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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Rectal Cancer Stage 4, Lymph Nodes, Tumors On Lobes Of Liver, Neuropathy. Done Folfiri Chemo And Folfox. Is It Curable?

Husband has rectal cAncer stage 4 spread to the liver and one lymphnode but their not completely sure its in the node. He has tumors in both lobes of the liver although they are very small. Has done folfiri chemo with no results just completed 11 rounds folfox but cant continue folfox because of neropothy. All tumors shrunk drastically with chemo. My question is what type of chemo would they try next for him? Is there chance he can be operable?
Mon, 28 Oct 2013
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General Surgeon,  's  Response
Hi and welcome to HCM,thank you for your query.
it is very rarely curable but his life can be prolonged by certain treatment modalities. Folfiri is the only efficient chemo for colon cancer and it is good sign that it was effective. operability of his liver lesions should be evaluated by surgeon and it depends on several factors. if there is pnvolvement of both lobes it still can be operable if there is no infiltration of major liver vessels. He may try to do chemoembolization too and then surgery after it if tumors are small enough for safe resection.

Wish you good health. Regards.
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Has Rectal Cancer Stage 4, Lymph Nodes, Tumors On Lobes Of Liver, Neuropathy. Done Folfiri Chemo And Folfox. Is It Curable?

Hi and welcome to HCM,thank you for your query. it is very rarely curable but his life can be prolonged by certain treatment modalities. Folfiri is the only efficient chemo for colon cancer and it is good sign that it was effective. operability of his liver lesions should be evaluated by surgeon and it depends on several factors. if there is pnvolvement of both lobes it still can be operable if there is no infiltration of major liver vessels. He may try to do chemoembolization too and then surgery after it if tumors are small enough for safe resection. Wish you good health. Regards.