Navigating Liver Transplants for Metastatic Colorectal Cancer: Common Questions Answered

Tim McDonald
2 min readMar 19, 2024
L-R are Tim McDonald, Dr. Hernandez, and Beth (Tim’s Donor) at URM Strong Memorial

Facing metastatic colorectal cancer (mCRC) can be a daunting journey, and for some patients, considering a liver transplant as a treatment option adds a layer of complexity. In this blog post, we aim to address some common questions that arise when exploring the possibility of a liver transplant for mCRC.

How does one go about finding a living donor?

Finding a living donor involves several steps. While there is no specific list for mCRC patients, they can be added to UNOS, the national donor registry. However, it’s important to note that most mCRC patients won’t qualify for this procedure. Some specialized institutions, such as the University of Michigan and Washington University in St. Louis, offer cadaver transplants for mCRC patients. As for living donors, they can donate up to 70% of their liver. The transplant center usually determines the best match based on various factors. Initiatives like Share My Liver aim to assist patients in navigating this complex process, providing support and resources.

With a deceased donor, do you have to wait to get the call?

Yes, for cadaveric liver transplants, patients must be on standby for the call, which can come at any time. The waiting period can be challenging, both…

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Tim McDonald

Stage 4 colon cancer survivor — AmBADASSador for @FightCRC #ColorectalCancerAwarenessMonth — Former Dir of Community HuffPost