Topic: Portal vein intrusion CC
I am currently living in Japan with my fiance (we are both from Pennsylvania)
My fiance's father was just diagnosed with Cholangiocarcinoma. The tumor is around 6cm and has invaded the Portal Vein, so the doctors at University of Pennsylvania said that his tumor is not resectable. As far as they know, it has not spread. We submitted the data to Sloan and Hershey medical center, but we haven't gotten a second opinion yet.
He is only 50 years old. He is otherwise healthy. His heart is working great. his father just passed away half a year ago from cancer. We are losing our mind...
They are gonna start chemo/radiation therapy this week. It will be for 5 times a week for 6 weeks. My fiance will go back to the states and look for a job around where her dad lives in PA. I am trying to look for a job before I move, because two incomes gone at once will be too risky because cancer treatment is very expensive.
Sorry for the long introduction, but we have couple questions
1. Will this chemo/radiation likely to shrink the tumor and be resectable?
2. We currently live in Japan, where CC is extremely common compared to the states. I am fully bilingual in Japanese and English. Should we look into transferring her father over here?
3. I found couple articles regarding Japanese doctors performing portal vein and hepatectomy with promising results
http://www3.interscience.wiley.com/jour … p;SRETRY=0
http://www.pubmedcentral.nih.gov/articl … id=1356151
Ofcourse, if the combined removal is performed in United States with promising results, I would transfer him immediately. However, from what I understand, that really isnt the case...
Any advice/help would be greatly appreciated.