Solitary lymph node metastasis : what treatment is available?

I do also prefer surgery over chemo. Chemo is good when you have systemic disease, but very little effective when you have few and manageable mets (at least in some organs). I am also in a dire situation now with one suspect node in one lung + 2 suspect Lymph nodes... If the lymph nodes are clear I would surely go for a surgey to remove the "suspect" node in the lung. Just my opinion as well....

sreekanth said:

Can't forego chemo

It is not a choice between surgery and chemo for me. I definitely plan to get the chemo.

The question is whether it is surgery+chemo or just chemo
If the radiologist says a radiation therapy is possible to that lymph node, I will get that too.

I want everything but my oncologist says it is pointless to remove one lymph node because once it is in one lymph node, it is circulating everywhere. Not just that, my lymph node is very deep in the pelvis and hard to locate. It is a difficult surgery and could leave one with post-surgical complications. I meet the surgeon only on Sep 15 . 

It is easy to hit the Submit button twice - I have done it so many times. When I do, I just return and hit Report as Inappropriate and let the moderators delete it. 

Another reason you get double posts is if you hit the < button instead of the Colorectal Cancer at the top of the page. 

You probably know all of this, but I thought I would butt in, becasue that's what I do. 

Tru

sreekanth said:

My treatment plan is set. Surgery first, chemo follows

My treatment plan is set. Surgery first to remove the lymph node, chemo follows

Wonderful news!!!!

The chemo part sucks but gotta huh.

sreekanth said:

My treatment plan is set. Surgery first, chemo follows

My treatment plan is set. Surgery first to remove the lymph node, chemo follows

I am glado you now have a plan, Sreekanth. As I might have a similar case that you have, I made some research and Surgery + Chemo look the be the right path moving forward. I hope you success on your surgery.

Do you already know which chemo you are getting moving forward ?

sreekanth said:

chemo

Not sure of of my chemo cocktail yet. My oncologist had suggested FOLFOXIRI before my plan for surgery was set. He will see me a month after my surgery to set the specific chemo.

Hello, Sreekanth,

I got my surgery booked for next week. They are going to remove the 02 lymph nodes and then I will have chemo again if the biopsy of the lymph nodes comes as positive (as it will probably come). 

Have you removed your lymph node yet ? Are you ok ? How is the recovery doing ?

It looks like my onc will want me to take Folfox again, but I still need to talk with him after surgery is done.

My best wishes for you on your recovery !