Thursday, February 28, 2013

Update from Mignon


This is an email from Mignon.

I am going back for the scan now. I met with the liver surgeon, and he was very direct and clear. He answered all my questions. He said the operation was absolutely necessary, and he he felt 100% sure MD Anderson would agree. He said the spots had shrunk so much, they might not even be able to see them on the scan. He said the spots were probably there all along. It doesn't spread from colon to the liver by lymph nodes but would go by way of the bloodstream. The fact it wasn't in the lymph nodes is very favorable. The only reason that it coming back so quickly is a bad thing is because if you go for a longer period of time "cancer-free", it has more time to manifest itself at any place else it could recur. He said he "wouldn't be irresponsible in using the word "cure", and felt very confident it would remain that way for at least 5 years". (50% chance). The operation would be done laparoscopically. If he did it by way of open surgery, it would take 2 hours, while laparoscopic takes more like 4 hours. He just thinks given where the spots are and size, this is the best way. Less recovery and would probably be in the hospital for 3 to 5 days, no ICU. He would make an incision big enough to get his fist in. "Complete" recovery would probably be a month, at which point they would resume chemo. The risk would be the normal surgery risks of internal bleeding and slight chance of liver failure, but they would know that immediately. Once at home, slight risk of leaking bile since they cut across the bile ducts as part of the surgery, but that would be drained by needle. All of these risks are very minor. He just felt like any hospital would say the surgery had to be done. No question.

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