十二指腸壺腹癌治療進展與生化指標變化-腫瘤科

十二指腸壺腹癌？

您好：母親今年五月，確診十二指腸壺腹癌第四期，無法開刀，經六次化療腫瘤未縮小，之後又作了三次化療，上星期六才剛做完第九次化療，我上健康存摺看了報告，但因為都是英文，想請教醫師到底寫了什麼這是五月剛開始化療的報告iamaging findings:ct of the abdomen:the pre-and post-enhanced axial images are obtained with a slice-thickness offthere is cystic space occupyinglesions at liver s7 identifiedthe gallbladder was filed with air fluid level and bile ducts are unremarkablecortical renal cysts were appreciatedthe pancreas spleen urinary bladder bowel loop and adrenal glands appear unremarkablethe collecting systems are well-opacified without dilatationno enlarged lymph node is foundno focal osteolytic lesion is depictedthe abdomen is free of abnormal fluid and free air collectionimpressionsuspicious lung metastases in the both lungs (se5 lm2,8;6)s7 1.66cm s5 1cm liver metastasis(se7 lm 12,21,24)suspectedpneumobilia and suppurative cholangitis with IHDs dukatatuib and prominent a vatermalignancy suspected(se7 lm 32)choledochoduodenum fistula suspected(se7 lm 20)suggest clincal correlation and follow-upbilateral renal cortical cystssplenic capsular calciticationsuspicious a splenic cystspondylosis deformans of cervical thoracic and lumbar spine這是九月第一階段六次化療完的報告Imaging findings： CT of the Abdomen: The pre- and post-enhanced axial images are obtained with a slice-thickness of 5mm. There is cystic space occupying lesions at liver S7 identified. The gallbladder was filled with air fluid level and bile ducts are unremarkable. Cortical renal cysts were appreciated. The pancreas, spleen, urinary bladder, bowel loop and adrenal glands appear unremarkable. The collecting systems are well-opacified without dilatation. No enlarged lymph node is found煩請醫師幫忙看看第一次跟第六次後的報告內容，病情的變化是怎樣？
另外，附上CEA及CA19-9數據，看起來好像最近二次突然飆升，請問是否表示化療藥效已無效？
cea ca19-93/30 1.62 14.146/30 1.64 26.908/10 2.02 26.748/26 2.70 32.689/22 2.62 29.1410/12 4.09 39.8011/3 4.38 44.34抱歉，文長，請見諒，還請醫師為我解惑，謝謝