Tuesday, June 23, 2009

What the surgery revealed

I'll try to give a good overview of what Dr. Elliott discovered during the surgery while still respecting Peg's privacy. And by the way, if you google any of this you'll be bombarded with more incomprehensible minutiae than you can handle, most of which has nothing to do with Peg's individual case. Don't bother, it'll either make you angsty or cranky.

His initial prognosis (which will probably be confirmed tomorrow in lab tests) is epithelial ovarian cancer. This is good (what? cancer is good?) because it's a type of cancer that's very responsive to chemotherapy. Chemo= yummy rat poison; epithelial cancer= hungry rats.

Although the CT scan had shown spots on Peg's liver that could have been cancer nodules, Dr. Elliott found through physical examination they were normal spots that had nothing to do with cancer. There were cancer cells on her spleen which he was able to remove without removing the spleen. He removed 15cm of her transverse colon and reattached the ends (actually, they use staples. I kid you not).

He also found no cancer cells on or around her pancreas, which was a big relief. Peg's father, who died before I met her, had pancreatic cancer.

The metric for success in this type of "debulking" surgery, where the affected organs and surrounding tissue are removed, is that there is less than 1cm of cancerous material left intact. Dr. Elliott was literally ten times better than that-- there's less than 1mm, which chemotherapy is likely to gobble faster than I can go through a bag of Fritos. And believe me, I can hoover a bag of Fritos like you wouldn't believe (which is precisely why we don't keep them in our house).

So-- nothin' but sunshine from our corner of the world. I should probably stop saying this over and over because you know it already, but thank you all for your support for our family in whatever form it takes. Know that we are grateful for your just being present in our lives... everything else is gravy.

9 comments:

Janis said...

Hi Peggy, my thoughts and prayers are with you. I am sure your spirit and grace will carry you through to see many precious years to come. Much Love, cousin Janis

coffmanadventures said...

Gravy indeed. Much love and blessings are being blown your way. So so so glad to hear things are going so well. Keep it up Peggy!!! Love, Daphne and Joe

Phyllis said...

So great to get this info and news. I am one for all the details and this really helps Eric. Looks like you have a wonderful team of docs (and friends and family). The stars are in alignment for Peg! Must be that galaxy that Peg is so fond of.

Janice said...

I'm so glad the surgery went well, and that the findings are good. We will continue to hold you all in our thoughts and prayers and send our support as the journey goes on, one big hurdle down. Love, Janice & Carolyn

Leann said...

Thanks Eric for the detailed info during a time that must be pretty mentally bleary. My heart leaps at the great news on all fronts. I wish you all a speedy recovery and an easy road through all the next good news.
Peg, thanks for your video message of love, it will warm my heart for a long time.
Love,
leann

Suzanne said...

I am so happy with how the surgery turned out.
Peg, you are a tiger....those nasty cells do not stand a chance with you.
Eric and Zoe, thank you for holding Peg's hand on her Journey To Health.
May all 3 of you have a more peaceful week and a homecoming for the weekend.

Ballanti said...

I just got a chance to see your wonderful blog, Etic. Isn't technology amazing. The Ballanti's want you all to know how much we are thinking of you and sending love and hope your way. So glad that the surgery was a success and that you are surrounded by those you love.

Debbie, Steve, Rachel and Adam

Anonymous said...

Much relief at the news, I think ill go get a bag of Fritos

mark

Anonymous said...

I have never seen anyone look so beautiful with an NG tube. There's that radiant smile.
Love and hugs,
Marge