Stage 4 metastatic spread to lung.

Hi 

Welcome to the forum . I am so sorry to read what your family are going through and also what you have gone through with your sister. 

I am glad you reached out as that’s a lot to process .

In terms of your mum and the spread in her lung it really does depend on location and numbers . My own mum has had a lung resection in the past and it was very doable as she had a procedure called Vats . There are also techniques like radio frequency ablation that can target isolated mets . However if the spread is larger they often like to tackle it systemically so they are hitting all areas at once . 

Can I ask if you have had any genetic counselling as a family ? Have they carried out a Lynch test on the tumour . This should be done now. You also might like to talk through a screening program for yourself . Our helpline staff will be happy to chat it through with you on 0808 808 0000.

You might also like to find out a bit more about your mum’s cell type as it streamlines the best treatment approaches for her . Some people are now suitable for immunotherapy and we have people on the forum doing very well on it despite a spread .

My own mum has just had a reoccurrence in her lung and some lymph node involvement. Such a blow but we are hoping to see her oncologist in the near future .

Some treatments have emerged since your sister went through this . My mum was originally diagnosed back in 2009 . I will link in a good booklet to let you read up prior to the second opinion . It’s always good to hear what some doctors are achieving .

But definitely find out if she is suitable for treatments like immunotherapy as it’s worth finding out the best approach for her .

Take care ,

Court 

https://bowelcancerorguk.s3.amazonaws.com/Publications/TreatingAdvancedBowelCancer_BowelCancerUK.pdf
This is a quick read but will cover most of the areas you might want to ask about in a second opinion .

Take care ,

Court 

Hi court, i looked into the radiofrequency ablation and the results seem good, i think at this point mam is open to anything to save her life.. on her letter from hospital it says she has metastatic colorectal carcinoma (lungs/mesentarty) pt4n1a 1/12 moderately, differentrated adenocarcinoma, no venous invasion, microsatellite stable. No clue at all what all that means lol. Shes awaiting the test results for dpyd, last time she could only have 1 round of chemo as she reacted really badly and was told she had a gene that could be fatal in she carried on with chemo! So she has limited options with regards to which chemo she can have. We are totally devastated as a family, cancer is the devil.

https://www.cancerresearchuk.org/about-cancer/cancer-in-general/treatment/chemotherapy/side-effects/dpd-deficiency

Good she is getting tested now . My own mum reacted badly to chemotherapy but did not have the gene and they were able to reduce the dose to a level she could tolerate . Also if she does have the gene the Nice guidelines have some options for one they can tolerate . I will link in process as her husband managed a spread successfully with it . 

Your mum’s cell type is similar to my own mum’s. The radio frequency ablation is interesting reading but I think won’t be suitable for my mum due to the lymph involvement. Such a pain but hoping something can be done to stabilise it . 

If you click on process name you can read her bio . Although adjustments had to be made it did the trick in doing what needed to be done . Despite all the chemo combinations now on the market my mum has only ever had one combination over two years. It just has to be the right one for them . 
Holding out for a good plan for your mum . My mum was stage 4 back in 2009 so there is hope .

Court