Hello! I've been reading your posts now for about 2 years and have found much comfort and wisdom in them. Thank you! There is a wealth of information on this site....and wonderful people that I wish didn't need to fight this battle.
The reason I'm posting now is because I have a question regarding treatment options for my father. I have done a search on both treatment options, but I am curious as to whether anyone has tried both and what their experiences were. Likewise, if anyone has any information on either of these alternatives, I would appreciate hearing from you!
Brief medical history:
My Dad is now 70 years old. In Feb/Mar of 2008, my Dad was diagnosed with cholangiocarcinoma of the common bile duct at Mayo Rochester. He underwent the whipple on 3/10/08 (Invasive grade 3 to 4 and node negative). He had no follow-up chemo/rad.
In June 2009, the cancer was thought to have recurred in 2 peripancreatic lymph nodes. Dr. Nagorney agreed to go back in and resect these, however, biopsy showed hematomas and no neoplasm. Biopsy of the pancreas showed invasive adenocarcinoma. No resection completed.
Subsequently, my Dad did 6 weeks of radiation and 5-FU followed by ~8 months of Gem/Cis. He tolerated it well for the first several months, but then was hospitalized 3-4x for a gram-negative infection. His blood counts were very low which forced him off of chemo in April 2010.
This summer he had 3 days of intense IRT which destroyed several small liver nodules.
Today, he has a 3 cm mass in the peripancreatic region which is occluding the SMV and splenic vein; ~1 cm lesion on his liver, small growing lesion on his lung, and a non-occlusive thrombus in the portal vein.
Going forward, the two options are: Gemzar + xeloda vs. Nexavar (sorafenib).
Does anyone have words of wisdom or personal experience to share?
Thanks so much in advance for your help!