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Jay Lake
Date: 2013-05-29 05:47
Subject: [cancer] The new CT scan
Security: Public
Tags:cancer, health, personal
Yesterday I received another CT scan. This one is intended to baseline my tumors in order for us to evaluate the effectiveness of the Regorafenib in eight weeks' time. The results were discouraging but not surprising. Moderate tumor growth in my liver, active tumor growth in my peritoneum, and the tumors in my lungs doubled while also spreading. In three weeks.

Here's a little chart I made comparing the two scans, three weeks apart. It tells the story:

LungsTwo adjacent 2 to 3-mm nodules within the right lower lobe6-mm left lower lobe nodule
  4-mm right lower lobe
  Cluster of nodules right lower lobe, largest 6 mm
LiverLeft hepatic margin of resection recurrent tumor 17 by 25 mm, previously 10 mm.Multiple hepatic metastases, index lesions:
 More inferior lead along the left hepatic margin of resection, plaque-like soft tissue along staple line measures 7 x 18 mm2.5 cm in segment 5/6
 Wedge resection cavity in inferior right lobe measures 3 by 3.8 cm1.7 cm in segment 6
 Along the deep margin, multiple new developing hypoattenuating satellite nodules, including 17-mm nodule and 21-mm nodule2.4 cm, along with left hepatic resection margin
 New subcentimeter right lobe metastases 
 Additional foci of contracting subcapsular hypoattenuation, medial inferior right lobe, representing additional wedge resection sites 
PeritoneumDeveloping omental masses/implants, left upper quadrant up to 4.9 by 2.5 cmExtensive peritoneal implants, index lesions:
  4 x 3.1 cm
  5.4 x 2.3 cm
  6.1 x 1.7 cm

Time slices spiral
X-ray eyes peer inside me
Where my death expands

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Kate Schaefer: First Icon
User: kate_schaefer
Date: 2013-05-29 15:48 (UTC)
Subject: (no subject)
Keyword:First Icon
I'm saying oh. Oh. I'm witnessing all the way through.
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User: kellymccullough
Date: 2013-05-29 18:09 (UTC)
Subject: (no subject)
Fuck Cancer.
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User: martianmooncrab
Date: 2013-05-29 18:27 (UTC)
Subject: (no subject)
that sucks.
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Oz Whiston writing as Oz Drummond
User: birdhousefrog
Date: 2013-05-30 01:04 (UTC)
Subject: (no subject)
I was hoping the lack of oxygen would slow the growth, alas.
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Geri Sullivan: Twinzy Doctor Duck
User: gerisullivan
Date: 2013-05-30 06:26 (UTC)
Subject: (no subject)
Keyword:Twinzy Doctor Duck
Yep, those tumors sure like growing. Fie on them. Good on you for pushing for the baseline CT scan right as you start the Regorafenib. There's been a dramatic enough difference in the last 3 weeks to make those earlier numbers primarily useful in comparison to where things are now as well as evaluating how much Regorafenib slows things down or stops them. All information you wouldn't have had without these two scans so close together, and the second at this particular moment.

Wishing you times of joy in each day, and perverse amusements to help relieve the stress and the full-spectrum emotion of it all.
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