My husband had a CT scan 11/30/11, which showed new asictes with new mild omental infiltration which is most consistent with peritoneal carcinomatosis, mildly increased abdominal lymphadenopathy, increased calcified centeral hepatic mass and increased left biliary dilatation with stable moderate right biliary dilatation.
A follow-up CT scan was performed on 1/20/12, which showed increased smal to moderate ascites, decreased intrahepatic biliary dilatation, particularly in the right lobe, slightly decreased left adrenal nodule and decreased aortocaval lymph node otherwise stable abdominal lymphadenopathy.
He also underwent a CT angio of the chest on 2/22/12, which showed the pulomary embolism.
His chemo regimen was changed in December from Gemcitabine and Cisplatin to Leucovorin, Fluorouracil and Oxaliplatin. He hasn't had chemo in over a month because of the two hospitalizations after the paracentesis was done 2/9/12. He was placed on Lovenox injections and oxygen prn for the blood clot. He also has a port, which was placed in February of 2011. Also, while in the hospital in February they started him on Aldactone. The fluid retention in his legs and feet has improved. His stomach is still distended, but not as bad as it was.
He is scheduled for another CT scan tomorrow at Sloan in Commack along with chemo. I think the chemo will be postponed, because he is so weak. I'll know more tomorrow.
As far as radiation, it was mentioned briefly in the beginning. When I speak with the doctor, I will ask him about it.
Thank you for listening.