Liver Spots Treatment
by Jacob Johan
Question by hnybzthms: what is best treatment for kidney cancer that has spread to liver?
Hi my mum was diagnosed with kidney cancer in Dec 2007 and had her right kidney removed Jan 08, it was a stage 3 tumor and though they said it was very advanced they did not remove the lymph-nodes as they thought they were ok.
In Nov 08 her ct scan was clear and in March 09 they scan showed a spot on her liver which was 1.5cm, she had a MRI and they referred her back to the oncologist who told us the cancer had spread.
At present she is awaiting to see the surgeon in L’pool regarding having the left half of her liver removed, which we have been told is major op.
My mum is not sure if she wants the op, for a few reasons 1 because she feels removing half the liver will not cure the cancer and as they feel its probably spread through the blood or lymph-nodes and she feels it will only be matter of time before it reappears. 2 because she has been told its a minimum of a 3 month recovery.
Is it true that the cancer is likely to reappear even if the current spot is removed?
And does anyone know about radiofrequeny treatment as she is very keen to try that as compared to major sugery it only takes about a wks recovery.
Which has the best results, and if she had surery how long would the cancer stay away? Are we talking it could stay away years amd years, as the oncologest said kidney cancer is an aggesive cancer.
Answer by Sebastien
I’m sorry to hear about your mum’s cancer.
If the oncologist has told you that it has likely spread beyond the liver then it is probable that it will come back later. Radiation therapy only works when you know where the cancer is. It may get rid of the cancer in the liver, as surgery will, but it won’t prevent another spreading.
If your mother’s fears are well founded about further metastasis then I can see her reasoning for wanting the least invasive procedure possible.
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This book overviews our current understanding of the biology of liver metastases, and reviews current methods of detection and diagnosis. Thereafter, the chapters offer objective and systematic reviews of each of the current major treatment modalities: surgical resection; destructive therapies; chemotherapy (systemic and regional); whether there is a role for radiotherapy; biological therapies (including hormone treatment antibodies and gene therapy); and lastly the decision making strategies that must be employed for successful multidisciplinary management. The book concludes with an overview of the health economics issues that must be addressed by all who practice in the field of treatment of liver metastases. The book will be invaluable for surgeons in general surgery, hepatobiliary surgery, upper GI surgery, colorectal surgery, medical and clinical oncologists with an interest in liver tumours, and radiologists with an interest in liver disease.
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