kiwiinoz wrote:Hi Claudia
With all the surgery are you doing any running? I have had a few months off serious running, and my long runs are now 10km which used to be my short runs. However I have 16 weeks until a Marathon I want to in so have started training again. Did a tempo run yesterday and really enjoyed it so let's see.
I am thinking to start running this weekend, but I went skiing last Sunday and I have been dancing and training strenght all the time. Since I had two open surgeries in two months, I decided to follow the advice of the surgeon and start running after 8 weeks...I am really looking forward to it!
kiwiinoz wrote:Now the serious stuff. You have had Neoadjuvant and radio right, then your concern is why wait for this to grow and then remove once it is big enough. If you look at it the other way, it is not likely to spread more, it is contained, and chemo will not be an answer. In fact chemo now would mean your cancer could become immune to the treatment if you need it in the future.
But is it contained? A metastasis cannot spread further through the blood wessels? And what about the microscopic metastases that might be still around? That's what I am going to ask when I am at the meeting with the pneumosurgeon
kiwiinoz wrote:In my situation I had my primary rectal cancer, and lung lesion at the same time so I was given the choice by my oncologist as to if I wanted chemo or not and I had done a fair amount of reading and the school was out in that there is no proof that chemo after a lung resection provides any benefit, but at the same time there was no proof that it doesn't provide benefit so I took it.
I'd wait until lesion was big enough to get VATS, then, if you wanted it, try to have chemo after that.
One bit of news is that I found it made no difference to my lung capacity after I had my lesion removed.
I also had them at the same time, so this metastasis has been already observed for 5 months. But is 1 cm in diameter really too small for VATS?
I found in the guidelines for treatment of metastases from colon rectal cancer in Norway:Time of lung section
1-, 3- and 5-year survival after resection of pulmonary metastasis (from several types of primary tumors) of 91%, 76% and 76%, respectively, is reported. The group that was rapidly operated after detection of pulmonary metastases had poorer survival than the group operated after a 3 month observation period. Such postponement reveals some patients with unrecognized disseminated disease.
So, ok, lets' wait three months but this will mean an observation period of 8 months, I just wonder if the pneumosurgeon is aware of that, since I have the impression that oncologist, gastrosurgeon and pneumosurgeon never meet to discuss my case
All the best