• logisticpat's Avatar

    logisticpat asked a questionColorectal (Colon) Cancer

    Do I really need follow up chemo based on Stage 11 or barely Stage 111A and no positve biopsies from 25 nodes with scar tissue at origin.

    5 answers
    • abrub's Avatar
      abrub

      If your surgeon thinks that the follow-up chemo would be of little value, you might want to hold off, to save the chemo for if you need it in the future. Chemo is rough, and side effects can be many. I personally, would hold off unless the chemo was strongly recommended. However, you must keep on top of your scans and bloodwork. With or without chemo, your cancer may come back.

      You must be sure about your decision, and it is yours. If/when the cancer comes back, you can't blame yourself for not having the chemo (if that is your choice.) I was told for my cancer that they'd never know if the chemo had any effect. I stopped after 7 rounds.

      over 4 years ago
    • Rabbit's Avatar
      Rabbit

      Have you had any genetic testing of the tumor to determine if it exhibits any mutations? These mutations (B-raf &/ K-raf) although in approx. 4 % to 10% of tumors can play havoc with re-ocurances of the cancer and they are resistant to FolFox and FolFiri Chemo protocols including complimenting Xloda and Avastin.

      Ask your oncologist to have the analysis performed. If both mutations are negative you have dodged a large boulder.

      over 4 years ago
    • Jayne's Avatar
      Jayne

      That's a tough one for sure. I faced a similar situation, but my husband was quite ill at the time with metastatic colon cancer too (i know, crazy) and I had to make a decision whether or not to have follow on chemo after surgery. I had already had 6 months of 5FU and chemo. I declined. Cancer returned with mets to my lungs. In retrospect, I do wonder if I had gone through with the follow on chemo, would this have happened? Hind sight is 20-20 but it really does come down to taking in all of the factors, both personal and medical, making the best decision with your doc and trying not to look back. For all I know, if I HAD done the chemo, I might still be in the same situation. I did follow on chemo eventually (Oxaliplatin, Avastin and Xeloda) and the numbness in my hands and toes subsided in a few months, as did Carol's above. Still the mets keep returning. It's just a big unknown. I wish the science were more precise but it isn't. I think Rabbit has a great suggestion.

      over 4 years ago
  • logisticpat's Avatar

    logisticpat posted an update

    Need to know the following. I was lucky and after NuvoChemothrapy and surgery for my Colon/Rectal cancer, the 25 biopsies along with the 10 inches of colon removal with only scar tissue left all tested negative. According to the book Everyone's Guide to Cancer Therapy and my surgeon the follow on chemotherapy would not provide any appreciable help and the chemo to be used could have at least permanent numness in my finger tips and toes. Should I really have the follow on chemo?"

    1 Comment
    • DaveWaz's Avatar
      DaveWaz

      You might want to post this in our Questions section. You can do this by clicking on the "Ask Network" link on your logged in home page or the "Questions" link at the top of this page. When you post needs/questions using our question feature, we route your question to everyone in the network who might be able to help. Also, know you can use the "Update" feature on the site to keep anyone who might be following you on WhatNext up to date.

      over 4 years ago
  • logisticpat's Avatar

    logisticpat shared an experience

    Decision Point: Need to know the following. I was lucky and after Nuvo-Chemotherapy and surgery for my Colon/Rectal cancer, the 25 biopsies along with the 10 inches of colon removal with only scar tissue left all tested negative. According to the book Everyone's Guide to Cancer Therapy and my surgeon the follow on chemotherapy would not provide any appreciable help and the chemo to be used could have at least permanent numbness in my finger tips and toes. Should I really have the follow on chemo?"

  • logisticpat's Avatar

    logisticpat shared an experience

    Procedure or Surgery: After 6 weeks still have diarrhea issues and have one more after surgery appointment next week.

  • logisticpat's Avatar

    logisticpat shared an experience

    Side Effects (Nausea/Vomiting): Mostly diarrhea has a result of both the radiation and chemo (5FU pump). The last week of radiation was a the worst because it was an increase and retargeting plus had it during the morning.

  • logisticpat's Avatar

    logisticpat shared an experience

    Radiation: Again, had Nuvo-Chemotherapy for 6 wks. prior to surgery.