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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Colon Cancer With Multiple Liver Metastasis, Pain And Difficulty Eating Food, Fatigue. Help With Right Treatment

My Mother Mrs. Pressanna (50 yrs) has recently has been diagnosed with Colon Cancer with multiple liver metastasis - stage 4. The disease is in a advanced stage. We have taken opinion of several doctors & institutions and there has been mixed response for surgery to be followed by Chemotherapy and radiations.
The current situation of my mother is having pain and difficulty to eat food leading to high level of weakness.
So let me know any alternative treatments available there.Your suggestions would be very helpful . If available I am ready to come there with all reports as early as possible.
Awaiting your early response,
Wed, 11 Sep 2013
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Oncologist 's  Response
Your mother has colon cancer that has spread to liver.
The only option now is to undergo chemotherapy +/- targeted therapy.
If a particular mutation test called K ras mutation is wild type then only she will benefit from addition of targeted therapy with chemotherapy.
The goal of chemotherapy is to convert unresectable liver spread to resectable status called conversion therapy.
Your mother can receive 2 to 4 months of chemotherapy neo adjuvantly meaning before operation followed by post operative chemotherapy for a goal of approx 6 months if there is no evidence of residual disease.
Past data have demonstrated approximately 25% of patients with completely resected hepatic metastases secondary to colon cancer experience long term survival of 50%.
For pain she can take Tab Ultracet thrice daily after food.It contains acetaminophen and tramadol.

Regards and take care
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Diagnosed With Colon Cancer With Multiple Liver Metastasis, Pain And Difficulty Eating Food, Fatigue. Help With Right Treatment

Your mother has colon cancer that has spread to liver. The only option now is to undergo chemotherapy +/- targeted therapy. If a particular mutation test called K ras mutation is wild type then only she will benefit from addition of targeted therapy with chemotherapy. The goal of chemotherapy is to convert unresectable liver spread to resectable status called conversion therapy. Your mother can receive 2 to 4 months of chemotherapy neo adjuvantly meaning before operation followed by post operative chemotherapy for a goal of approx 6 months if there is no evidence of residual disease. Past data have demonstrated approximately 25% of patients with completely resected hepatic metastases secondary to colon cancer experience long term survival of 50%. For pain she can take Tab Ultracet thrice daily after food.It contains acetaminophen and tramadol. Regards and take care