I just got back from MD Anderson where I was told my tumor had shrank but it was slightly more FDG avid. I am currently on Itrinotecan every two weeks. Dr. Javle at MD Anderson (after meeting with a group on doctors to discuss my case in a conference)is suggesting IMRT....for the second time.
Last summer I had the 28 treatments and at first, they thought it didn't worked but later decided it had made the majority of my mass inside the liver necrotic. Basically it is very low - activity wise. BUT at the dome of the liver there is a spot that is still showing up FDG avid. They would like to do IMRT again for 13 days (just on the spot showing up brighter)...getting it twice a day-once in the am and once in the pm. Has ANYONE or does anyone know anything about doing this. The oncologist said it is not done a lot but they feel it will be of benefit to me. Dr. Das, the oncology radiologist says they HAVE did this in the past as MD Anderson but not ALOT. Dr. Javle has tried to get the oncology team to agree to do the IMRT for the past 6 months but since it shrank a little more this time, the oncology team is ready to say yes (the shrinkage made the tumor a little further away from my heart). They say NOW is the time. My CA 19-9 is at 19.....3 months ago, it was about 24.6. I am confused and worried about scar tissue....heart damage....any additional info or comments is appreciated.
I talked to another MD Anderson patient who alerted me to a new machine MD Anderson is trying to get FDA approved right now. She said it has already been tested on alot of different animals and is now built to hold up to 800 pounds. I Googled it and it is for pancreatic cancer but also VERY promising for liver patients. I would like any other input if people have heard of this machine "in process"
Hugs to all you CC patients and survivors!!
Well, time has came and gone....I have 3 days left of IMRT. My only symptoms were tiredness starting about day3 and lasting to Saturday evening. I also has some side pain where liver is located on right side. I also had a feeling that my belly was on fire about Thursday to Saturday so I just drank ALOT of water which is key anyway with this cancer. I have never had nausea or diarhea during the treatments. My care at MD Anderson and the radiation team I saw every day.....5 days a week, is what kept me so positive!!
So ready to start home this coming week. I will return in 6 weeks to see if it did any good at all.
Somethings I learned after starting treatment:
1. IMRT only treats the mass/tumor so it can spread to other parts of the liver or body
2. It might not work at all but to hope for stabilization to buy me more time
3. Do NOT eat for 3 hours before your IMRT and there is a less chance of getting sick.
4. Drink LOTS of water before treatment up to minutes before the treatment helped me to NOT get the "belly burn" feeling.
5. Hope and pray for the best!!
Patty in Illinois
I have stage V ICC. I was diagnosed in March of 2011 after a trip to the e-room for what I thought was gall bladder pain. After CT and MRI, it was confirmed I had a tumor in the liver. I then went to Mayo Clinic for a second opinion, where they offered pallative care. I didn't like that so I contacted MD Anderson and met with Dr. Javle. I had NO pain, no itching, no weight loss although I was very active and rode my bike up to 25 miles a day or walked. I also went to the gym. Dr. Javle stated I had the ICC for atleast 3 years. Mine is slow to grow but slow to shrink. For the first year (after diagnosis) it was pretty stable....I had Cisplatin/Gemzar for almost 6 months along with Tarceva. I then had an allergic reaction to Cisplatin so we switched to Xeloda and Gemzar along with Tareva. (In between all of this, I had blood clots, was put on a blood thinner, had a brain bleed due to blood getting too thin (I was in the hospital for 9 days)so they pulled me off the blood thinners completely, then I got the blood clots again. Now I take Enoxaparin as a blood thinner and it is tested weekly for clotting factor). I then had a reaction to Xeloda and they just put me on Tarceva and Gemzar. While on just the Tarceva and Gemzar, my tumor decided to get "brighter" and I had two lymph nodes close to the liver that were FDG avid. After a biopsy, they showed to have cancer cells in them. So, I am moving to Houston, Texas to get 5 1/2 weeks of IMRT starting April 23rd and will also take Xeloda again and an allergy pill to hopefully keep from having an allergy from it. I still do not take any pain meds. So I basically had it for 4 1/2 years total with no symptoms. I have been told I will never be a candidate for a transplant nor a resection (unless my tumor shrinks alot). I NEVER ask when my time is up or how long I have to live. I don't like deadlines and I would just feel like it was a ticking time bomb. Live each day, let the little things go by the wayside and just stay positive!
I had my planning appointments for IMRT and they are also putting me on Xeloda along with an allergy pill as Xeloda has already broke me out in hives. I will take two pills in the morning and two in the evening while getting IMRT 5 days a week for 5 1/2 weeks. My first treatment is April 23rd. I have also been introduced to a Dr. Kelly who is such a calm, caring man. He works under Dr. Das in the radiation oncology department. I will keep you posted after a few treatments to keep you updated.
