If your doctor is suggesting either option to you, has he also suggested having radiation either before or after the excision? If not, and if you are seriously contemplating the excision, I would ONLY go that option IF you have radiation and perhaps even some "chemo-lite" (Xeloda only) afterwards.
If you look at my signature, you will see that I also had an excision...with chemoradiation before as well as some more chemo. There is NO way that I would do an excision just by itself but that's my opinion. Like you, I was very concerned about the quality of life issues and for me, that was a HUGE difference between my protocol (neoadjuvant chemo, excision, chemo) and the standard of care, LAR.
Talk to your doctor....both your surgeon and your onc. Feel comfortable with your decision and if you have an excision, make sure you have thorough and meticulous followups to include rectal ultrasounds to check for potential local lymph node involvement. I don't for a minute regret my decision but I recognize that it isn't for everyone.
Dx 6/22/2006 IIA rectal cancer
6 wks rad/Xeloda -finished 9/06
1st attempt transanal excision 11/06
11/17/06 XELOX 1 cycle
5 months Xeloda only Dec '06 - April '07
10+ blood clots, 1 DVT 1/07
transanal excision 4/20/07 path-NO CANCER CELLS!
NED now and forever!
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