Port decision

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Catlady
Posts: 3
Joined: Sun Aug 04, 2024 11:25 am

Port decision

Postby Catlady » Sun Aug 04, 2024 12:21 pm

Hey all,

If all goes well without any more delays, I should finish my folfox6 on September 18. I expected to have my port removed shortly after that last treatment but when I asked my oncologist he said I could have it removed anytime after treatment but, he preferred it to stay in for 2 years! Now I don’t know what to do. Is recurrence or metastasis very common in a 2 year period with stage lllb? It makes me feel like the cancer is there when it’s in me, so it bugs me. Dumb reason, I know. I would prefer only one more surgery not 3 so I guess I’m looking for percentages of recurrence and if it would be a dumb move to have it removed prior to 2 years.

Thanks ~
Catlady
61 female
1/25/24 diagnosed stage IIIb T3N1M0
CEA <2.0
1/10 nodes positive
2/19 right hemicolectomy
Ct scan 3/19 lung nodules small benign
3/29 port installation
4/1 start mfolfox6
Ct scan 6/21 lung nodules unchanged
Ct scan 7/9 abdominal as CEA kept creeping up. NED
9/18 hopefully last treatment

User avatar
CRguy
Posts: 10498
Joined: Sun Feb 10, 2008 6:00 pm

Re: Port decision

Postby CRguy » Sun Aug 04, 2024 6:38 pm

Welcome to the forum Catlady
If you care to peruse my summary in the topic post of my
Review of my Journey so far -> ⓊⓟⒹⒶⓉⒺ May /2024

you will see I had a recurrence at about 2.5 years after initial resection, had a port implanted and was DE-ported :shock: about 3 years later

This is my experience which I share with you and if your Doc says maybe keep it longer then ......
you might want to give that some serious consideration

JMO and Your Mileage May Vary
BUTT ... BTDT
and hoping you won't have to !!!

Cheers
CRguy
Caregiver x 4
Stage IV A rectal cancer/lung met
17 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

User avatar
Green Tea
Posts: 535
Joined: Mon Oct 24, 2016 10:48 am

Colon cancer recurrence

Postby Green Tea » Mon Aug 05, 2024 3:58 am

Catlady wrote:Hey all,
.... Is recurrence or metastasis very common in a 2 year period with stage llIB? ...
Thanks ~
Catlady

"After a first colon cancer, 80% of recurrences happen in the first two to three years..."


Catlady
Posts: 3
Joined: Sun Aug 04, 2024 11:25 am

Re: Port decision

Postby Catlady » Mon Aug 05, 2024 2:20 pm

Well, that’s not very reassuring. I’m disappointed and colon cancer is a jerk. Thanks for your responses. I’ll go eat some chocolate and mope for a bit now.
61 female
1/25/24 diagnosed stage IIIb T3N1M0
CEA <2.0
1/10 nodes positive
2/19 right hemicolectomy
Ct scan 3/19 lung nodules small benign
3/29 port installation
4/1 start mfolfox6
Ct scan 6/21 lung nodules unchanged
Ct scan 7/9 abdominal as CEA kept creeping up. NED
9/18 hopefully last treatment

User avatar
Green Tea
Posts: 535
Joined: Mon Oct 24, 2016 10:48 am

Three Pillars of Survivorship

Postby Green Tea » Tue Aug 06, 2024 3:18 am

For Stage IIIB patients. I think that the best strategy to follow in order to minimize recurrences is the "Three Pillars of Survivorship" strategy -- especially during the first two years of the treatment followup period. There are many Stage IIIB patients who have reached total remission by diligently following this strategy:

 Follow-Up Care, Surveillance Protocol, and Secondary Prevention Measures for Survivors of Colorectal Cancer
https://www.ncbi.nlm.nih.gov/pubmed/24220554

Three Pillars of Survivorship
viewtopic.php?f=1&t=10574&p=509797#p509797

Pagola44
Posts: 413
Joined: Mon Jul 03, 2023 7:57 pm

Re: Port decision

Postby Pagola44 » Tue Aug 06, 2024 6:45 am

This is very interesting
I am also 3b, pretty much the same diagnosis as you.
my oncologist didn't say to leave it in for 2 years, he didnt' seem very fussed about it.
It's interesting he told you 2 years.
29m Male.
DX: CC, Right Hepatic Flexure, 4cm, T3, G2, M0
Stage III3B , Positive lymph nodes: (2/20)
Baseline CEA value: 1.98
LVI and PNI: absent
Surgical margins: clear
No lynch Syndrome or MSI
Primary surgery type: Laparascopic

Catlady
Posts: 3
Joined: Sun Aug 04, 2024 11:25 am

Re: Port decision

Postby Catlady » Tue Aug 06, 2024 4:21 pm

Green Tea,

I did the 3 things to begin with listed here. However, I smoked 1/2 a pack a day and had weekend drinks. Once diagnosed the bad habits quit immediately.

I ready to have enough energy to get back in my weight room and hopefully get back to lifting as heavy as I did prior to all this.

Thanks for the info.
61 female
1/25/24 diagnosed stage IIIb T3N1M0
CEA <2.0
1/10 nodes positive
2/19 right hemicolectomy
Ct scan 3/19 lung nodules small benign
3/29 port installation
4/1 start mfolfox6
Ct scan 6/21 lung nodules unchanged
Ct scan 7/9 abdominal as CEA kept creeping up. NED
9/18 hopefully last treatment


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