I've got a brand new treatment plan. I think that it is much better than the single option that I had before, but I am anxious about the future.
Based on my response to the Gemcitabine and Cisplatin; the condition of my liver; and fear about doing a liver resection and whipple at the same time (from both the surgeon and me); my surgeon, my wife and I have agreed on a new treatment plan:
First, I will have Transarterial Chemoembolization on my liver. The hope is that this will further shrink the liver tumors. We'll do three of these "procedures" over the next three months. I had a set of scans last week that indicated a new lesion on my left lobe. This was the healthy part of my liver.....
Assuming that the TACE works, we'll take a few weeks off and then do the whipple procedure to remove the disease that is outside my liver. While he's got me opened up, the surgeon plans to burn my liver tumors with microwave ablation.
Assuming that works, I'll recover from surgery and then have a few more months of Gem/Cis.
Assuming nothing new and awful crops up, we'll get ready for liver resection.
I'm not sure what to think about this plan. I'm optimistic, but there are a lot of "assumes" in there. It's certainly better then flipping a coin with my life (they gave me a 50/50 shot at surviving the other surgery). One day at a time.........
So, my first TACE treatment is tomorrow. I'm nervous about the procedure itself and pain and nausea that I'll have in the 12-24 hours following the procedure. Wish me luck!