Excellent question. It depends on the type of the tumour and the treatment intent. For instance, if the plan is to remove the cancer (colorectal liver metastasis) and the team understands the tumour type then biopsy is not required (biopsy may increase the risk of tumour spillage 20-25%). For Hepatocellular cancer (primary liver tumour) the spread rate is quite low, 3%, hence, it is worthwhile to biopsy if the diagnosis is not clear. Finally, if the tumour has widely metastasised and firm diagnosis prior to chemotherapy or other therapies is required then the tumour spillage is not relevant. I hope this makes sense.
My husband has melonoma which originated on calf of leg, then moved to his lymph node in groin area of same leg…his treatment was 3 keytruda infusions over 9 weeks prior to surgery but the PET scan revealed cancer spots in liver…surgery was cancelled …what type of treatment would he qualify for? We haven’t met with oncologist yet, the surgery was supposed to be 9/9/24 …what advise can you give or what should we ask our oncologist in regards to treatment…thank you
Everything that you spoke about in this video is me. My primary was bowel spread to liver metastasised several times on liver had chemotherapy liver surgery 3 months later had bowel surgery removed 4 lymph nodes that the surgeon could see cancer on out of 16 left me with a Stomer permanent. Starting chemotherapy again IV every 2 weeks plus 8 chemo tablets every day. My question is how likely is it to return after all ive been through. Regards Malcolm
Hi Malcolm, I'm so happy for you. I'm very confused as my son is only 25 and has bowel cancer that went to his liver and a tiny bit to lung. His doc said they cant operate because the cancer in the lung is in the middle of his lung so can only control with chemo. May I ask where yours was in the liver please. We are trying to get 2nd opinion but docs are dragging their feet on releasing paperwork to another doctor at a different hospital. Best of wishes.
Hi Malcolm, I'm so happy for you. I'm very confused as my son is only 25 and has bowel cancer that went to his liver and a tiny bit to lung. His doc said they cant operate because the cancer in the lung is in the middle of his lung so can only control with chemo. May I ask where yours was in the liver please. We are trying to get 2nd opinion but docs are dragging their feet on releasing paperwork to another doctor at a different hospital. Best of wishes.
