Newly diagnosed rectal cancer

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MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Sat Sep 21, 2019 3:52 pm

So sorry to hear of your discomfort during your treatments. I think of you often, and hope that you are finding some relief.

Thank you Annie. I'm having a hard day today. I need to get over it and pull myself up and keep going but right now I just had a good cry. I have to take it a day at a time.

I hope your treatments are going great and you're doing well.
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine

MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Sat Sep 21, 2019 4:07 pm

I could not use soap on my bottom, actually anyplace exposed to the radiation down there. I used a gentle body wash and found it okay. All soaps were irritants


Thank you for telling me that. I've been using body wash and I'm getting used to it. I worry about skin issues without my Dial that I've used for years, especially with my immunity down so I did use it once, just not all over, and went behind it with the body wash so maybe that helps.
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine

MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Tue Sep 24, 2019 10:41 am

Today is day 14 on capecitabine and I woke up with mouth sores. I was starting to feel something yesterday but didn't take much note of it until this morning. I've got a call in to my oncologist to see if they can call me in something to help.

Today is day 10 of radiation. I'm using Aquaphor after treatment and immodium when I need it.

I met with a different nutritionist today. She was telling me about different protein powders and recommended one called Unjury. She said they have an unflavored one that she likes to add to almond milk and they have a broth one that you can add egg noodles and carrots to, to make a high protein sort of chicken noodle soup. She said they didn't have as much calorie wise but were good ways to add in protein.

Right now I would prefer not to even think about food. I'd like it if I could just drink whatever I need to drink to get calories/protein and be done with it but I don't think that's really an option.

Does anyone have any type of home remedy that they used to help with the mouth sores? I remember a doctor once telling me to drink buttermilk when I had a sore mouth/throat before so I'm going to get some of that. I'm already swishing with salt and baking soda water when I think about it. I will try to do that even more.
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine

AmyG
Posts: 371
Joined: Tue Dec 25, 2018 8:08 pm

Re: Newly diagnosed rectal cancer

Postby AmyG » Tue Sep 24, 2019 10:48 am

You didn't have a prescription for magic mouthwash? I had 4 bottles but never needed it as I missed out on mouth sores.

Hope you feel better!
42 dx @ 9wks pregnant w/baby #8 8/18
Sigmoid colon resection 9/18
Adenocarcinoma, G2, T3N0M0..or so we thought
KRAS/BRAF wild
Liver biopsy is malignant, stage iv now boys!
Delivered healthy baby 3/19
FOLFOX + Avastin 5/19
CEA 167 to 24 after 4 rounds
Liver resection 8/28/19
NED!! CEA 2.3
CEA 5.8 idk wtf is up with that, but everything else is clear!
CEA 3.7 make up your damn mind...
CEA 1.5 that's a new low!

NHMike
Posts: 2555
Joined: Fri Jul 21, 2017 3:43 am

Re: Newly diagnosed rectal cancer

Postby NHMike » Tue Sep 24, 2019 10:50 am

I didn't have the mouth sores or I can't recall them.

I don't recall anyone else doing 28 days straight of Xeloda. Has anyone else here seen this before?
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

Gravelyguy
Posts: 382
Joined: Thu Jul 05, 2018 6:03 pm

Re: Newly diagnosed rectal cancer

Postby Gravelyguy » Tue Sep 24, 2019 11:12 am

I was on Folfox with Vectibix and got terrible mouth sores. Had the magic mouth wash which helped some but by the time I got the wash my sores were so bad that it didn't completely help.

They do go away after treatment but it takes some time.

Hang in there!

Dave
6/17 dx mRC t3n1m1 very low rectal tumor 2 liver Mets 1.3 cm and .9 cm

6/17 begin 4 rounds Folfox w/Vectibix
9/17 short course radiation
10/17 rectal and liver resection LAR with coloanal anastomosis (no rectum left)
11/17-3/18 8 rounds Folfox
6/18 still NED!! Takedown
8/28/18 still NED! CEA .8 new low for me
10/18/18 colonoscopy clear
12/12/18 CEA .9 still NED!
6/11/19 CEA 1.0
12/19/19 CEA 1.0 still NED!
6/17/20 CEA 1.1 still NED!
12/15/20 CEA 1.1still NED!
12/16/21 CEA 1.2 still NED!

MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Tue Sep 24, 2019 4:34 pm

You didn't have a prescription for magic mouthwash? I had 4 bottles but never needed it as I missed out on mouth sores.

