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54<br />
Those images are in the coronal plane. Below are axial images.<br />
Again, the small image shows the tumor surrounding the bowel.<br />
So, what next. I await a callback from Dr Nghiem. I have spoken briefly <strong>with</strong> Dr Flam. I<br />
have also spoken <strong>with</strong> Dr Ed Felix, a good friend, who is well known in the field of<br />
laparoscopic surgery and who has trained as an oncologic surgeon. I wii see him on<br />
Monday. I think he can remove this tumor using laparoscopic technique, <strong>with</strong> relatively<br />
little morbidity. Hopefully this will happen in the next week or so before I develop a small<br />
bowel obstruction. After that, who knows? Chemotherapy? Watch and wait for the next<br />
mole to pop up? It may be a while before I get some answers.<br />
I would not have been surprised to see liver or lung metastases on this examination. In<br />
fact, I was almost expecting liver metastases to account for the indigestion. This was a<br />
shocker, and speaks to the variability of this disease.<br />
Well, I still will not give up. If the bowel lesion is removed and is confined to the bowel,<br />
and the mediastinal lesion is not growing, maybe we can get rid of every trace of this<br />
bully for good.<br />
Posted by David Shuster at 03:09PM (-07:00)<br />
<strong>My</strong> <strong>Battle</strong> <strong>with</strong> <strong>Merkel</strong> <strong>Cell</strong> <strong>Cancer</strong>