hwr wrote:In early July I was DX with Appendicitis and received emergency appendectomy. Pathology revealed T3 intermediate to high grade grade cancer, perennial invasion, and lymphatic invasion. CT scans were negative and R hemicolectomy was negative. My stage now is 2A. My oncologist uses colon cancer as the model for standard of care since there are so much data for it but very little for cancer of the appendix.
He said the standard of care for my stage is adjuvant chemo with either Folfox for 6 months or Xelox for 3 months. He does not recommend Xelox for anyone as he said it is a beast and side effects are generally terrible. In fact he said if I wanted it I would need to have someone else administer it. Subsequently he changed his mind and said he would treat me with it but advised against it. I asked him if he would opt for the chemo if he were in my shoes. He said no. Not enough gain for the pain. He believes I have 15-20% chance of recurrence without chemo and maybe 3-5% less after chemo.
I suppose if I have questions, it is these: How bad is the 3 months of Folfox likely to be? Will I lose my hair and be sick and tired every day? What are the odds of getting permanent neuropathy?
hwr wrote:In early July I was DX with Appendicitis and received emergency appendectomy. Pathology revealed T3 intermediate to high grade grade cancer, perennial invasion, and lymphatic invasion. CT scans were negative and R hemicolectomy was negative. My stage now is 2A. My oncologist uses colon cancer as the model for standard of care since there are so much data for it but very little for cancer of the appendix.
He said the standard of care for my stage is adjuvant chemo with either Folfox for 6 months or Xelox for 3 months. He does not recommend Xelox for anyone as he said it is a beast and side effects are generally terrible. In fact he said if I wanted it I would need to have someone else administer it. Subsequently he changed his mind and said he would treat me with it but advised against it. I asked him if he would opt for the chemo if he were in my shoes. He said no. Not enough gain for the pain. He believes I have 15-20% chance of recurrence without chemo and maybe 3-5% less after chemo.
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