosis ?
No thats not the treatment since its likely not to be a single node.
The liver mets will not be resected if there is disease elsewhere
I am sorry but he does not have a good prognosis, theres about a 10 percent chance of living 5 years. Most people live about a year with stage four disease that cannot be removed.
I am sorry its bad news.
Even with a liver met of only 16 mm . There are ppl
There are ppl
With several liver mets n lung mets who are a liver after a few years even
Yes that is true. About 10 percent of people live to 5 years so that means quite a few live a few years. The average is a year. That means some live a few months and some 2-3 years.
if the node disappears with chemo n the met then in liver is resected is that good then ?
I am sorry I know you want good news but its not good news. Yes that would be a good sign. But this stage of colon cancer is not curable. It will come back. It would only be good news for getting more time