Oncology (General Cancer)/S/P colon cancer to omentum

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QUESTION: The wife (+/- 65 yoa) developed colon blockage secondary to malignancy 9 years after clean colonoscopy.  Treated surgically without chemo approximately one year ago and did well clinically.  Within the past week catscan showed two masses in her omentum, each approximately one centimeter long.  PET scan confirmed.
Would appreciate your thoughts, comments, and suggestions, particularly in regard to treatment and prognosis.  Thank you very much;  I believe you provide a much needed service.

ANSWER: This is not a good situation, as you know.  If she were my patient, I'd seriously consider going to a center that managed peritoneal surface malignancies.  If your wife has standard therapy, she can't be cured, and her survival will be limited.  Standard therapy would involve chemotherapy together with a vegf growth factor inhibitor, and would probably buy her a year to two years.  Peritoneal surface therapy, which would involve removing all disease surgically, then treating the peritoneal surface with chemotherapy (and heat), followed by standard therapy, just might cure her.  There are people who have done very well with this more aggressive approach, but of course, many who haven't.  Right now would be the best time to explore these alternative and investigational treatments.  Hope this helps.  

---------- FOLLOW-UP ----------

QUESTION: Thanks again.  For clarification, the woman under discussion is the wife of a friend, not my wife.  Are you able to suggest experienced practioners of "peritoneal surface therapy" in the Northeast?  That would be extremely helpful.  
With gratitude,
Art

Answer
This is the place I send patients.

https://www.tuftsmedicalcenter.org/patient-care-services/Departments-and-Services/Cancer-Center/Clinical-Care-Services/Peritoneal-Surface-Malignancy-Program.aspx

Dr. Martin Goodman, Tufts University Medical Center

Oncology (General Cancer)

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Donald Higby, M.D.

Expertise

I can answer almost all questions related to the treatment and natural course of most kinds of cancer, especially cancers of prostate, colon, lung and breast.

Experience

I have been a practicing medical oncologist for 36 years, and have been chief of service at a major medical center for 25 years. I've also done research in cancer treatments.

Organizations
American Society of Clinical Oncology

Publications
New England Journal of Medicine American Journal of Medicine Journal of the American Society of Clinical Oncology Hematology Transfusion Medicine

Education/Credentials
MD, Stanford University Internal Medicine residency, St. Louis University School of Medicine, St. Louis, MO Medical Oncology Fellowship, Roswell Park Cancer Institute, Buffalo, NY

Awards and Honors
America's Best Physicians, last 14 years

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