Topic: unable to place stents and no biopsy to start chemo
Hello everyone.. my mom was diagnosed with cc 3 months back, resection wasn't possible, so a bypass was done. She held on well till about 10 days back, when her itching came back, though she isn't jaundiced at all. We did a blood test (liver function text) and the liver enzymes were high but the billirubin was normal, and the doctor told us that only the left lobe of the liver was drained during surgery and the right lobe wasn't, so the itching and the enzymes being high maybe because the right lobe isn't drained.
He suggested metal stents, and today they tried to insert the stents but couldn't since the blockage was too 'tight', they are presently draining the liver and they are going to try to insert it again on saturday The doc said 9 out of 10 times it is possible to insert a stent, but there is that one chance that it might not be possible. Also he said, they've noticed irregularities on the left lobe of the liver and the tumor might be progressing to the left side, and hence the bypass is in danger of being blocked so they are gonna place a stent in the bypass as well. What do we do if they are not able to place the stent?
Also, another problem is a biopsy wasn't done since the tumor is embedded quite deep and the doc said he didnt wanna create a bigger mess there and its just 2 cms X 2 cms (it isn't an obvious mass)! All the oncologists say Chemo isn't advisable when there is no biopsy, and also since there is no obvious mass, it's difficult to find out if chemo is even working in the first place, so the docs say it isn't worth doing the chemo.
Should we start chemo ( if at all we do, it'll be gemcitabine because its got the least side effects) in this situation? We are very confused about what to do next? i dont think we have too much time to decide, because if the disease progresses, it would be difficult to start chemo. Also, what do we do if they are not able to place the stent?
Would really appreciate any suggestions.