No, I didn't have anything! You know, I asked both my oncologist and radiation oncologist for things before I began treatment. They both said they'd cross that bridge when we come to it. I think they were hoping I wouldn't need any of it. So was I, actually. I wanted to have it on hand but had to call to ask for nausea medicine then just got the okay from the radiologist on Friday to use Aquaphor. I feel like I'm going to need more than that. Then I had to put a call in for my mouth sores. They said they'd call in magic mouthwash to my pharmacy. We've been waiting and finally called the pharmacist to see if they had it ready. That lady said the pharmacist would call before mixing it to see if I still wanted it? She said it could cost zero or it could cost $80 so they won't mix it until I speak to the actual pharmacist. I'm still waiting on a call back.
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine

MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Tue Sep 24, 2019 4:38 pm

I don't recall anyone else doing 28 days straight of Xeloda. Has anyone else here seen this before?

I'd love to know if anyone else did 28 days straight of Xeloda, too. I've never heard of it and haven't come across it in any of my readings. I've seen people take it for two weeks with one week off or take it for the 5 days of radiation with the weekends off. My oncologist just told me that if I have any problems then we can take the weekends off. I won't see him again for 2 more weeks. My blood work was good at my appointment last week. Hopefully I can hang in there.
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine

MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Tue Sep 24, 2019 4:41 pm

was on Folfox with Vectibix and got terrible mouth sores. Had the magic mouth wash which helped some but by the time I got the wash my sores were so bad that it didn't completely help.

That's what the nutritionist told me today when she saw my mouth. She said I need to go ahead and get on top of it quick. I've heard that different pharmacies make their own concoctions so some have different ingredients than others. I'm wondering if I should have had them do it at the pharmacy in the oncology building instead of my local one. It may have been done better or sooner at least. I'm still waiting on the pharmacy to call me about making it. They said I have to speak to the actual pharmacist before they mix it.

Thanks for the encouragement. I'm doing my best!
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine

MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Wed Sep 25, 2019 1:59 pm

I got the magic mouthwash prescription. It's a small bottle with no refills and cost $55. You swish and spit 5ml every 4 hours. It's a very tiny amount to be trying to swish around. I don't care for it. It makes my mouth numb all over. I know that is to help with it hurting but I'd rather not have that part in it. It is made up of equal parts of Maalox, Benedryl, Nystatin and Lidocaine. I would have liked to have the first three without the last part. I'm sure if I asked, my oncologist would write me a prescription for it made up that way but it costs too much to get another bottle. Then again, maybe I will like the numbness because the sores don't feel well. They are small yet. I'm hoping the Nystatin does it's job to knock it out but I imagine I'll be doing this for a while.

I don't recall anyone else doing 28 days straight of Xeloda.

I was just trying to count up how much longer I have to go because it seems so very far away. I realized that the Xeloda is more than 28 straight days. The radiation is 28 days, then I have the chemo on the weekends in between, also. They never told me how many days of it but if I stop on the last day of radiation, it will be 38 straight days of Xeloda. Today is day 15 so I'm not halfway there yet.
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine

NHMike
Posts: 2555
Joined: Fri Jul 21, 2017 3:43 am

Re: Newly diagnosed rectal cancer

Postby NHMike » Wed Sep 25, 2019 2:12 pm

MeAndMine wrote:I got the magic mouthwash prescription. It's a small bottle with no refills and cost $55. You swish and spit 5ml every 4 hours. It's a very tiny amount to be trying to swish around. I don't care for it. It makes my mouth numb all over. I know that is to help with it hurting but I'd rather not have that part in it. It is made up of equal parts of Maalox, Benedryl, Nystatin and Lidocaine. I would have liked to have the first three without the last part. I'm sure if I asked, my oncologist would write me a prescription for it made up that way but it costs too much to get another bottle. Then again, maybe I will like the numbness because the sores don't feel well. They are small yet. I'm hoping the Nystatin does it's job to knock it out but I imagine I'll be doing this for a while.

I don't recall anyone else doing 28 days straight of Xeloda.

I was just trying to count up how much longer I have to go because it seems so very far away. I realized that the Xeloda is more than 28 straight days. The radiation is 28 days, then I have the chemo on the weekends in between, also. They never told me how many days of it but if I stop on the last day of radiation, it will be 38 straight days of Xeloda. Today is day 15 so I'm not halfway there yet.


I would ask for a modification. Either weekends off, lower dosage, or other kinds of break days.

