Jan 29, 2011 - 8:28 pm
I am 38, and was diagnosed with Stage 4 stomach cancer (adenocarcinoma) on October 27 last year. I've had 4 rounds of chemo (EOX). After 3 rounds the large tumor at the top of my stomach/esophagus had disappeared, as had the enlargement of my lymph nodes (the CT report lists the stomach and lymph nodes as "resolved"). A lesion on my liver has shrunk from 1.2 cm to .7 cm. These seem like very good results, although I understand chemo often stops working after a while with stomach cancer, and surgery is the only path to a cure.
My question is how soon is too soon to consider surgery? My oncologist seems to want at least 6 months of good CT scans, if not more, before referring me to a surgical oncologist. Are other doctors more willing to do surgery more quickly, in circumstances where there are good chemo results for a (relatively young) person who is stage 4? I'm trying to decide whether to get another opinion regarding surgery, and if so, how soon.
Thanks in advance.