Beckster wrote:Welcome to our forum. Sorry to hear about your diagnoses, but stage II is treatable and curable. I was diagnosed with stage 2A colon cancer of the cecum (right sided). I had LAP surgery in November with pathology of T3N0M0. You will have to wait until your pathology report comes back to see if you have any of the following risk factors for recurrence (T4, less than 12 lymph nodes, lymphovascular and/or perineural invasion, high grade tumor, perforation, obstruction). This will determine if adjunct chemo is needed after surgery. I had 2 high risk factor; high grade and lymphovascular invasion. Because of this, my MD Anderson oncologist suggested chemo. It was up to me, but I decided to do whatever was needed to be disease free. He originally gave me Capox (5/FU in pill form and Oxaliplatin) every 3 weeks for 8 cycles. I went for my first infusion of Oxaliplatin, but had an allergic reaction. No more Oxi! I am now only on the pill, which is Xeloda (5/FU in pill). He was ok doing this because it was my decision to receive the chemo. Xeloda will allow you to take pills wearing a pump for 48 hours and getting a port. I just finished cycle 7 and will be finished June 9th! This treatment fit my lifestyle and people do not even know I am on chemo. Another treatment for stage II if chemo is suggested, is Folfox, which is 5/FU and Oxaliplatin every other week for 12 weeks. You will need a port because they send you home with a 48 hour pump for the 5/FU.
If you have no high risk factors, you will probably go on surveillance (observation). CT scans twice a year with blood work every 3 months for the first 2 years. I hope this helps...if you need any additional info, just let me know.
Best of luck!
Beckster
Beckster wrote:Hi Beckster. I had a small underlying perforation well away from the tumour and there was a complete blockage. I've been told to discount those risk factors as I'm 3 1/2 years after surgery and they are risk factors more at the actual time of surgery. I didn't have chemo and my details are up to date. (Signature? Which I hope goes under this post. Any thoughts?
SurvivorsSpouse wrote:At stge 2A risk factors will determine the recommended course. There are many studies saying T3N0M0 tumors are over treated with chemo, so their treatment tends to depend on on onc's experience.
Things he/she will take in to consideration:
Lymphovascular invasion
Perineural invasion
Number of lymph nodes taken (<12 is a risk factor)
Grade
Depth of penetration into the fat
There are plenty of successful protocols that indicate no chemo for 2A with no risk factors and the stats are quite good.
Good luck!!
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