Calcite type of OVC deposits in Peritonial lining and lever

[uju99]

My wife is going thru OVC stage IV.
Back in Sep 09  her lever showed some black spots....now it is gone

Does CT scan shows some deposited cancer in Peritonial area and lever if any ?
OR doc have to do the surgery and find it out  ???

Does this deposited OVC goes by chemo drug...... ????

[Annekathryn Goodman, M.D.]

Hi There
thank you for the follow up.
that sounds like a great treatment plan. It takes 3 to 4 cycles to see an effect.
please keep in touch
take care

[uju99]

Hello Doc
thanks for the reply:

So far - the decesion at Duke is to give

1'st cyle
1 week
Avastin -  1067mg  over  100ml
Docetaxel ( Taxotere )  167mg  over 100ml

2'nd week
Docetaxel (Taxotere ) 167 mg over 100ml

3'rd Week
Off

4'th Week
Repeat of 1'st cyle
( but with lower dose of Avastin )


She has completed 1 cyle.  Her CA-125 has not come down yet.

[Annekathryn Goodman, M.D.]

Hi There
thank you for your information. It looks like your wife has had a recurrence just in the liver. The remainder of the CT scan does not show other problems.

For isolated liver metastases, there are several options: intravenous chemotherapy.
Chemotherapy options include:
carboplatin
taxol or taxotere
gemzar
doxil
cytoxan
there is some experience with the use of avastin in liver mets that is favorable
another approach is to save chemotherapy for a later date and to freeze the liver spots
This is feasible if there are not too many and they are small.

As far as particular foods, if her liver function blood tests are normal, there is no need for a special diet. If she has abnormal liver tests, a low protein diet is better as there is less stress on the liver metabolism
please let us know how things are going
take care

[uju99]

Here was the reason

Any suggestions ?

Hitory
CA - 125 started from 7000 to 19000 and as high as 23000.

OV, FT, UTs all removed.

CA-125 was 17 last March/April 2010.

Now, it is over 600 - the reason below

Please Advise
Any good food for Lever ?



Indication: Ovarian cancer.

Technique: Images were obtained from the lung apices to the pubic
symphysis after the uneventful administration of 150 mL of Isovue-300 IV
contrast at 3 mL/sec. Creatinine 0.8 on 6/25/2010. This study was
acquired following the IV administration of iodinated contrast material,
given the patient's indications for the examination. If IV contrast
material had not been administered, the likelihood of detecting
abnormalities relevant to the patient's condition would have been
substantially decreased.

Findings: Limited images of the lung bases negative for pulmonary nodules
or opacities. The heart is normal in size. No pleural or pericardial
effusions. Hiatal hernia noted.

New ill-defined hypoenhancing hepatic lesions are seen. Representative
contiguous lesions in the inferior right hepatic lobe measure 2.2 x 1.7
cm and 1.7 x 1.3 cm (image 29 and 30). Representative 1.9 x 1.3 cm lesion
in the right hepatic lobe (image 25). No intra or extrahepatic biliary
ductal dilation. The portal vein is patent. The gallbladder, spleen,
bilateral adrenal glands and pancreas are normal in appearance. No
pathologically enlarged lymph nodes are seen in the abdomen or pelvis.
The bowel is normal in caliber without evidence of obstruction or focal
bowel wall thickening. The kidneys enhance symmetrically with no
pelvicaliectasis. The bladder is distended but otherwise unremarkable.
Patient status post hysterectomy.

Review of bone windows negative for aggressive lytic or sclerotic
lesions.

Impression:
1. Interval progression of disease with new hepatic metastases.