skb wrote: After a solitary lung met and its removal by VATS, is adjuvant chemotherapy recommended?
NCCN guidelines for 2018 does not give clear recommendations.
In 2010 with my single VATS removed lung met, this was controversial and called "pseudo-adjuvant" chemo which I did take
Given that Folfox treatment was already done (6 rounds) and it could not prevent this recurrence, I do not know how helpful it would be if I did the same treatment again.
I had full resection and elected Xeloda for neoadjuvant chemoradiation and post surgery adjuvant chemo.
When I had the lung met recurrence 3 years later, I chose to do 12 cycles FOLFOX as I had not had it previously and was determined to throw the book at the cancer !
skb wrote:1) CEA: My CEA has never been elevated. ...SAME = never elevated anytime so far since 2007 diagnosis
2) Gene sequencing information- ...in 2007 not done routinely as it may be now, so no info
3) Lymph node spread: Never detected ...SAME = never detected with MRI, CT, PET, or in surgery pathology samples post resection
skb wrote:Is there any experience from anyone here on this topic?
Could you please say where you were getting your treatment?
From the format of dates in your signature, it appears that you are not in the United States.
In the United States, there is no clear protocol for this situation and the patient is asked to make a decision. Different cancer centers in the US have different recommendations. There is very limited online research data available for this and so it was very stressful for me to make a decision
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