I will be there for IMRT treatments starting April 23 for 5 1/2 weeks. Feel free to call me a few days before you come down and if I am feeling ok from the treatments, I would love to meet up with you. My cell phone is 618-843-5367.
Stave 4 Intra hepatic CC
I will start IMRT on April 23. I will receive it 5 days a week for 5 1/2 weeks at MD Anderson. Dr Daas is my interventional radiologist, Dr Javle is my Gastro dr. I was at MD Anderson last week for a biopsy as on my PET scan about 3 weeks ago showed my tumor had slightly grown and I had 2 lymph nodes showing brightness. The biopsy further concluded they were cancerous. So, I went from starting a new chemo regimen today to cancelling it and making flight arrangements to get the CT scan and planning treatment instructions on March 13. I will fly home the same day, then return a week later to start treatments. I am scared of the radiation side effects and what they might do to the rest of my organs. I will miss my daughters college graduation, my Walk n' Roll day where we donate some to The Cholangiocarcinoma Foundation. Any one out there with words of advise, experience of IMRT, I appreciate any and all responses. I am in good shape and still work full time. I was diagnosed in Feb. 2011 but had the cancer for over 3 years without a diagnosis. I recently had the honor of meeting Catherine Simms Dunnegan at one of my fundraisers. She drove over two hours to meet me and support our cause. Sorry to ramble on....just couldn't leave that last part out. God Bless~
Gavin and Marion: I posted my blog back in the 'blogs' section with the link as the first post. I hope this is what you were referring to!! If not, feel free to remove it and give me more guidance. Thanks again!
Here is the link to my blog about living with intrahepatic cc!
Lainy: Thank you for your words of encouragement!!
Marion: I would be happy to post my blog to the blog thread on this site! Unfortunately, I'm not sure what you're referring to. What is it and where is it at?
Feel free to check out my blog. Ihave had Stage 4 IH CC for one year.
Re: ? I've never seen this asked on this board ??? (24 replies, posted in General Discussion)
My doctor in Houston, Texas states I have had intra hepatic CC for atleast 3 years BEFORE they found it and I have had the diagnosis for almost a year. I had no signs but pressure in the chest. Dr did sonogram of my heart, stress test (appr. two years before diagnosis), and I passed them with flying colors. So I didn't ask anymore questions about why I was feeling pressure and the dr acted like I was a nut so I blew it off until one evening I had the extreme pain in my chest radiating around my back. Went to e-room (on a Friday evening) and they stated I was having a gall bladder attack. Gave me pain meds and told me to call a gasto dr on Monday. I did, had surgery date to take out gall bladder, but they decided to do a sonogram the day before surgery and that is when they found the tumor inside my liver. Surgery was cancelled. I have seen three mojor cancer doctors who specialize in CC and they all say that my tumor is too big to remove. In the year that I have known about my tumor, it has not grown (with chemo and tarceva)but it also has not shrunk.
I am Patty Corcoran, just turned 47 on January 17 from Olney, Illinois. I was diagnosed in Feb. 2011 with stage 4 inoperable intra-hepatic CC. I first went to Mayo and they offered pallative care. I then went to Houston to MD Anderson and am under the care of Dr. Javle. I had a consult with Dr Chapman at Barnes Jewish in St. Louis but my tumor is abot 11cmX10cm and wrapped around alot of the veins/arteries in the liver. No dr will touch me unless my tumor shrinks significantly. So far they have had necrosis (dying of the tumor somewhat) but NO shrinkage. I meet with a radiation oncologist when I go back to Houston in March. I believe MD Anderson is also just using pallative care but are not saying it with those words where Mayo just flat out told me it was pallative care. The doctors said my tumor is the type that grows appr. 3 cm per year and that I have had it for a few years (atleast3) with no symptoms. It has not grown any since I have started chemo and Tarceva BUT it hasn't shrank either.
I am re-married for 11 years and have four daughters from my first marriage. I have two beautiful grandaughters and a grandson on the way in four months.
I started on Gemzar/Cispl and after 6 months I had an allergic reaction to the Cisplatin. I have also been on Tarceva since I started this journey. I was put on Xeloda after the Cisplatin reaction and then about two months later had an allergic reaction to the Xeloda. I am on blood thinners as the cnacer is doing funny things to my blood. I have had blood clots/surgery to remove them, I have had a brain bleed (stroke) from too much blood thinner, and now am keeping it regulated by Anti Xa blood tests to test the clotting issue. I still work full time and plan on leaving for a trip to Costa Rica on Thursday. Ready for a little R & R!! I have a blog at pattysjourneyoffaith.blogspot.com
Re: Posting my husbands battle with CC as there is HOPE! (16 replies, posted in Introductions!)
