Whether to surgery or stick with 3 more cycles of xeloda along.

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Posts: 19
Joined: Mon Sep 30, 2019 4:03 pm

Whether to surgery or stick with 3 more cycles of xeloda along.

Postby Suniva » Tue Dec 10, 2019 10:45 am

Hi All,
Yesterday we got appointment with doctor after 3 cycle of chemo 1 and half with oxilipatin and xeloda, 1 and half with xeloda along.
CT scan showed slightly increase in nodule left lung from 5X5 mm (on sep 26) to 7X6 mm(yesterday scan). Doctor want to stick with same xeloda along for 3 more cycles and do the surgery. But he also told that we can do surgery if we want, do you any one face this condition, do you have any suggestion with your experiences whether to continue xeloda for 3 more cycles or do surgery?

Thank you
DT 41yrs 10/18 on 3C, and small nod r/l lungs
11 lap surg
12/1805/2019 CAPOX total 8cyc (inc and dec tumor)
09 thoracotomy at right lung took two nodules, still left at left lung.metastatic to lung
10-Started CAPOX again
10/31/19-2nd cycle Allergic to OX taking CAP oral chemo alone for 1 cycle, CT scan showed left nodule inc. from 5to6mm
12/19 ct scan ndoc visit 7mm. Doc want to do 3 cycles of CAP
2/18 pet n ultrasound endo confirmed metastatic to perirectal 4mm
3/16 CT new nods at r/l lungs, inc pelvis

Posts: 273
Joined: Sat Jul 02, 2016 10:26 pm
Location: Syracuse, NY

Re: Whether to surgery or stick with 3 more cycles of xeloda along.

Postby fumaros » Tue Dec 10, 2019 2:13 pm

My tumor was in a different location, but also grew slightly prior to my surgery date. The surgery was cancelled as the surgeon said that operating on an actively growing tumor increases the chances of recurrence. Not sure how it all works, but it can be a good idea to be safe and do as much chemo as you can tolerate as you want surgery to be a one shot deal as your body will form scar tissue after each surgery and those come with their own complications.
Diagnosed 4/8/16, age 29
Colectomy 4/20/16
Stage III, T4bN1 Tumor 7x6.5x2. Muscinous Adenocarcinoma with SRC features
2/16 lymph nodes
Stage IV, Peri mets 5/2019
CEA 4/14/16 - 16.8
CEA 6/2/16 - 1.9
CEA 6/17/16 - 0.87, 7/16 - 1.33, 12/16 - 1.14, 4/17 - 0.6, 7/17 - 0.5, 10/17 - 0.9, 3/19 -5.8, 4/19 -10
FOLFOX began 6/24/16 - 11/25/16, FOLFIRI - 5/10/19
10 round FOLFOX, 2 round 5-FU & Leucovorin, 1 round FOLFIRI
MRI & CT 8/16 - NED, CT 12/16 - 10/17 - NED

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