Liver mets: resection, ablation, SBRT, Y-90, anything else?

JFL- the liver specialists at U if W are great. Trusted them to take out part of my liver but had the option of having them do the ablation. Worth looking into.

JFL, it just occurred to me that the doctor whom I had a consult with here in Ohio who does the Y90 and whom I thought was excellent (recommended by my excellent MO as well), just moved to Florida. I got a letter a couple weeks ago. Not sure if the letter stated exactly where he was going and I didn't save it but the move was to be closer to family. I will look through my stuff to find his name and get back with you. Don't let me forget.

My Y90 procedure was done in Marietta, Georgia-right outside of Atlanta. My IR was Dr Roger Williams. If you can not find some one in Florida, I would highly recommend him.

JFL the name is Evan J Wuthrick. Goggling has him still at OSU which I really don't think is true. I recommend trying to call radiation oncology at OSU 614 293 8415 or 3244...same starting digits to see where he is or when he's going there or hopefully not to find out my brain is really chemo fried and I'm all mixed up.

Kayboorg, JFL and Leftfootforward thanks for your post and information on this. It's something I've been interested in exploring ever since I first heard about it since my mets currently are only in my liver, at least that's all they had found.

Leftfoot I'm in Northern California and it would be pretty easy to fly to Seattle for a consult at UW. Are the doctors you saw intervention radiologists who specialize in the liver?

Kayboorg I read on another post that your new treatment is working so glad to hear that.

This question is for anyone who has done Y90 or SIRT. Did you radiologist discuss the chance of liver failure that could happen months after the procedure. My MO is not on my side about the Y90 and she told me one of her patients had liver failure 3 months after the procedure. MY IR said it can happen but it is a low percentage. I am just really worried about this possibility.

Emily Louise. It's so good to hear from you. No, I did not have nausea for two weeks after my y90. I have no idea if my TM went up because my MO does not think they are reliable enough to do them. My liver function numbers have always been in the normal range, before and after. Sorry I'm no help on this for you. I'm glad your MO and IR are watching you carefully.

Rpoole. Yes, i had y90 in April and May. The biggest risk I read about was if one of the y90spheres got out of the liver and into another organ. Also, if IR did both lobes at the same time, it could cause liver failure. But, to my knowledge, no one does that anymore. Maybe you could research a different IR who has done more of these procedures. And has had lots of success. Mine was so successful, August PET showed no uptake.

Rpoole. I had about 8 tumors. They were in both lobes. There was a cluster in the area where both lobes meet . My IR said those were the hardest to get, but he did. Sounds like you have a good one too.

Grannax2,

I have 3 liver tumors that are 1.5 cm and the biggest is 2.5 cm. What kind of treatment can you do right after the Y90 procedure? I know you can't do chemo and I would assume anything that effects the liver. Just curious, as I don't want to be off treatment.

Thanks,

Robin

I was able to stay on Ibrance femara during the time I had y 90's. I don't know what trreatment you are on. Recovery isn't that long, maybe 2 weeks.will they have to do both lobes? If so, that will be two separate procedures.

I hope you do well and have as much success as i did. rpoole

Emily-Louise- it took me 6 weeks to recover from the Y90. I had severe nausea and was exhausted. We did not check my TM's during that time but I had a scan just one month later and one of the tumors was completely gone and the other had shrunk. My liver enzymes were really high but my IR had told me that was to be expected as the tumors continue to die off. I hope that you get relief soon.

I had SBRT in April to my three liver mets. It is targeted so it really was easy...just some fatigue. I still managed to push myself and exercised. I was able to stay on Herceptin and Perjeta and anastrozole. I have had two “no evidence af new or residual disease.” CT scans since. With SBRT you can have it again if needed and there it a 95% local control rate for liver cancer patients...it’s newer for breast cancer patients.

Feeling hopeful and grateful that my MO referred me and my IR agreed to do it as the breast clinical trial was for no more than two mets

Has anyone heard from mom since Dani's procedure yesterday? I'd love to know how shes doing.

Z. If you come to UTSW in Dallas, let me know. I live in Garland, just 30 minutes from UTSW.

Grannax. Interesting. Remind me where you got your y90 done ... was it UTSW?

>Z<

I was wondering if anyone had Y90 without continuing a systemic treatment at the same time. If so, how long were you without systemic treatment to complete the process?