← Return to Radioembolization for pancreatic cancer metastasis to liver?

Discussion

Radioembolization for pancreatic cancer metastasis to liver?

Pancreatic Cancer | Last Active: Jun 19, 2023 | Replies (17)
Comment receiving replies
@mgilson

Hi Collen, I have 7 more scheduled. Number 6 is tomorrow. This is my initial round of chemo. They are going to do 12 sessions initially. Do you have a link for information about radiation/chemo? My team told me that the thinking has evolved, and that in some cases radiation is warranted even with metastatic cancer. The decision point for this is several months away, and we will do another PET scan before any decisions are made. But meanwhile, I thought that I might do a bit of reading about the pros and cons of radiation.

Jump to this post

Replies to "Hi Collen, I have 7 more scheduled. Number 6 is tomorrow. This is my initial round..."
mayoconnectuser1 | @mayoconnectuser1 | Dec 12, 2022

There are many reviews neoadjuvant approached, both with and without radiation therapies. This is a good summary.
https://journals.lww.com/jpancreatology/fulltext/2019/09000/adjuvant_and_neoadjuvant_therapy_for_pancreatic.7.aspx

VIEW AND REPLY
gamaryanne | @gamaryanne | Feb 7, 2023

I believe the current thinking is chemo first to shrink/kill as much as possible. Then targeted radiation perhaps. For me, folfurinox shrink everything and result was much necrosis. Y90 to my liver stabilized the shrunken liver tumors (that merged together) so that I could have a pancreadectomy in December. Ca 19-9 scores are rising (179) so will find out results of PET and ultrasound tomorrow. If no new metastases, next step will be liver surgery

All the while I feel great and am working full time. I have lost about 30 lbs throughout 2022 and certainly had slump days but nurses were the best resource and helped me discover new ways to bounce back each time. Enjoy each day, make it productive, and never give up hope!

VIEW AND REPLY