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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Peritoneal Carcinomatosis Other Than Chemotherapy?

My husband was diagnosed with Stage IV colorectal cancer with metastasis to the liver. When he had a liver resection in July 2013 the surgeon found 3 cancerous nodules in the right diaphragm and removed them. He had a questionable small tumor that responded to folfox and avastin therapy. In January his ct scans of the chest and pelvis were good and his CEA was 3.2 so we decided to hold chemotherapy for 3 months to evaluate the lung tumor. In April the CT scan of chest showed an increase in size of tumor from 1.4 cm to 2.5 cm. The ct scan of the pelvis showed 2 tumors in the omentum that are 1.4 and 1.6 cm in diameter. The oncologist recommends chemotherapy with folfiri and avastin. According to the research systemic chemotherapy is not that helpful with peritoneal carcinomatosis. Is there any other treatment available for him?
Wed, 7 Jan 2015
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Pulmonologist 's  Response
Thanks for your question on HCM.
I can understand your situation and problems.
Stage 4 colorectal cancer has very poor prognosis .
Life expectancy is less then 1 year.
For peritoneal carcinomatosis systemic chemotherapy is treatment of choice.
Another way is local instillation of chemotherapy drugs. Direct injection of chemotherapy drugs in peritoneal cavity can be done laparoscopy Cally.
So discuss these option with oncologist.
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Suggest Treatment For Peritoneal Carcinomatosis Other Than Chemotherapy?

Thanks for your question on HCM. I can understand your situation and problems. Stage 4 colorectal cancer has very poor prognosis . Life expectancy is less then 1 year. For peritoneal carcinomatosis systemic chemotherapy is treatment of choice. Another way is local instillation of chemotherapy drugs. Direct injection of chemotherapy drugs in peritoneal cavity can be done laparoscopy Cally. So discuss these option with oncologist.