Skip to main content

Interventional Radiology Biopsy of Abdominal Soft Tissue Sarcoma

Biopsy day

Tuesday 2-26-14

In my ignorance, I thought, biopsy, a few days later diagnosis, then treatment starts and we keep moving until we are on the other end. 

Besides frustration, my ignorance kept me fueled and pushing for those around us to get things done.


I don't recall exactly, but I believe the biopsy was in the morning. Extra pain meds were ordered so Mathew could get through it. His level of pain was out of sight. As we learned what the cancer was doing inside of him, each problem it created, each organ it intruded on; each one, a source of great pain.

Mathew's Dad and I went down with him to IR (Interventional Radiology). The biopsy was going to be taken through his back, close to his liver. To do that Mathew had to be on his stomach which was excruciating for him.

Arpie and I were sent to a waiting room, we were the only ones there.
After a while, the door opened. A man in scrubs with his face mask pulled down strode into the room and glanced around. He looked like he was on a mission.
"Who are you here with?" he asked.
"Mathew Rodgers."
"Good," he pulled up a chair, sat down and said. "I am terrified for Mathew."
My heart sank.

In addition to what we already knew about the tumor growing between the organs and moving them around, Dr. E explained to us that it was also wrapped around Mathew's spine and more.

He said Mathew had done great through the procedure.

Dr. E had us come into the control room of sorts and showed us the scan.
It was a view from top to bottom as if we had a birds-eye view starting at Mathew's head and going towards his legs. The tumor was everywhere as we had been told, but the point he wanted to make was this:
The Doctor pointed out the vena cava. The large vein which travels through the center of the body. ****
"There's the vena cava, we move further down, there's the vena cava……then it's gone……we move further down and there it is again."

The tumor was wrapped around the vena cava and had displaced it. Moved it to the side.
I'm almost as stunned today, writing this, as I was then.


The Dr showed me the biopsy specimen before he sent it off to the lab. A large chunk of reddish material in a small container. I wish I had looked at it more closely. I know a few months later that would have been my reaction. At this point, I am in shock and gearing up, just beginning to realize what we were up against.



****The inferior vena cava is a vein. It carries deoxygenated blood from the lower half of the body to the right atrium of the heart.





Comments

Popular posts from this blog

About this Blog, A Journey Through Sarcoma

Confections for Cats, A Journey through Sarcoma is a chronicle of my son's journey through Desmoplastic Small Round Cell Sarcoma. It is intended to educate and inspire by using Mathew’s thoughts and feelings, dreams and fears through a variety of mediums; art, music, and writing. Through factual experience, what we learned and what we wish we had known. Mathew’s desire was to give meaning to his journey and in the process help anyone else on a similar path. The last possible explanation in my mind for my son’s health problems was cancer. Even the words “the scan shows a large mass” didn’t lead me to conclude cancer and when the cancer diagnosis was confirmed, I still wasn’t prepared. My Mother is a breast cancer survivor and my sister Elizabeth passed away three years after her breast cancer diagnosis. I thought I knew what cancer treatment and living with cancer looked like, but none of us could imagine or be prepared for how all semblance of routine and normalcy had alre...

Thoracentesis to Remove Fluid on the Lung

2-28-15   From the Notebook Fluid on right side of lung Needs to be drained, done from the back Can be done bedside Send out for testing CAUSE? could be a bodily reaction - most likely this because fluid wasn’t present when he arrived or could be tumor has entered the lung. Mathew had been complaining about his right shoulder hurting (this was from the fluid on his lung). He thought it was from the previous October when he was taken by ambulance from work when they thought he was having seizures. He wondered if the EMT's had hurt his shoulder when restraining him. He will reference this in his music and writing. A local oncologist is brought in who says he will be starting Mathew’s treatment. More news on the diagnosis: -Neg for lymphoma -not traditional carcinoma -uncommon sarcoma -pancreas -looking for rare cancers Again my ignorance, I thought that a rare cancer would get more results. Backward thinking. Here is a photo of t...

When a Cancer Patient Has a Medical Emergency

3 Days in the DRC, Part 1 If you haven’t read my first post about the DRC at Moffitt and how it works, since Moffitt does not have an ER, you can read about it here.  https://confectionsforcats.blogspot.com/2018/04/neutropenic-fever-after-ie-chemo-and.html In summary, the DRC is where an existing Moffitt patient is directed to go if they have a medical emergency.  Usually, we would be there a few hours or overnight (since we arrived at midnight or shortly afterward) until they had a room for Mathew on the ward. This particular visit Mathew stayed in the DRC three days. As mentioned in my other post, the DRC has maybe two rooms with a bathroom; otherwise, one bathroom for about a dozen patients. In Mathew’s case, a patient with a lowered immune system.  This time Mathew was in the room furthest from the bathroom.  When inpatient, we had a routine for getting him to the bathroom. First, he needed the IV unplugged (often quickly) and most times, I ...