Anyone have experience with liver lesions from pancreatic cancer?

Posted by bceg1969 @bceg1969, Feb 19 2:30pm

Does anyone have experience with liver lesions from pancreatic cancer
Is chemo given?🙏🏽

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@markymarkfl
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I'm wondering about liver lesions from pancreatic cancer
Is chemo the only treatment?
I've heard about ablation and also injections right into the lesion

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@bceg1969

I'm wondering about liver lesions from pancreatic cancer
Is chemo the only treatment?
I've heard about ablation and also injections right into the lesion

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I'm a scientific sample of one (!), and I'm not any sort of medical professional, so please take my response with all the appropriate caution. I was diagnosed in April 2023 as stage 4 because my surgeon saw flat lesions during my staging laparoscopy. Since then, I've asked my oncologist about various treatments besides chemo. Examples: HIPEC (the heated intraperitoneal chemo), high-dose radiation, proton beam radiation, surgery. In every instance, my oncologist said no, they're not for me. If I think about it, it seems very logical. For example, there's no guarantee that surgery would catch and remove every lesion and every cell. Radiation and proton beam therapy are so targeted that there's no way they could hit every affected area. The HIPEC treatment would make me extremely sick, he said. And so on. So I believe what he's telling me is correct in my case. That said, I urge you to ask and research and consider all your options, because you may be luckier than I am. I'm curious--what kind of injections would go into the lesions? What is the drug?

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@ncteacher

I'm a scientific sample of one (!), and I'm not any sort of medical professional, so please take my response with all the appropriate caution. I was diagnosed in April 2023 as stage 4 because my surgeon saw flat lesions during my staging laparoscopy. Since then, I've asked my oncologist about various treatments besides chemo. Examples: HIPEC (the heated intraperitoneal chemo), high-dose radiation, proton beam radiation, surgery. In every instance, my oncologist said no, they're not for me. If I think about it, it seems very logical. For example, there's no guarantee that surgery would catch and remove every lesion and every cell. Radiation and proton beam therapy are so targeted that there's no way they could hit every affected area. The HIPEC treatment would make me extremely sick, he said. And so on. So I believe what he's telling me is correct in my case. That said, I urge you to ask and research and consider all your options, because you may be luckier than I am. I'm curious--what kind of injections would go into the lesions? What is the drug?

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I'm not sure..one of my friends that is a PA told me about it
Also I've heard about Ablation for liver lesions

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@bceg1969

I'm not sure..one of my friends that is a PA told me about it
Also I've heard about Ablation for liver lesions

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I did a super-speedy Google search and found this:
https://www.cancer.org/cancer/types/pancreatic-cancer/treating/ablative-techniques.html#:~:text=Radiofrequency%20ablation%20(RFA)%20uses%20high,and%20destroys%20the%20cancer%20cells.
There are ablation techniques, but the article says these are rarely used in pancreatic cancer (I don't know why) and uses only the term tumor, not lesion. That makes me think that these techniques are most appropriate for a tumor that's self-contained and hasn't spread, which, to me, wouldn't include lesions. But again, I'm not a medical professional. You might ask your PA friend if this is what they're referring to. Perhaps someone on the board who's had this done or who's considered this will chime in with better info than I can provide.

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@ncteacher

I did a super-speedy Google search and found this:
https://www.cancer.org/cancer/types/pancreatic-cancer/treating/ablative-techniques.html#:~:text=Radiofrequency%20ablation%20(RFA)%20uses%20high,and%20destroys%20the%20cancer%20cells.
There are ablation techniques, but the article says these are rarely used in pancreatic cancer (I don't know why) and uses only the term tumor, not lesion. That makes me think that these techniques are most appropriate for a tumor that's self-contained and hasn't spread, which, to me, wouldn't include lesions. But again, I'm not a medical professional. You might ask your PA friend if this is what they're referring to. Perhaps someone on the board who's had this done or who's considered this will chime in with better info than I can provide.

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I had heard ablation technique for liver lesions or tumors

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@bceg1969

I'm wondering about liver lesions from pancreatic cancer
Is chemo the only treatment?
I've heard about ablation and also injections right into the lesion

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They might be able to apply chemo directly to your liver with a pump:
https://www.ohsu.edu/knight-cancer-institute/hepatic-arterial-infusion-hai#:~:text=In%20HAI%2C%20doctors%20place%20a,which%20means%20fewer%20side%20effects.
They might also be able to apply radiation directly with a patch like the Civa Sheet:
https://civatechoncology.com/civasheet/
Please share if your PA or oncologists can provide any insights on these!

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Thank you..I'll keep this info!

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@bceg1969

I had heard ablation technique for liver lesions or tumors

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From where?

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MassGeneral Brigham in Boston

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