• Frequency of CT scans during initial adjuvant chemo?

    Asked by medale on Friday, September 8, 2017

    Frequency of CT scans during initial adjuvant chemo?

    I was diagnosed with a stage IIIc adinocarcinoma in my descending colon after pathology from a partial colectomy in March. I started 12 treatments with FOLFOX bi-weekly in May and just finished treatment #9.

    I had an initial CT scan before starting the treatments and it showed "reactive" lymph nodes close to the site of the colon surgery. My oncologist explained that this could be from the surgery or from cancer cells but we couldn't really distinguish either event (likely some of both which is why we needed the adjuvant chemo).

    My next CT scan will be scheduled after I finish the 12 treatments. This should allow the surgery to completely heal and so any reactive lymph nodes would then be due to remaining cancer.

    It seems that some get CT scans more often but maybe not during the initial adjuvant chemo after surgery? Any insights much appreciated.


    7 Answers from the Community

    7 answers
    • LiveWithCancer's Avatar

      How frequent are your chemo treatments?

      I have lung cancer so the protocol could be different. When i underwent initial chemo treatments (i had no surgery), my scans were every 3 months. Later, i joined a clinical trial. Scans went to every 6 weeks. After years of stability, the scans went back to every 3 months.

      Best of luck!!

      almost 3 years ago
    • medale's Avatar

      Thanks for sharing! The treatments are every two weeks so the full 12 treatment course will take about 5.5 months through mid-October. Not sure how soon after we will do the CT scan. But no scan since beginning of May.

      almost 3 years ago
    • Razmataz's Avatar

      I have leiomyosarcoma that metastis. However, both times I had my initial PET at diagnosis and then the only time I had another one was if there was some sort of concern. I had one after my last chemo the last time. This time I will have maintenance chemo so I will do scans every 6 months...

      almost 3 years ago
    • GregP_WN's Avatar

      For my Head and Neck cancer, I had a PET scan to start with, then went through a couple of surgeries and radiation. After radiation I had another, then each 6 months for 2 years, then once a year for 3 more, then stopped altogether. I'm sure it depends on the type of cancer, its protocols, and your specific case.

      almost 3 years ago
    • Skyemberr's Avatar

      I was IIIc also when i had my surgery and chemo and had a similar thing with a lymph node lighting up, though they wouldnt get specific with me as to where it was and i was too sick to get it from archives. I'm sorry you have that too. You are probably correct about part of it being from the surgery. Did you get a transfusion after surgery?

      After i finished my adjuvant folfox they did a ct scan or two. Unfortunately theu were not clear, but i was not able to do 9 treatments!!! You're strong!

      I also had a few scans of my abdomen due to pain in my lower right during my adjuvant therapy after surgery. Anyway, just trying to say that my docs were fine with doing a few extra ct scans if i was having a worrying symptom. I also had some extra problems, like c diff, which caused me to get lots of scans, but that experience is not normal.

      almost 3 years ago
    • myb's Avatar

      I had stage 3c colon cancer that was picked up at my colonoscopy at 50 with no symptoms on feb 14th. I had a CT scan the next day. I had surgery on mar 1st, and pathology showed in lymph nodes. I started chemo on apr 10 for 12 rounds finishing sep 13th. My 1st scan was on sep 14th. I had scans every 3 months for 1st 2 yrs from surgery date and then about every 6 months for next 3 yrs. At 3.5 yrs out, I had a scare in the liver so went back to 3 months for next one. Then I went back to 6 months. I have pushed my last scan out to 9 months.

      almost 3 years ago
    • spdsgrl's Avatar

      I have stage IV colon cancer. I get scans every 3 months to check for progression and if any treatment changes are needed. After 5 years, Its starting to become anxiety producing. ;-) I hope all your scans are clear. (There are many options after Folfox, if they're not, but I have faith you'll do fantastic on your chemo). You'll be in my thoughts.

      almost 3 years ago

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