← Return to Recurrence after Whipple, Folfirinox and radiation (SBRT)

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@dalegantous

Hi all, I had Whipple February 2024 with clear margins, 12 rounds of Folfirinox April to September 2024, but scan October 2nd showed metastases to 2 spots, liver lesions and subcutaneous tumor in my belly. Started Gemcitabene/Abraxane November 1st and I seem to be responding well to it, however had a break in treatment due to possible infection in bile duct, all cleared up now. The lesions and tumor grew during periods of non-treatment, although each infusion does to bring my CA19-9 down. The tumor board at Princess Margaret hospital (center of excellence where I had my surgery and Folfirinox) are recommending SBRT since I have only the two metastatic areas, they have the MRI-guided capability. I have three questions: has anyone had SBRT and how did it go? If so did anyone continue to have Gemcitabene/Abraxane alongside the SBRT? Last question, my oncologist said that if the SBRT successfully destroys the lesion/tumor, I wouldn't be eligible for an RMC-6236 clinical trial because they need to have tumors to assess the trial efficacy - anyone involved with SBRT experience this?
I am meeting with the radiation oncologist on Monday.
Love to hear all your comments I find them so helpful.

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Replies to "Hi all, I had Whipple February 2024 with clear margins, 12 rounds of Folfirinox April to..."

I had 5 sessions of SBRT on a metastatic mass adjacent to my ureter which caused some fluid to stay in my kidney in July 2024, the only treatment after my Whipple in May 2023. As of the first C Scan after the procedure, the mass had shrunk and the CA-19 had decreased from 70 to 50 (approximately). My next scan is in 3 weeks, so I will be hoping for continued success. My oncology radiologist said results can take six months.
The procedure could not have been easier. I was given a prescription for anti-nausea which I did not need. I felt a little tired after the 5th radiation, but not enough to go home and nap. I am on no chemotherapy or other medication; I am an 84 year old female, underweight but active.
In summary, I am definitely impressed with my SBRT treatment.
Best wishes and courage, Carrie