help please re chemo suggestions ? any relevant clinical references
whats world best practice ??
My friend , a dad , with kids under 50 just had his t3 rectal tumour out with clear margins.
7 local nodes found positive. no other spread.
his onc recommended 5fu only chemo and suggested 30-60% of being here 5 years.
so I said we are pretty similair cancers and I prefer my odds than yours.
both were adenocarcemo.
so I said suggested a second and third opinion and gave him my onc numbers.
I explained about folfox6 and specifically the joys and benefits of oxali, and have left
him to make a difficult decision.
I am so glad my onc suggested we do oxal even though no trial has been done on rectal cancer only colon cancer. but you know the story, move the cancer up a few centimeters its colon, and down a few and its rectal. my onc describes oxali and folfox as world best practice in treatment of t3 rectal cancer. this is my understanding. I have invited my friend to join the forum and will email a link to this thread for him.
Its just the time pressures after dx and surgery are so tight. I would hate him to miss out on what I have been told offers the best chance of surviving.
he is two weeks post surgery, and has a two week window both he can start chemo.
the standard 4 week wait after surgery.
any thoughts and papers that specifically advise oxali in folfox6 for rectal cancer.
then my friend can read and consider and make the best decision for himself.
sometimes our treatment decisions are based on what our governments fund and old recommendations that can take years to be updated. they don't get updated becuase no one does a trial and that because no money in it. Unfortunately I see that happening here downunder and its tragic that many bowel cancer deaths maybe avoided . maybe thats why we have so few real life support groups for bowel cancer.
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