• Still On The Fence With Mop-up Chemo

    Asked by mtnraindancer on Tuesday, January 22, 2019

    Still On The Fence With Mop-up Chemo

    I know this is an individual decision. "I like chemo" said NO ONE EVER. I have only done 5 rounds of Folfox with Avastin and have been fortunate to have dealt with minimal side effects up until the last dose. There are just as many studies that say the mop up chemo after a liver resection is not worth doing as there are studies saying to do it. I've seen so many patients who do the mop-up and have a recurrence anyway. I've also read articles that the chemo can lead to more damage and tumors. The memory of how crappy I've felt on it has just begun to fade a little after being off of it for two weeks so far to prepare for surgery. It is really a hard thing for me to decide on. I'm scared with a compromised liver and colon that I will REALLY deal with major side effects. I'm big on natural supplements and alternative therapy that I have used so far with chemo. I am sure these things have helped tremendously thus far. I've thought of taking the chemo path boosted with the supplements.

    9 Answers from the Community

    9 answers
    • JaneA's Avatar
      JaneA

      If I remember correctly, you said that you were going to have your liver resection and then your colon resection.

      I don't think that they will recommend mop-up chemo between your liver resection and your colon resection. I would think that they'll let you heal and then jump in and do the colon resection. Am I right?

      So if that's the case, don't fret about mop-up chemo yet. You don't know the pathology reports from either surgery. Most recommendations to have adjuvant (aka mop-up) chemo are based on the colon resection pathology report - most especially, the presence of positive lymph nodes and the histologic grade of your tumor.

      You're doing well. Don't borrow trouble - the interest is high - lost sleep, anxiety and doubts and fears. You're at a superb treatment center. Listen carefully to their recommendations. Incidentally, my friend who was treated at Charleston just had her 4 year scans for Stage III colon cancer and is still NED.

      30 days ago
    • mtnraindancer's Avatar
      mtnraindancer

      Hi there Ms. Jane...My liver surgeon is suggesting to do the resection first, heal and then mop up chemo and follow that with a colon resection and no more chemo. I have a meeting tomorrow morning with the colon surgeon so that may change the game. Either way they choose, mop up chemo is on the board and I guess I have to just dig deep and give it some thought. Suppose I will know more after my appt. tomorrow. Thank you for the advice. I try not to borrow trouble but I am someone who tries to think of all scenarios before making a call. You always offer hope and good advice..thank you!!

      30 days ago
    • Jayne's Avatar
      Jayne

      Hi, has the surgeon discussed the time frame for these recommendations? How much recovery time between these seems critical - you'll need time to heal! Too much at once can just be too much!

      30 days ago
    • mtnraindancer's Avatar
      mtnraindancer

      The surgeon suggested 6 weeks or so to heal from the resection and then do a few more mop up treatments followed by the colon resection and no more chemo after that. I am just trying to get the most information I can before making a final decision. Headed to Charleston tomorrow to meet with the colon surgeon...guess I will have a little more info after that. Thank you for "stopping in"..hope you are doing well!

      30 days ago
    • Jayne's Avatar
      Jayne

      Agree with your approach, gather info and ask questions - ironically as similar as we all are, we still have personal boundaries and limits. Just take in the info and allow yourself to process your options. Sending positive thoughts for your app't tomorrow. It's scary going in for sure but you've got this!!!

      30 days ago
    • GregP_WN's Avatar
      GregP_WN

      I don't have experience in the colon cancer area, my only connection to this scenario is that when I was done with chemo for my first diagnosis, I was to have 30 radiation treatments but they stopped me at 25, and said that was enough. About 6 months later, I had a recurrence. While I was over the moon happy to walk away after 25 treatments, I would have gladly taken the last few, even as bad as I felt, burnt to a crisp, with blisters and a throat so sore that I couldn't even eat mashed potatoes and gravy, if it would have meant not having a recurrence and going through another year of treatments.

      I'm not trying to convince you one way or the other, this was just my experience. I wish you the best.

      30 days ago
    • Kbaarch's Avatar
      Kbaarch

      Three months after my major colon and liver resection the ct scan showed unknown spots on the liver which worried oncologist and surgical team. Very disappointing. Three months later I had nonstop Xeloda with Avastin every two weeks for three months. It took a toll. Now two scans later I seem to be in remission with NED. Next scan in March. CEA was under 2. Blood tests good. Did the chemo help or hurt- who knows. Did the surgeon get it all? Time will tell. I trust my Oncologist who is always optimistic but focused on treatment with minimal disruption to quality of life.

      29 days ago
    • KB2013's Avatar
      KB2013

      GregP_WN, you are a marvel to behold, great strength, great personality, a genuine inspiration,

      grateful for you and the effort you put in to WhatNext, thank you and stay strong.

      17 days ago
    • KB2013's Avatar
      KB2013

      I don't like the phrase 'mop up chemo' because it is misleading.

      17 days ago

    Help the community by answering this question:

    Create an account to post your answer Already have an account? Sign in!

    By using WhatNext, you agree to our User Agreement, and Privacy Policy


    Read and answer more colorectal (colon) cancer questions.  Also, don't forget to check out our Colorectal (Colon) Cancer page.