Dec 23, 2010 - 10:33 pm
My mother was recently diagnosed with EC (adenocarcinoma) in late October as she turned 69. The PET/CT showed no spread, yet the doctor that performed the EUS (endoscopic ultrasound) was unable to get the device in place as the tumor was blocking 90% of the esophagus (distal esophagus at the junction of the stomach). His report stated that based on his prior experience, he feel that this is a T3/T4. I did some research and took my mother to Dana Farber Institute/Brigham and Women's Hospital in Boston. We met with 2 great doctors, and were very impressed with their knowledge. Dr Wee specializes in minimally invasive surgery (MIE), and Dr Enzinger specializes in gastrointestinal cancer as a medical oncologist. We were told by them that the current treatment with highest rate of success is chemoradiotherapy according to the "CROSS Study" followed by surgery within 4 to 6 weeks. The 2 chemo drugs are Paclitaxel (Taxol) and Carboplatin.
My mother has endured 4 of the 5 chemo treatments so far, yet was unable to get her last chemo treatment this week as her platelets were too low, as well as WBC. She ended up in the hospital for 2 days as what first thought was a heart attack, turned out to be spasms in esophagus due to the radiation treatments. While in the hospital she was given a transfusion of platelets, hopefully she can get her last chemo treatment on Monday.
Has anyone else been treated with this combo before surgery? If so, please share your positive or negative experience with me. Thank you.
Also, my mother is not a candidate for MIE as she had Roux-en-Y gastric bypass surgery 8 years ago. We were told this will e a long difficult surgery, yet confident in the doctors At Dana Farber/B&W. We will also be meeting with Dr Bueno when we go back in January, as he is the surgeon performing the highest number of esophagectomy there.