My colonoscopy and scans (MRI and CT) proclaimed I had a 5-6 CM growth 10-11 cm from anal verge T2 early T3 3 enlarged lymph nodes noted over all given Ct2 early t3 Nx. I did 25 treatments of chemoradiation (with xeloda). Then after a wait LAR surgery. post op pathology read in part:
Lymph-Vascular Invasion: Not identified
Perineural Invasion: Not identified
Number of Lymph Nodes Involved: 0
distance of invasive carcinoma from closest margin: 20 mm
Stage(PTMN)
pT1: Tumour invades submucosa
Pn0
Comments: Only several malignant glands remain post treatment. They are located in the superficial
submucosa
Diagnosis:
A) Rectal lesion: Minimal residual well differentiated adenocarcinoma (less than 0.1 CM in size)
-involving submucosa
- appears completely excised
-all lymph nodes excised negative for malignacy
proximal a distal anastomotic rings: unremarkable colon tissue identified.
I have been offered optional xeloda for 4 months. The question I am asking.
Would you do the 4 months of chemo or not?