Did you get a second opinion?
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

Rock_Robster
Posts: 1027
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Re: Newly diagnosed rectal cancer

Postby Rock_Robster » Wed Sep 25, 2019 6:21 pm

NHMike wrote:
MeAndMine wrote:I got the magic mouthwash prescription. It's a small bottle with no refills and cost $55. You swish and spit 5ml every 4 hours. It's a very tiny amount to be trying to swish around. I don't care for it. It makes my mouth numb all over. I know that is to help with it hurting but I'd rather not have that part in it. It is made up of equal parts of Maalox, Benedryl, Nystatin and Lidocaine. I would have liked to have the first three without the last part. I'm sure if I asked, my oncologist would write me a prescription for it made up that way but it costs too much to get another bottle. Then again, maybe I will like the numbness because the sores don't feel well. They are small yet. I'm hoping the Nystatin does it's job to knock it out but I imagine I'll be doing this for a while.

I don't recall anyone else doing 28 days straight of Xeloda.

I was just trying to count up how much longer I have to go because it seems so very far away. I realized that the Xeloda is more than 28 straight days. The radiation is 28 days, then I have the chemo on the weekends in between, also. They never told me how many days of it but if I stop on the last day of radiation, it will be 38 straight days of Xeloda. Today is day 15 so I'm not halfway there yet.


I would ask for a modification. Either weekends off, lower dosage, or other kinds of break days.

Did you get a second opinion?

My oncologist required me to take Xeloda on Mon-Fri only, and I must say it made a difference. Getting 2 days recovery after every 5 had me feeling pretty normal by Sunday (aside from the radiation symptoms, of course). I’m not aware of any research comparing 5 vs 7 days a week; this is definitely something I’d be asking about.

When I had mouth sores on other chemo, I found it really helpful to rinse with water and bicarb soda, then apply a bicarb soda paste directly to the sores.

Best of luck,
Rob
41M Australia
2018 Dx RC
G2 EMVI LVI, 4 liver mets
pT3N1aM1a Stage IVa MSS NRAS G13R
CEA 14>2>32>16>19>30>140>70
11/18 FOLFOX
3/19 Liver resection
5/19 Pelvic IMRT
7/19 ULAR
8/19 Liver met
8/19 FOLFOX, FOLFOXIRI, FOLFIRI
12/19 Liver resection
NED 2 years
11/21 Liver met, PALN, lung nodules
3/22 PVE, lymphadenectomy, liver SBRT
10/22 PALN SBRT
11/22 Liver mets, peri nodule. Xeloda+Bev
4/23 XELIRI+Bev
9/23 ATRIUM trial
12/23 Modified FOLFIRI+Bev
3/24 VAXINIA (CF33 + hNIS) trial

jts
Posts: 58
Joined: Sat Aug 24, 2019 3:07 pm

Re: Newly diagnosed rectal cancer

Postby jts » Thu Sep 26, 2019 4:44 am

MeAndMine wrote:
I don't recall anyone else doing 28 days straight of Xeloda.

I was just trying to count up how much longer I have to go because it seems so very far away. I realized that the Xeloda is more than 28 straight days. The radiation is 28 days, then I have the chemo on the weekends in between, also. They never told me how many days of it but if I stop on the last day of radiation, it will be 38 straight days of Xeloda. Today is day 15 so I'm not halfway there yet.


I have 6 weeks of radiation (with two national holidays, 28 sessions actually does start on a Monday and end on a Friday), and am supposed to take Xeloda 7 days per week. By my math, that will be 40 days. So far I just have some nausea and fatigue. But I am only 4 days in. Still lots of time for it to get worse! Lol.
Male 42 — stage IV RC
NRAS mutant - KRAS, BRAF wt
08/2019 DX 6 cm long tumor
09-10/2019 Chemo-radiation
12/2019 TME Surgery, clear margins, 7/16 nodes positive
Pathology: ypT3 ypN2b M0
01-06/2020 - FOLFOX
CEA only goes up during chemo: 2.4 --> 6.2
07/2020 6 mm tumor in lung, was growing fast during chemo
09/2020 VATS
01/2021 new 5mm cyst in liver, CEA continues to increase --> 8
06/2021 CEA down to 6. Cyst not visible anymore.
05/2023 CEA fluctuates between 4 and 6. Scans have been clear.

MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Thu Sep 26, 2019 3:27 pm

I would ask for a modification. Either weekends off, lower dosage, or other kinds of break days. Did you get a second opinion?

The way my oncologist talked about it, they like to plan for 7 days a week then if it becomes a problem, we will go to weekends off. I want to try to do it the way they prescribed it if I can. I'm not sure why it's different but I will ask at my next appointment because both doctors I went to before deciding on treatment had the same protocol except I never asked the other one exactly how many days Xeloda vs how many days radiation. He said it would be happening at the same time and I didn't realize there were 5 or 7 day protocols that were different at the time.

