Time from dx to first treatment?

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ginabeewell
Posts: 565
Joined: Wed Oct 24, 2018 10:30 am

Re: Time from dx to first treatment?

Postby ginabeewell » Wed Oct 24, 2018 10:38 am

I'm new here and this is my first post!

Sept 11, 2018 - woke up from a colonoscopy to news of a "likely malignant" tumor. I knew immediately I was stage 4 because a few days prior, I had felt a mass just below my ribcage (turned out to be tumor in my liver).
Sept 17, 2018 - officially diagnosed stage 4 CRC with mets in liver (largest 11 cm)
October 1, 2018 - started chemo

I managed to work in meetings with three oncologists (two local and one at Cleveland Clinic) before starting treatment. A doctor friend who is in medical research told us it would be better to start treatment ASAP at either of our local university hospitals and then move, which we did, to a fourth oncologist, after my first cycle.
49 YO mom of twins (11) lucky stepmom of 16/19 year olds
9/17/18 DX stage 4 CRC w inoperable liver mets CEA 931
Currently NED!

Join me on a lookback of my journey via my Strive for Five on Substack here:
https://ginajacobson.substack.com

All treatment details here:
https://www.weareallmadeofstars.net/col ... nt-journey

My favorite posts here:
https://weareallmadeofstars.net/favorite-posts

Ehut
Posts: 233
Joined: Wed Sep 26, 2012 4:24 pm
Location: Algonquin, IL

Re: Time from dx to first treatment?

Postby Ehut » Wed Oct 24, 2018 10:41 am

DX on 12/1/11
First chemo 12/18/11
Short course radiation late February '12
Surgery 3/6/12
Chemo resumed May '12
Dx 12/11 rectal stage IV w/ 6 mets to liver, age 35
4 cycles FOLFOX 12/11 to 2/12
short course radiation 2/12
rectal/liver resection 3/12, temp ileostomy
8 cycles FOLFOX/FOLFIRI 4/12 to 8/12
ileostomy reversal 10/12
port out 10/13
1/17: Added daughter to family!
12/19: Added son to family!
NED for 11+ years and counting!

boxhill
Posts: 789
Joined: Fri Apr 06, 2018 11:40 am

Re: Time from dx to first treatment?

Postby boxhill » Thu Oct 25, 2018 12:56 pm

Went to ER with what turned out to be blockage on March 17th, surgery that night, port installed April 12th, chemo started May 4th. There was a slight delay because of the difficulty of scheduling 2nd opinion at Dana Farber suggested by my onc.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemi
11 of 25 LN,5 mesentery nodes
5mm liver met
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
7/18 and 11/18 CT NED
12/18 MRI 5mm liver mass, 2 LNs in porta hepatis
12/31/18 Keytruda
6/19 Multiphasic CT LNs normal, Liver stable
6/28/19 Pause Key, predisone for joint pain
7/31/19 Restart Key
9/19 CT stable
Pain: all fails but Celebrex
12/23/19 CT stable
5/20 MRI stable/NED
6/20 Stop Key
All MRIs NED

LindaG
Posts: 3
Joined: Sat Oct 06, 2018 12:42 pm

Re: Time from dx to first treatment?

Postby LindaG » Thu Oct 25, 2018 3:23 pm

Diagnosed in July 2018.
Surgery in late August 2018. Declared cancer-free but chemo as a mop up was suggested.
Waiting for the chemo drugs to be delivered. Will probably start chemo in mid-November 2018. Christmas will be fun this year.
Dx: Colon Cancer (pT4bN0) so Stage 2C 7/2018
Dx: Bladder Cancer 8/24/18
8/24/18 Surgery for both
8/24/18 Temporary Ileostomy
8/24/18 Bladder catheter (Foley)
9/20/18 Catheter removed
10/2/18 CEA 2.1
11/15/18 Xeloda 3000mg, 2 wks on, 1 wk off

mandosquiddy
Posts: 35
Joined: Sat Oct 06, 2018 11:45 am
Location: Colorado
Contact:

Re: Time from dx to first treatment?

