Post surgical changes. Reoccurrence?

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Basil
Posts: 258
Joined: Thu Mar 16, 2017 12:33 pm

Re: Post surgical changes. Reoccurrence?

Postby Basil » Wed Oct 24, 2018 7:20 pm

Nohogirl wrote:Thank you all for your replies.

The surgeon didn't seem too care much about it. I asked him if this is possibly a reoccurrence, he said it could be or not. To my question if he can do a sigmoidoscopy he answered that it won't tell him anything. He said my husband looks good and he doesn't see any reason to be worried. His cold approach frustrates me. My husband looked good before his diagnoses and to me look is not the best prediction of the illness.
Whats killing me is that when i I read about local reoccurrence in rectal cancer, it says it has a very poor prognosis and is considered terminal :(


My husband didn't have any colostomy bag, when 24 cm of his rectum and colon was removed, his colon was reconnected together. So to make me feel a little relieved i am thinking this was probably to much trauma for his surgery site and will take more time to heal especially he also had radiation prior to it.


To address the middle part of your post - a local recurrence is not necessarily fatal. Small sample size, but I had two friends with local recurrences and they’re both Ned. One is from the 1990s. Distant presentation is more difficult.
40 y/o male, kids 8&11
Dx 3/16/17, rectal cancer s3,t3,n1,m0
PROSPCT trial (FOLFOX in lieu of chemorad)
FOLFOX 4/5/17 - 6/26/17
LAR 7/31/17, temp ileo
pathological complete response
Adjuvant chemo cancelled (IDEA Study)
Ileo reversed 9/25/17
NED
1 year scans - clear
2 year scans - clear

boxhill
Posts: 297
Joined: Fri Apr 06, 2018 11:40 am

Re: Post surgical changes. Reoccurrence?

Postby boxhill » Thu Oct 25, 2018 12:47 pm

I think it is normal not to do PET scans so soon after surgery, because chances are they would light up with a lot of surgical changes and it would be very difficult to determine what was what. Or so I was told.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemi
11 of 25 nodes,5 mesentery nodes
5mm liver met out
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/4/18 FOLFOX
Neulasta 6/28
7/9/18 CT NED, 2mm indeterminate lung nodule
11/20/18 CT NED, Lung nodule calcified granuloma. Enlarged spleen.
12/20/18 Liver MRI 5mm liver met and 2 lymph nodes in porta hepatis
12/31/18 Keytruda
6/5/19 Triphasic CT LN and spleen normal, Liver node stable
6/28/19 Pause Keytruda, predisone for joint pain
7/31/19 Restart Keytruda


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