Welcome to the BEST site for info and support Can I ask how big your husbands tumor was? I hope he recovers fully and HUGS to you as his caregiver. I am stage IV with CC and my tumor is 10 cm X 10 cm. No luck with a surgeon taking my tumor out at this point.
Patty in Illinois
Last week while getting my Gemzar/Cisplatin (every 14 days), I had an allergic reaction to the Cisplatin. My Dr says I will never be able to take that drug or any drug in that family of drugs ever again. My oncologist called Dr. Javle at MD Anderson and they concurred that they will add Xeloda to my chemo regimen (twice a day).
I have no symptoms of cancer and take no pain meds. I am 46 and work everyday. I take Tarceva also. I was just in a 5K fundraiser over the weekend. I am a stage 4 CC patient.
My question is this....Has anyone ever been on the Gemzar/Xeloda/Tarceva regimen before. My dr. said severe diarhea is the worst thing from the Xeloda that might happen to some extent or it could be so severe they would take me off of it. I have had no side effects from the Tarceva except for my belly burned a little.
Just looking for any input/comments/guidance on what might help the side effect before they get severe from the Xeloda!
Patty in Illinois
I usually get chemo every 14 days but due to a family vacation to Outer Banks, NC, I added another week so it was three weeks (yesterday) before I received my treatment of Gemzar/Cisplatin. My bloodwork looked wonderful which was in part due of the extra week off from my regular routine of chemo.
The Gemzar went fine and a little over half way through the Cysplatin, I woke up and my hands were itching.....then they turned red. I thought they were red from itchng so I kind of blew it off for about 45 seconds. Then I was hot...so I threw off the blanket and sat up. My husband asked me what was wrong and I responded that I didn't know. Maybe I just needed to use the bathroom. While washing my hands, I looked into the mirror to see the reddest hot pepper looking face/neck/chest I have ever seen. I walked back to the room and was by this time, having difficulty breathing. My husband had followed me to the bathroom so he was off getting a nurse. She immediately asked another nurse to get the dr. He was there within 15 seconds. My lungs were tightening, I was nauseous, and had a tummy ache. They started me on a breathing treatment (pulse was up over 110) and after the treatment, they put me on oxygen. They also injected steroids and a couple of other meds to counteract my allergic reaction. The dr says I am allergic to Cysplatin and will never be able to take chemo from that "family" ever again as the next reaction would probably be worse. He is contacting my Dr. at MD Aderson for an alternative second chemo drug. I am back at work today and pretty well for the most part feel fine. I take the Benedryl for 2 days "just in case" there could be another reaction. Has anyone esle had an allergic reaction to Cysplatin after taking it for 6 months? Any suggestions of drugs I might recommend to the drs? My dr states nothing will work as good as the Gemzar/Cysplatin plan for my Intrahepatic CC....gee thanks for the good news. I am looking for ANY suggestions as I know this is my "wealth of information family"
Patty in Illinois
I have been using this site for almost 5 months and have just now had the courage to join the site. I was diagnosed with Stage Four Intra Hepatic CC with a tumor size 0f 10 cmx10cm inside the liver. I was riding my bike 20 miles a day or walking 3-5 miles a day. I am 46 years old. I see Dr. Javle at MD Anderson in Houston every three months for PET scans and to update my progress. I receive Gemzar / Cisplatin every 14 days. I also take 150 mg of Tarceva daily. I had one lymph node that was hot and some very small spots (so small they could not be measured)in the lungs that are all gone now after the chemo. I feel like I am 90% perfectly fine besides being tired after chemo. I walk 2-3 miles per day and the only problems so far (two months ago) had blood clots in right arm(totally blocked), the left arm was 30 % blocked and I also had Superior Vena Occlusion. I was put on Lovenox 2 X a day and still am giving myself shots 2 x day. Last week when I went for chemo my platelets were 92,000. I had them tested a week later (today) and they are back up some to 169,000. I am scared to death to leave my family when the time comes. God is such a huge part of my journey and he calms me when I need to be "calmed". I am wondering if anyone has a cancer diet they can recommend....I have cut out almost all sugar, drink nothing but water and green tea but feel I am just not doing enough to fight this monster in me. My drs have not mentioned any clinical trials....and when I asked about diet....they said to just eat healthy. I guess this is my introduction of my life in the past 5 months. Any input is greatly appreciated!!
Patty in Illinois