Rectal Cancer: Habr-Gama Watch and Wait Strategy to Avoid Surgery

Please feel free to read, share your thoughts, your stories and connect with others!
prayingforccr
Posts: 12
Joined: Sun Jun 28, 2020 4:44 pm

Re: Rectal Cancer: Habr-Gama Watch and Wait Strategy to Avoid Surgery

Postby prayingforccr » Wed Jul 29, 2020 7:21 am

God bless you and your husband and your miracle.

May I be as fortunate.

Jogey
Posts: 10
Joined: Sun Dec 09, 2018 5:24 am

Re: Rectal Cancer: Habr-Gama Watch and Wait Strategy to Avoid Surgery

Postby Jogey » Sun Aug 02, 2020 4:50 am

Hi all,

I am on a watch and wait program for rectal cancer after a radiologically complete response. My last scans, sigmoidoscopies etc were around 14 months since I finished radiotherapy and fortunately were clear and I have more coming up this month.

I noticed this very interesting research for anyone on a watch and wait program "Conditional Survival in Patients With Rectal Cancer and Complete Clinical Response Managed by Watch and Wait After Chemoradiation Recurrence Risk Over Time"

https://journals.lww.com/annalsofsurger ... al.38.aspx

The main conclusion is "Conditional survival suggests that patients have significantly lower risks (≤10%) of developing recurrences after 2 years of achieving cCR following nCRT."

I have only had a quick read of these so could be wrong but I think this includes the risk of distant metastasis. So all in all if someone can manage to not have a recurrence or metastasis for the first two years, then you have an over 90% chance of being disease free 3 years after that.

Don't rely on this summary as I have only had a very quick look at the research so could be wrong in my interpretation, please read the research for yourself.

It is 18 months since I finished radiotherapy. I am obviously hoping that I can make it to the 2 year clear mark which would be a very important milestone.

Best of luck to all on this forum

prayingforccr
Posts: 12
Joined: Sun Jun 28, 2020 4:44 pm

Re: Rectal Cancer: Habr-Gama Watch and Wait Strategy to Avoid Surgery

Postby prayingforccr » Sun Aug 02, 2020 6:06 pm

Did you not do chemotherapy?

Jogey
Posts: 10
Joined: Sun Dec 09, 2018 5:24 am

Re: Rectal Cancer: Habr-Gama Watch and Wait Strategy to Avoid Surgery

Postby Jogey » Sat Aug 08, 2020 2:37 pm

In England, it is not standard to have chemotherapy on watch and wait, but I asked my oncologist to look at the latest research and he said it would improve my survival chances if I did, so I had it. I had 3 months as he had seen research that this would be just as effective as 6 months. Take care.

skb
Posts: 50
Joined: Tue Mar 28, 2017 2:00 pm

Re: Rectal Cancer: Habr-Gama Watch and Wait Strategy to Avoid Surgery

Postby skb » Mon Aug 10, 2020 2:41 pm

Hi,
I am a wait and watcher who avoided radical surgery when the disease was diagnosed in 2017. I was disease free for two years.

In 2019, a solitary metastatic nodule was discovered in my right lung and it was removed with a VATS wedge resection. There was mp chemo afterwards.

It is now one year after my lung surgery and I am fortunately still cancer free. I have scans every few months.

Just wanted to update this forum
3/21/17: Dx T3N0M0- distal rectal cancer, 4.5cm tumor, 2.5 cm from anal verge
4/18 to 5/22/17: chemoradiation - Xeloda 1800mg twice a day for 25 days, 200 Cgy/day
6/28/17: biopsy shows no invasive adenocarcinoma
8/09/17: MRI - no primary tumor left, starts wait and watch
8/17/17 to 12/1/17: mop-up chemo with Folfox and oxaliplatin (IV infusion), every two weeks
5/19 expanding right lung nodule, 8mm
8/19 VATS wedge resection
9/19, 12/19, 4/20, 7/20- Clean CT, MRI, NED


Return to “Colon Talk - Colon cancer (colorectal cancer) support forum”



Who is online

Users browsing this forum: No registered users and 4 guests