Postby mandosquiddy » Thu Oct 25, 2018 5:48 pm

I was diagnosed on April 13th and started treatment on May 31st. I could have started a week or two earlier but chose to wait until my kids were done with school for the year.
4/2017 DX: sigmoid colon cancer
colectomy/colostomy
stage II with one positive margin
5/2017 - 11/17 12 rounds of FOLFOX
11/17 - 12/17 Increase in back pain and testicular pain.
CEA increased, CT scan indicated mass on rectal portion of colon
1/18 - 2/18 25 rounds of radiation treatment
5/18 surgery, interoperative radiation, bladder/ureter modification
7/18 normal blood work and CT scan
9/18 increased CEA, mass on small intestine
10/18 Debulking surgery/illeostomy
1/19 Ostomy reversal
12/19 CEA 1.3!!!!

Caat55
Posts: 694
Joined: Sat Dec 23, 2017 6:01 pm

Re: Time from dx to first treatment?

Postby Caat55 » Fri Oct 26, 2018 12:35 am

Diagnosed in September 2017, started chemo/radiation about 4 weeks later, surgery January 31, 2018, chemo April to July 2018.
Clean CT Sept. 2018/


Susan
Do at 55 y.o. Female
Dx 9/26/17 RC Stage 3
Completed 33 rad. tx, xeolda 12/8/17
MRI and PET 1/18 sign. regression
Surgery 1/31/18 Ileostomy, clean margins, no lymph node involved
Port 3/1/2018
Oxaliplatin and Xeloda start 3/22/18
Last Oxaliplatin 7/5/18, 5 rounds
CT NED 9/2018
PET NED 12/18
Clear Colonoscopy 2/19, 5/20

SGNYC
Posts: 35
Joined: Mon Sep 03, 2018 9:20 pm

Re: Time from dx to first treatment?

Postby SGNYC » Fri Oct 26, 2018 8:31 am

DH started neoadjuvant 9 days after Dx.
Wife to DH, 44
DX July 18 - RC at Rectosigmoid
Adenocarcinoma, Mod diff
T3N1M1
Stage IV (but MSK said not a true Stage IV at Dx)
Pos nodes: 1/18
1 Liver Met and 1 Lung Met - liver Met dead tissue at surgery, hence MSK M1 status
Baseline CEA value of 25, now 3.4
LAR (Robotic)/Liver resect(dead tissue), VATS lung - clear margins
Temp Ileo- Reversal Feb 19
Folfox - 5 Rounds Neoadj, 3 rounds Adj, then discontinued Oxali and 4 rounds just 5FU
NED and Reversal Feb 2019 - clear contrast CT, clear contrast MRI

Punky44
Posts: 498
Joined: Mon Oct 01, 2018 4:29 pm

Re: Time from dx to first treatment?

Postby Punky44 » Fri Oct 26, 2018 4:37 pm

Thank you all for your insight.

My mom is advanced Stage 3–we aren’t sure if it is 3b or 3c as her MRI report just says “N2—more than 4 lymph nodes” and does not specify whether it is N2a or N2b.

We have a second opinion at Mayo on the 30th but have our first systemic chemo set for Nov 1, exactly one month from diagnosis.
Caregiver to my amazing mom (68 at dx)
10/1/18 DX with rectal cancer; CEA 17
T3N2M0
Total neoadjuvant therapy:
8 rounds Folfox 11/5/18 - 2/11/19
Short course radiation 3/14/19 - 3/20/19
Robotically assisted laparoscopic LAR 3/21/19
Pathology report says yT2N0M0 with 0/38 nodes
6/28/19 Reversal and port out
CEA 2.1; 1.9; 2.6; 2.8; 2.3; 2.4; 3.0; 3.4; 3.1; 3.4; 3.0; 3.1; 2.6
Latest update: 8/21/23 Clear CT with CEA 2.6!

Me: 34, first colonoscopy 11/16/18—normal! Come back in 5 years.

Cancerclan
Posts: 6
Joined: Tue Oct 23, 2018 11:21 pm

Re: Time from dx to first treatment?

Postby Cancerclan » Fri Oct 26, 2018 9:30 pm

Diagnosed, January of 2015. Surgery April 7 and chemo less than two weeks after surgery,


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