For those who wish only to read a synopsis of my medical history and treatment, I summarized the following for a referral consultation. Summary of Franklin Chu’s Health History: re Pancreatic AdenoSquamous Ca. 2/27/2017
10/2/2015 visit to PCP
I have had moderate but easily controlled high BP taking Vasotec 5 mg qd (generic) for 20 years. Then I developed a “Steven Johnson” reaction with total body rash, and sluffing of all integement from head to toes on June, 2015. Then I was placed on 2.5 mg qd of Amlodipine Besylate with good BP control. Now, 10/2/2015, I have an almost constant non specific ache on the left side of my stomach, about the spleen area. A. Is this normal? B. Is this problematic, or will it lead to stomach ulcer or cancer? C. By Putting up with it, will this subside or get worse? Secondly, my urine had been noted to be very dark, intermittently, but more times than not.
Blood tests on 10/2/2015 showed markedly elevated liver enzymes and bilirubin.
CT scan on Monday, 10/5/2015 showed marked blockage and engorgement of Biliary, pancreatic and gall bladder.
Thursday, 10/8/2015 Consult with Dr. Scott Helton at VM
Friday, 10/9/2015 Ultrasound delineation of involvement with the Portal Vein, Bx, and Biliary stent placed.
Monday, 10/12/2015 Power port placed under R clavicle, peritoneal lavage for cytology, negative.
Monday, 10/19/2015 Initiated Chemotherapy with Gemcitabine and Docetaxel, two weekly treatments with the third week as a bye week. I completed 12 of the scheduled 16 sessions when I developed pulmonary complications with fibrosis, edema, and inability to breathe effortlessly.
Chemo Medications were stopped. With initial high steroids Rx followed by slowly tapering, I regained my lung capacity to tolerate a classic Whipple procedure by Dr. Scott Helton on 4/1/2016.
You should be able to obtain the report. Basically, everything looked very good.
Post-op, I suffered one month of gastric paresis with inability to pass any food material and lost about 20 lb, but have had no problems ever since. Subsequently, I was treated with 4 sessions of Irinotecan, Leucovorin and 5-FU beginning on June 1 and had a negative CT scan on July 27, 2016.
Follow-up CT on 10/10 also showed no signs of recurrence.
Follow-up office visit on 12/12 showed slight elevated liver enzymes and increased CA 19-9 by 10 fold, (from 4 – 40) but high norm for VM is deemed 37. Dr. Picozzi suggested watching and follow-up in two months.
Recent CT scan on 2/6/2017 showed the two large encapsulated lesions in the R lobe of the liver.
Needle biopsy on the 9th showed cancer metastasis. Post Bx developed 4 unit sub hepatic hematoma, required 2 units transfusion.
2/24/2017 Reinitiated ChemoTherapy with Oxaliplatin, Leucovorin and 5-FU. Not affected by side effects thus far.
Hope this is helpful.