When I had mouth sores on other chemo, I found it really helpful to rinse with water and bicarb soda, then apply a bicarb soda paste directly to the sores.

I have been doing the baking soda rinse with added salt. But didn't know about making the paste with it, so thanks for that advice Rob, I'm going to try that!

I have 6 weeks of radiation (with two national holidays, 28 sessions actually does start on a Monday and end on a Friday), and am supposed to take Xeloda 7 days per week. By my math, that will be 40 days. So far I just have some nausea and fatigue. But I am only 4 days in. Still lots of time for it to get worse! Lol.

I'm glad to hear someone else is on a 7 day regimen also. I was worried that maybe I was doing it wrong this whole time somehow, even though I had family with me and we all knew that we heard 7 days a week and the nurse consultant that called me about the prescription told me the same. I even went back and checked my notes then counted all of my pills. I actually have enough for 42 days, so a 6 week supply. I don't know if he wants me to complete the extra days after radiation is complete but I will ask that at my next appointment.

Hopefully it won't get worse for you JTS. Some people don't have any issues with it. I was planning on being one of those people. I think maybe I'm more hyper aware because I read so much about everything and try to know what to expect. I think if you haven't had nausea yet, then you're probably not going to have nausea at all. I had it at first but figured out that I needed to keep food in my stomach and not let myself get empty.

The diarrhea is controlled well with Imodium so far and the mouth sores just started but the mouthwash seems to be helping. If you haven't already, you may want to mix up a bottle of water with a spoon of baking soda/bicarb and salt. Some people leave the salt out. I'm not sure if it's needed. I read to swish that every time you go to the bathroom. I got lax on doing that and was only doing it about 3 times a day. The thing is not to let anything get away from you. If you see anything, call your oncologist and get right on it so it doesn't get worse. I noticed a couple of red places on some of my fingertips this morning. It reminds me of when I was a kid and would hang onto the side of the concrete swimming pool in the summer and my hands would get sore. If you haven't already, be sure to keep your hands and feet well moisturized with a lotion or cream without alcohol in it. I do it at least morning and night but should probably try to keep it on more. I don't care for the feeling on my hands and end up washing it off so I can function but it may just be the brand I have leaves a sort of film that feels bad to me.

Right now I'm just using aquaphor on my skin but I might be ready for something with a numbing cream in it before long. I think I worry more on Friday because I know I won't be seeing the doctor for two days. But weekends at home without having to leave my house are wonderful.
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine

MeAndMine
Posts: 149
Joined: Mon Aug 05, 2019 2:40 pm

Re: Newly diagnosed rectal cancer

Postby MeAndMine » Fri Sep 27, 2019 2:19 pm

Today I saw the doctor after radiation. It wasn't a scheduled appointment but I asked the nurse for a recommendation of a cream or ointment that might have some numbing potential. She went to look through what they had then the doctor wanted to take a look to see what he thought would be best for whatever is going on right now.

He gave me two things to try. One is called Regenecare HA and is basically lidocane with aloe. He said to use it 30 minutes before going to the bathroom because it takes time to numb the area. I don't really have a 30 minute notice so I haven't used it yet but I know I will.

The other one is called Radiaplex and has aloe and is a protective cream that will also help with inflammation I believe he said. That one can be used all throughout the day and reading up on it, people begin using that before radiation to keep their skin in tact. I wish I'd known about it sooner so I could have started before treatment. Still I've got it now. One youtube video I saw on it said you need a prescription and when I went to the manufacturer website, it says they won't send it out without a doctor's prescription but they sell it on Amazon and Walmart.com without one.

Have any of you ever used Radiaplex or Regenecare? I found a couple of references to Regenecare on this board from a while back but nothing on Radiaplex. I believe I will order it but was doing a little reading up on it first to see what others might think. The area the creams need to go seems a bit more tender than exposed skin so I'm always a little unnerved when trying something new.
F 56 non-smoker
8/5/2019 - Colonoscopy - 4-5 cm rectal mass, 2-3 cm proximal to anal verge and 6mm polyp
8/13/2019 - CT - No mets
8/19/2019 - Rectum: Adenocarcinoma arising from tubulovillous adenoma. Descending colon: tubular adenoma
8/23/2019 First visit with surgeon
8/26/2019 First visit with oncologist
8/26/2019 MRI
CEA 8/19/19=3.9, 8/26/19=7.1
9/6/2019 - T3N2a
9/11/2019 - Radiation begins - 5.5 weeks along with oral capecitabine


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