M 35 yr
DX Rectal Cancer, October 2016
Stage IIIB/ Stage IIIC ?
No neoadjuvant chemo/radiation
Surgery Oct 2016
9/38 lymph nodes involved
Semi clean margins but close (1mm)
Waiting to start chemotherapy
...among patients fit enough to start chemotherapy four weeks after surgery, treatments delayed until eight weeks showed a 12% higher five-year mortality, or 25% higher mortality when treatment started at 12 weeks.
Maelleous wrote:I had rectal surgery just under two weeks ago at the Cleveland Clinic.... Any advise from others would be appreciated, thank you!
Green Tea wrote:Maelleous wrote:I had rectal surgery just under two weeks ago at the Cleveland Clinic.... Any advise from others would be appreciated, thank you!
The danger, in my opinion, is that you might be routinely set up for what they call the "standard of care" for your particular stage. Keep in mind that you are 35 years old and the "standard of care" for rectal cancer therapy is designed for a population of patients averaging around 70 years of age, and you are an outlier with respect to that population. What you might need is a sort of customized therapy routine. For example, you might want to select a routine that does not involve the noxious oxaliplatin component, since that will likely give you some level of peripheral neuropathy for the rest of your life -- and presumably you have many good years still to go.
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