Champ wrote:How are you coming with the recovery from anemia? I have a similar Dx as yours, it has taken me 3 months after surgery for hemoglobin to recover.
DX: CC, 7-9-18 @ age 61, male
Severe anemia (4.5 g/dl), 5-11-18; colonoscopy, 6-29-18
Stage IIA, T3N0M0
Laparoscopic-assisted right hemicolectomy, 7-16-18
G2, moderately differentiated adenocarcinoma in cecum, 4.2 x 3.7 x 0.7 cm
0/24 lymph nodes; no high-risk factors
CEA: 3.0 (pre-op, 7-10-18); 0.7 (post-op, 8-8-18)
TX: no chemotherapy; observation/surveillance
O Stoma Mia wrote:DX: CC, 7-9-18 @ age 61, male
Severe anemia (4.5 g/dl), 5-11-18; colonoscopy, 6-29-18
Stage IIA, T3N0M0
Laparoscopic-assisted right hemicolectomy, 7-16-18
G2, moderately differentiated adenocarcinoma in cecum, 4.2 x 3.7 x 0.7 cm
0/24 lymph nodes; no high-risk factors
CEA: 3.0 (pre-op, 7-10-18); 0.7 (post-op, 8-8-18)
TX: no chemotherapy; observation/surveillance
Welcome to the Forum, and thanks very much for creating a signature.
If you are in fact Stage II-A with no high-risk factors, then you are in very good shape to make it through to total remission.
What I wanted to say, though, is that the risk factors that the doctors are looking at are only a subset of all the relevant risk factors. Your doctors are only looking at the clinical and pathologic risk factors from the lab tests, scans, and pathology reports. There are other risk factors that could be considered, including environmental, genetic, behavioral and life-style factors. All of these together form your expanded risk-factor profile.
What I would suggest is that you have a look at additional colorectal cancer risk factors to see if, in fact, you have no high risk factors -- including any of the ones in the "other" category mentioned above.
One way to do this is to look at the list of 13 colorectal cancer risk factors published by Mayo Clinic (click on the link below and scroll down to the bottom to the Risk Factor section)
https://www.mayoclinic.org/diseases-conditions/colon-cancer/symptoms-causes/syc-20353669
If you don't have any of these 13 risk factors, then you can feel fairly confident that you do not in fact have any high-risk factors in your profile. If you have any of these other risk factors, however, and if any of them are changeable, then you could consider making changes to your lifestyle so as to lower your overall risk level in the months ahead.
O Stoma Mia wrote:Thank you for your reply.
It's good that you will try to see your doctor about the expanded risk-factor issues. If the conversation shifts to the possibility of doing some kind of chemo instead of your current "no chemotherapy" regimen, then you should be prepared to discuss the area of "metronomic chemotherapy", which is a very low-dose, maintenance type of chemo that doesn't have the bad side effects of the normal first-line chemo regimens. There are a number of people on this forum who have used this approach in the past.
Here is an overview article on metronomic chemotherapy:
Metronomic Chemotherapy
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4156829/
Here is an example of metronomic chemotherapy in conjunction with celecoxib (XCEL or ADAPT)
https://coloncancersupport.colonclub.com/viewtopic.php?f=1&t=58498&p=460472&p=460472#p460472
You can also read about this by looking at a number of past posts by rp1954 on this topic:
rp1954 posts on low-dose metronomic maintenance therapy
jmn wrote:...Does anyone have suggestions for me as I prepare for my appointment with Dr. Saltz? Are there any Stage IIA folks on this forum who received low-dose metronomic chemotherapy after surgical resection? What treatment, if any, did you receive or are you receiving?
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