Esophageal cancer spread to liver - Chemo stopped. What now?

Hi, my father is a 73 year old with Parkinson's who was diagnosed with Esophageal cancer that had spread to the liver and was fitted with a stent and planned 6 sessions of chemotherapy using fluorouracil and carboplatin. After the first session it was identified that the tumour is HER2+ so he could also have herpatin. He has currently had 4 chemo sessions and 3 herpatin injections. He just had a meeting with one of the consultants who informed him that the primary tumour has shrunk and caused the stent to slip downwards but the secondary cancer was not responsing and has grown so they're stopping the chemo (which was planned for tomorrow) and nothing more can be done.

I am waiting to speak to the senior consultant but am finding their reaction difficult to understand, dad has coped well with chemo and anyone who has seen him comments on how much better he looks and seems, he is eating well, mobile and has gained 3kg of the weight he lost and feels well in himself, just a bit tired and weak.

 

I don't understand why they don't just continue the final 2 sessions of chemo with herpatin or at least explore other treatment to try and slow down the secondary liver cancer. To just try a few sessions and give up when dad is feeling well and is also very strong mentally and remaining postive all the way through is infuriating.

 

I don't think I am being unreasonable or unrealistic, I know the cancer can't be cured but just want every possible avenue explored to buy him more time. I would understand the decision if his quality of life had dropped or the cancer had spread right through his body and he was suffering from it.

 

I wondered if anyone has similar experiences and any advice to offer, my initial idea to suit dad's wishes is to speak to the consultant, push for more options to be looked at and if no results, request a 2nd opinion via dad's GP. If nothing can be done, nothing can be done but I want to make sure that nothing truly can be done.

 

Thanks in advance for your help.

 

 

  • Hello armoured_bear

    I'm sorry to hear about your Dad's diagnosis and that the hospital have decided to stop the treatment regime. 

    I think that it sounds perfectly reasonable to want to make sure that all options have been considered and I hope that you're able to speak to the Consultant soon. 

    If you do have problems with talking to the team then you could contact the hospital PALS department who are there to assist patients in these kind of areas. 

    Best wishes, 
    Jenn
    Cancer Chat moderator

  • Hi Jenn

     

    Thanks for your reply, we have an appointment to speak to the consultant a week on Wednesday, I'm going to email him explaining exactly how my dad feels physically and emotionally, what his wishes are and try to persuade the consultant to try to consider looking at other treatment for dad. I imagine It'll be futile and we'll have to go to GP and ask for a 2nd opinion referral.

     

    I'd love to know if anyone has had any luck in a similar situation in achieving more treatment when initially refused or getting a different offer with a second opinion.

     

    Thanks

    Denis