Confirmed: that spot is not a "shadow"

On Wednesday of this week (October 15, 2025), I had an ultrasound-guided biopsy performed on that new spot in my liver.  This was originally going to be a CT-guided biopsy (similar to the one I had back in December of last year) but doctors thought they could get to it just as easily via ultrasound.  And indeed they had no problems spotting the little bastard . . . so long as I held my breath just right:

No, that's not a tadpole in a pond!

My only "complaint" about going the ultrasound route is that the pictures aren't quite as clear/interesting when compared to a CT scan.  Obviously that's not a serious complaint though as I get great medical treatment here at Mayo Jacksonville!  I was told it would be about 2 business days to get the pathology results.

About an hour ago I received those results: Positive for malignancy. Consistent with the patient's history of metastatic myxoid liposarcoma, high-grade.  Referenced in the report is are digital images of the pathology, which I am going to request as they were not immediately available through the Mayo portal.

Am I shocked by the diagnosis?  Not at all; it fully met my expectations.  Yes, it is unfortunate and yes I'm quite concerned about this uptick in metastasis over the past year, but I'm happy to still be alive after now nearly 7 years after the first metastatic tumor was discovered in my right pelvis (back in January, 2019).  If I have to play whack-a-mole with these, then game on!  So far I think I'm winning, though both me and my cancer are in an active "fight to the death" and "there can be only one"!

So, how do we "whack" this particular "mole"?  My oncologist (Dr. Steven Attia) has already called me and he suggested some form of radiation for starters (as myxoid are very sensitive to Radiation Therapy, or RT).  I am also going to be scheduled for a surgical consultation.  Hopefully I can get these consultations done soon as it looks like the docs are all booked for weeks out. With any luck, I'll have this thing knocked out by end of year . . . just in time for family Christmas!