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Need help please

Borac
Posts: 14
Joined: May 2012

Hello everyone, I would appreciate any advise and help please.

Diagnosed with rectal cancer in February 2012 with solitary liver met. I had few lung nodules at that time, small on both sides.

Had rectal/liver resection in March followed by 12 Xelox with Avastin and 7 Xeloda and Avastin.

CT recently showed increase in size of lung nodules, still under 1cm. Saw thoracic surgeon who did thoracotomy on left side 

took 7 nodules out ,4 were malignant. I am already pretty much back to normal. I have nodules on the right side as well.

Question is what is best course of action now? Surgery on the right side, followed by chemo or chemo first. I will meet with both next week but would appreciate advises from anybody about your experiences. I physicially feel andlook great. Recovery from both surgeries was fast and I tolerated chemo well. Will probably go on xeliri next.

Thank you so much and I will participitate and help anyone any way I can from now on

PhillieG's picture
PhillieG
Posts: 4593
Joined: May 2005

I've always favored doing chemo first, then surgery whenever possible. But often it depends on each individual and if there are any circumstances that would make it better to do surgery first, then chemo.

It is possible do have RFA's (Radio Frequency Ablation) done? They are not intrusuve and are effective...just another idea.
-phil

YoVita's picture
YoVita
Posts: 423
Joined: Mar 2010

Since my experience is quite different.  I just wanted to second Phil's welcome.  You've been through a lot and appear to be handling things quite well given all you've been through.  Hope others can offer advice.  Personally, I would go with my doctor's advice as I have throughout my journey.  

Borac
Posts: 14
Joined: May 2012

Thank you! Just trying to figure it out next step:)

KayeKay's picture
KayeKay
Posts: 119
Joined: Jan 2013

my doctors have always preferred surgery then chemo. but i have not had lung mets only liver. dont know if this would help but just wanted to tell u. i see docs at one of the top 25 cancer hospitals in the us. get ya a second or even third opinion.

swordranch's picture
swordranch
Posts: 35
Joined: Feb 2013

Hi!, My rectal cancer was diagnosed March 1, 2012 but nothing was found in the organs, but positve in the lymph nodes and was found in the pelvic wall after surgery.  I had 7 weeks pre-surgery chemo/radiation, the big bad ugly radical APR and then I am just this week finishing 12 treatments 5FU, Leucovrin and Oxcilliplatin. Although we have not followed the same regime, we have certainly been on the same time frame.  Hoping the best for all of us!

Looking for someone that has had a radical APR withn permanent ostomy, rectal cancer, stage three + as of now.

Laura :)