Metastatic liver cancer

I saw the funeral of Pavarotti the day before yesterday. Pavarotti whose voice was silenced by Pavarotti pancreatic cancer. I was especially moved when Italian fighter jets flew over Pavarotti’s hometown, leaving in their trail the colors of the Italian flag. Moved, because father was also in love with airplanes, hence one of his kids started a healthy website about how to make a paper airplane.

It also reminded me on fathers spread metastatic liver cancer, which then reminds me on stage 4… once I let my mind flow free: I keep on thinking, so I better make something positive out of it and write down the thoughts that could be useful for others having cancer.

Stage 4 pancreatic cancer

This stage refers to a new growth which has invaded surrounding tissues and has spread to other organs such as the liver, lungs or adjacent organs including the stomach, spleen and or the bowel.

Treatment during stage 4 pancreatic cancer

Treatment may be one of the following:-

1. surgery or other treatments to alleviate symptoms
2. pain management (which means palliative care, in proper English: the patient is going to die and we doctors cannot do anything anymore)
3. clinical trials of chemotherapy or biological therapy

Stage 4 pancreatic cancer can be localized or locally advanced : it is locally confined but involves organs or blood vessels. If it has spread to other distant organs most commonly the liver then it is said to have metastasized.

In the end, as with all cancers, general advice sounds familiar: treatment of Stage 4 pancreatic cancer may consist of surgery, radiation, chemotherapy, biological therapy, or a combination of these treatments. Try to give an answer like that if you are going for an interview: how are you going to solve the problem? Well: maybe like so, or so, or so or a combination of all these "so"…

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