Colonme wrote:Hi all!
I am new to this all. I was diagnosed on 4-3-2018 with colon cancer (Gastroenterologist). I had surgery on 6-6-2018 (general surgeon). He thinks he got it all, and doesn’t expect me to need chemo. I’ll believe it after I see the oncologist. Tumor site: cecum. Stage 2, pT3N0M0, grade 2. Consistent with MSS tumor/more likely to respond to 5-FU based chemo. I have not seen my oncologist yet and won’t until AUGUST. From what I’ve read, adjuvant chemo is a real possibility. Any advice from those more experienced? What falls under “5-FU based chemo?” I have no patience.... This took two months just to have the surgery, and two more months for the oncology appointment that I get to anticipate for five more weeks.... I am a bit nervous.... what can I expect?
Stage IIA (which is your stage) of the cecum performed by a colon rectal specialist. My surgeon did not think I needed chemo, but when pathology report came in, it revealed LVI and Grade 3 ( Grade 2 for colonoscopy biopsy.) Both are subjective, but he suggested me seeing an oncologist. First, make sure that you are at a large cancer center....I go to MD Anderson. I had surgery in November 5th and started chemo December 27th. I had a choice of whether or not to take chemo, but because of my age, he felt that I should. He said it is an insurance policy. I started with Capeox (oxi and Xeloda), but had an allergic reaction on the first oxi infusion. I did six months of Xeloda (pill form of 5/FU). It was doable and worked well with my life style. In your pathology report, did you have any other high risk features: <12 lymph nodes, LVI, PNI, obstruction, perforation, elevated preoperative CEA? You might also want your surgeon to send your specimens for OncotypeDx testing. It might give you additional quantitative data of whether to take chemo. Hopefully other stage II will chime in!
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Tumor size: 3.5 cm x 2.5 x 0.7 cm
Grade: G3 (surgical) G2 (pre-op)
Surgical margins: clear
12/27/2016 - Capeox, anaphylactic reaction to oxaliplatin on first infusion-discontinued
1/2/17 to 6/9/17- Xeloda monotherapy
6/26/17, 12/12/17, 6/18/18 CT Scan NED
CEA- 6/17- 3.6
, 9/17- 2.8
, 9/18 2.8
Clear Colonoscopy 10/17