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Anyone diagnosed with Gallbladder cancer?

Cancer | Last Active: Jul 14 4:32pm | Replies (70)

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@alie

My mother is 80 years old and was diagnosed with gallbladder cancer over 2 years ago (July 2020). The cancer was discovered following an autopsy on her gallbladder, which was removed due to severe pain. There were no other symptoms like jaundice present at the time. She was told that the cancer was caught relatively early, but, upon further imaging and blood tests, it was discovered that the cancer had spread to several lymph nodes and parts of the liver.
My mom went through another round of surgery to remove part of her liver, which had shown cancer-like lesions. Biopsy results on the removed liver tissue revealed NO sign of cancer! Since then, she has gone through several rounds of chemotherapy and radiation. Specifically, her chemotherapy regimen was as follows:
- Gemcitabine and cisplatin
- Gemcitabine + cisplatin + durvalumab (Topaz study)
- Oxaliplatin + 5-FU
Her body has had various reactions to the therapies above. After nearly six months of therapy with the Topaz study meds, her cancer was still growing, as evidenced by cancer antigen (CA 19-9) blood test and liver MRI. The lesions in the liver have not been positively identified as cancer (too small to biopsy). However, their mere existence, coupled with increase in CA 19-9 numbers have convinced her oncologist team that they are likely cancer. Hence the chemo regimen...
Fast forward to just over a week ago, her oncologist determined that the cisplatin + gems + immune regimen has taken its course, and, in order to further force the cancer to "stability" or "remission", it is best to move to the oxygen + 5FU regimen. After one session of this new cocktail, it became very clear that my mom's body was not responding well to this treatment. She lost her appetite, was extremely weak, was not able to sleep well at night, and lost ~6 lbs in close to a week. My mom currently weighs 52 kilos (~115 lbs), so the weight loss is significant.
I have provided this background to see if anyone has had a similar experience and what (if any) other therapies they may have tried that has worked for them.

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Replies to "My mother is 80 years old and was diagnosed with gallbladder cancer over 2 years ago..."

By "...oxygen + 5FU...) I meant "oxaliplatin + 5-FU"

To the clinical staff: can you please provide some insight into the efficacy of Nab Paclitaxel + S1 cocktail for gallbladder cancer?

What were her CA19-9 numbers?

@alie, welcome to Mayo Clinic Connect, an online community of patients and family caregivers, like you. I noticed that you prefaced one of your posts with "to the clinicians." If you would like to seek a second opinion with Mayo experts, you can submit a request for an appointment here: http://mayocl.in/1mtmR63

But back to getting you connected with others like you. You'll notice that I moved your posts to this existing discussion:
- Anyone diagnosed with Gallbladder cancer? https://connect.mayoclinic.org/discussion/gallbladder-cancer/

I did this so you can connect with members like @pgf @dougmcd @waflanders and @digibson.

Alie, I'm really sorry to hear that the latest treatment is not working for your mom. Have they stopped treatment? Are her side effects subsiding and her appetite returning?

Hello Alie,

I cannot answer your question about other therapies but I am interested in the answer. Like your mom it was discovered that my wife had cancer in her gallbladder after removing because of gall stones. We were sent to a specialist to have a portion of her liver and other lymph nodes around the gallbladder removed. We were hesitant to move forward and CT scans were “unremarkable” so nothing was found. We are still being pressured to move forward with surgery or doing chemotherapy but are leaning toward doing nothing except monitoring (which has not been proposed as an option).

If you're still on this forum, please update on your mom's progress. I am 78 and was diagnosed in March 2023. I'm now on chemo