Oncologist recommended stopping the chemo - so completion of four cycles rather than five. He says with the gut problems (capecetibine) and foot neuropathy (ice picks in toes) the negative side effects may be outweighing positive benefits, given my staging etc. He has felt the this third phase shows the weakest survival benefit and also the weakest evidence after the chemo radiation and surgery. Is completely comfortable with the call. Wants me to recover from all this and see him in two months. So - woo hoo!
RC, F, 63 at diagnosis, Sept. 2017
Adeno 6.3 - 7 cm tumor (PET) MSS, G2,
Est. T3N0M0 PET
2500 Cap/RT Oct/Nov18; 25 treatments
"Near complete metabolic response" PET Jan 2018
CEA 0.5 Oct. 2017, Jan. 2018, 0.6 Oct. 2018
MRI Feb. 2018 Presurg yT2 N0 12 cm from AV 3
LAR Feb 20 yT1N0M0 0/21 G1 0.3 cm
CAPEOX March 2018, oxi and cap reduced to 80% at cycle 3
Completed 4 cycles CAPEOX; stopped due to gut issues, liver enzymes
Clear CT and colonoscopy November 2018. NED.