Postby Siti » Sat Aug 10, 2019 5:51 am
Our oncologist have also suggested a wait and see approach. My husband had his colon resection 3 weeks ago but several distant lymph nodes seem to lit up in his PET scan. They can’t confirm metastasis without biopsy.
The oncologist said perhaps we should wait to see if the lymph nodes grow, if it does, we could start the chemo then to see if they shrink so that we know for sure the chemo works.
I found that approach to be extremely risky because if it does shrink, ok good, but what if it doesn’t? Wouldn’t that run the risk of further spread and time totally wasted before they try a different treatment?
DH (54) DX on 5/7/19
Sigmoid|G3|LN:30/31|MSS|WT KRAS, NRAS, BRAF
7/19 PET distant LN para-aorta neck hip (0.5-1.5cm)
7/19 Lap resection
26/8 to 20/12/19 CAPEOX+Bev 7x
6/11/19 CT 3 cycle LN shrunk
1/20 Cap+Bev
4/20 TS-1+Bev due to bad HFS
NED 4 years
8/23 PET recurrence chest LN growing since Feb. CEA May(4.5>5.1>5.9)
9/23 Stopped Bev, CEA Sept(8.7) Radio 17x
11/23 PET 1+ supraclavicular LN, CEA (3.4>2.5)
12/23 Lymphadenectomy
1/24 Narrow margins, 1/5 +LN, 1.4cm +tissue, TMB (19)