Today I managed to talk to both the colon surgeon and the lung surgeon.
They confirmed that the reason to wait for three months is to watch if more metastases show up on the CAT scan. This time I cannot complain that they were not straight and sincere: "sometimes if we operate too early (before three months) we can observe suddenly 100 new metastasis"
Lung metastases can just grow but cannot give more metastases and they normally do not grow very fast.
They also told me that they want to reverse the ileostomy before the lung surgery, because after lung surgery they do not offer chemo here. It would be different if the metastasis was in the liver.
Anyway, the colon surgeon said that it is better to reverse the ileostomy as soon as possible, because then it is easier for the colon to start working again.
Finally, it should be possible to remove the lung metastasis by a wedge VATS resection.
And I can start running and going to the gym again, the surgeon meant that after this two months, if a hernia will occur it would be because of some weakness in the muscles and not because of me not being careful enough.
So I am very happy for all these clarifications and good news!
1972, 2 kids
Dx rectal cancer 10.2017
T3N2aMX (suspect met left lung 8 mm)
Neoadjuvant chemoradio Xeloda + 25x2 Gy
05.12.17 laparotomic surgery for blockage, colostomy
25.01.18 laparotomic lar, hysterectomy, ileostomy
05.03.18 core needle lung biopsy , stage IV
07.05.18 CAT scan, lung met 11 mm
04.06.18 ileo reversal
26.06.18 wedge VATS
24.08.18, 31.02.19 CAT scan
12.09.18, 06.02.19 scope, CEA 1.6
20.08.19 CAT, eco
13.09.19 scope, CEA 1.2
18.03.20 CAT, eco, scope, NED