Help with building a watchful waiting gameplan
I am 3 weeks post-op for a right hemi-colectomy, with a Stage II, Grade 2 diagnosis. No spread to nearby organs visualized, and no involvement in 41 LNs resected, but there was LVSI seen in small vessel(s) but no large ones. So, T3N0. There was a single tumor, and it formed MSI-high (dMMR) and BRAF mutations, which, ironically (to me, anyway), seem to confer an improved prognosis for Stage II disease. I've been referred to a gastro/genetic specialist (Lynch has been ruled out) who I hope will agree that complete genomic testing is appropriate.
Because I also have chronic, recurrent uterine cancer, with /mildly disabling chemo-induced neuropathy, someone will have to do a really hard sell to convince me to do chemo. I read an old thread here and a few recent journal articles. The current consensus is there is none. For domeone with my results, it appears, at best, the conventional chemo regimen confers a less than 5% improvement in DFS or OS. 5FU seems to be useless alone (and the side effects seem unpleasant), and I will not take any more platin drugs given my current disability. I am a 70-year old female, and it's quality of life I value now. I am a reasonably fit and healthy person with no co-morbidities (except for cancer 🤣).
So, my strategy is watchful waiting. Other than imaging, which the surgeon wants to do semi-annually, and a yearly colonoscopy, as well as physician-guided diet and nutrition advice, I am a believer in the usefulness of rigorous bloodwork. That is my question for this Board.
Does anyone have suggestions based on their own "best practices" for bloodwork I should ask for?
Thanks for any feedback.
Best wishes, Oldbeauty
Discussion Boards
- All Discussion Boards
- 6 CSN Information
- 6 Welcome to CSN
- 121.9K Cancer specific
- 2.8K Anal Cancer
- 446 Bladder Cancer
- 309 Bone Cancers
- 1.6K Brain Cancer
- 28.5K Breast Cancer
- 398 Childhood Cancers
- 27.9K Colorectal Cancer
- 4.6K Esophageal Cancer
- 1.2K Gynecological Cancers (other than ovarian and uterine)
- 13K Head and Neck Cancer
- 6.4K Kidney Cancer
- 671 Leukemia
- 794 Liver Cancer
- 4.1K Lung Cancer
- 5.1K Lymphoma (Hodgkin and Non-Hodgkin)
- 237 Multiple Myeloma
- 7.1K Ovarian Cancer
- 63 Pancreatic Cancer
- 487 Peritoneal Cancer
- 5.5K Prostate Cancer
- 1.2K Rare and Other Cancers
- 540 Sarcoma
- 733 Skin Cancer
- 653 Stomach Cancer
- 191 Testicular Cancer
- 1.5K Thyroid Cancer
- 5.8K Uterine/Endometrial Cancer
- 6.3K Lifestyle Discussion Boards