Hi newbie here,
Sorry, it’s a long one to explain the journey.
So, we’ve been on this rollercoaster ride with my lovely dad since January 2024.
It all started with Dad sending off his stool sample for one of the bi-annual health checks he does which picked up blood in his stool. He went straight for a colonoscopy which showed cancer in his bowel - much to our surprise as he was not showing any symptoms or signs of anything going on inside. Very promptly an operation was performed at Warwick hospital to remove the cancer which was all successful.
However, following the biopsy and scan, it showed liver mets - x2 2-3cm tumours which sit in the top of his liver, under his lungs and unfortunately we were told he has the Braf v600e mutation this was in the March of 2024.
Again, very quickly, his consultant started him on Folfox chemotherapy to try and control the cancer and he also referred dad to a liver specialist in Coventry to see if an operation could be performed to remove some of his liver or have a liver ablation to shrink the tumours.
However, by the time the appointment had come round at Coventry with the liver specialist, the chemo had shrunk the tumours (great news) so small it was hard for them to identify them which meant it was too risky to operate or preform a procedure due to the location of them under his lungs.
We are now in August and dad is still feeling great physically, still like nothing is happening, going on miles walks etc. However, the chemo is causing numbness in his feet and tingling/electric shocks down his body which started from his neck down. The decision was made by his consultant to remove part of the chemo which he shared would be causing the shocks as he worried these could cause dad to be paralysed but, this he also shared this is the part which would be being most effective on the tumours so the risk is the cancer may grow again or spread, which it did.
At the next set of scans in October the scan showed spread to a lymph node at the bottom of his stomach and the liver tumours had grown again. The consultant then started dad on the targeted therapy of Encorafenib (Braftovi) and cetuximab (Erbitux). He was on this until two weeks ago as the next scans showed the lymph node spread to have gone (great), but the liver has continued to grow and is bigger than when it was first identified, but they have also moved.
Now dad has been put on Folfiri chemo with the intent to shrink the liver tumours again and his consultant was going to contact the liver specialist again to see if he will operate now it has grown a moved, however he shares it is still too close to dads diaphragm
Since coming off the targeted therapy my poor dad’s face is so sore with a rash and blisters (we were warned of this happening) and I think the mental side of things are really having an impact on him, which is heartbreaking to see in itself and how it’s changed him as a person, as many of you will sadly also understand. The cancer marker blood test have a big impact on him as they did drop to 0 when he started the targeted therapy, however have risen each time and are now at 32 (to us this was a big shock, but now reading some of the threads on here I don’t know what to think lol). Also, the ups and downs of positives and negatives, awaiting scans and what they will bring, what is round the corner and how many options are left takes it’s toll on him (and us).
So, I guess my (our families) questions are, should we seek at second opinion re the liver op/procedure - if so any recommendations around the midlands, has anyone had similar experience, does anyone have any suggestions on things we could try? We are willing to do what it takes and appreciate any advice.
Also to note, on top of this he has Aortic stenosis which is condition that narrows the aortic valve opening, restricting blood flow from the heart to the body, making major operations a risk.
Thanks so much
Hi Kml88
I totally relate to your post . You have been through a lot with your dad .
Firstly I think you need to check if your dad has had an assessment at a centre of excellence for the liver . You can identify them by googling liver transplant units . There are around seven in the U.K. . You can google the surgeons there and if you want can get a second opinion from them . Even going for a private consultation is not that expensive and a route Star74 initially used to get things moving for her . If you click on her user name you can read her story .
Has your dad’s skin resolved now . My mum was on Cetuximab for ten months but her team used antibiotics continuously and kept the rash at bay .
My mum had 75% of her liver removed at a centre of excellence and it lasted for a further 14 years until she passed at 82 .
I hear you though . Mum had over 64 scans . The process exhausts even those with strong defences . He has done so well . But definitely worth digging deeper to ask the questions that are causing you concern .
The helpline 0808 808 0000 can talk you through the routes for a second opinion . Your GP and your oncologist can help find someone to consult with but it’s worth digging around to find someone with a lot of experience.
Take care ,
Court
Helpline Number 0808 808 0000
Thank you for your reply, really appreciate it and good to hear your mum had some positives :)
We will definitely check the centre of excellence out, this was our next port of call, also private.
So he was on the preventative tablets for his skin whilst on the treatment, however not he has come off it and moved onto folfiri his skin has flared up and is still quite bad, it has been this way for about 10-14days now.
Take care,
Kim
He can ask his oncologist to refer him to a dermatologist to assist with his skin . Can be very helpful to get them on board.
The first few years of mums treatment were intense and heavy going for her but after the liver resection she got around seven years treatment free . A small lung resection in 2016 and clear again until 2022 .It was wonderful to get to long spells without treatment . That’s the hope .
Wishing you both every success.
Court
Helpline Number 0808 808 0000
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