It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Colon Message Board

  • Chemo/Rad before or after surgery?

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 09-30-2006, 09:17 AM   #1
    Brad06
    Junior Member
    (male)
     
    Brad06's Avatar
     
    Join Date: Apr 2006
    Location: Dallas
    Posts: 18
    Brad06 HB User
    Chemo/Rad before or after surgery?

    I'm wondering the pros and cons of doing the chemo and radiation before surgery or after for rectal cancer.

    God Bless
    Brad

     
    Sponsors Lightbulb
       
    Old 10-01-2006, 09:14 AM   #2
    Jeni61
    Senior Member
    (female)
     
    Jeni61's Avatar
     
    Join Date: Aug 2006
    Location: Washington state
    Posts: 123
    Jeni61 HB User
    Re: Chemo/Rad before or after surgery?

    Brad, I was diagnosed with rectal cancer in late July and have one last radiation appt. I have had presurgery chemo/radiation, with bookended chemo, meaning 24/7 infusion pump the first week and last week of about 6 weeks of the protocol.

    Initially, my surgeon was going to go right to surgery, but the radiation oncologist advised doing the presurgery treatment first.

    The presurgery treatment has value in that it downsizes the tumor and makes its removal easier, which is an issue in rectal cancer. Rectal cancer also has a higher local recurrence rate than colon cancer, and pre-surgery chemo/radiation cuts its incidence by about half of what it might be if done after.

    I have just completed this -- well, with one radiation zap left -- and tolerated it well, altho everyone is different. If you are having any discomfort, the nice thing is, you will likely get comfy right away, as the treatment definitely shrinks the tumor.

    Best of luck to you, let us know how you are doing.

    Jeni

     
    Old 10-02-2006, 01:49 PM   #3
    Anders
    Senior Member
    (female)
     
    Anders's Avatar
     
    Join Date: Aug 2006
    Location: chandler, arizona
    Posts: 254
    Anders HB User
    Re: Chemo/Rad before or after surgery?

    Brad,

    I concur with Jeni 100%. I was diagnosed 2 1/2 yrs ago with rectal cancer. I too was concerned about putting off the surgery for chemo/radiation treatments. I got a verbal 2nd opinion with Mayo clinic and learned this is the standard form of treatment for rectal cancer.

    Lee

     
    Old 10-03-2006, 09:46 AM   #4
    Lifes2short
    Junior Member
    (female)
     
    Lifes2short's Avatar
     
    Join Date: Oct 2006
    Location: Salt Lake City, UT
    Posts: 32
    Lifes2short HB User
    Re: Chemo/Rad before or after surgery?

    Though it is standard to do chemo/rad before surgery, if I had it to do again I'd do the surgery first. The burns from the chemo and radiation combo were horrible - I never could have imagined how painful it would be. I ended up having eight weeks of radiation because they were not successful in shrinking some inguinal lymph nodes so they kept on firing.

    The radiation damage made recovery from surgery much more difficult. I ended up getting an infection in my rectal incision - pretty common because irradiated tissue doesn't recover well. The incision had to be opened and was constantly draining. It was quite painful for several months after surgery and I still deal with some degree of pain and drainage from that area six months after surgery. The doctor also found a mass in my pelvis that was likely cancerous but he could not remove it because of the severity of tissue damage due to radiation.

    And after all was said and done, by cancer kept metastasizing throughout my treatments. One month after surgery it had spread to my liver.

    Given the chance for a "do over" I'd likely never do radiation again. I so wish we'd gone directly to surgery. Hindsight is 20/20. I have no hard feelings toward my surgeon. He was following protocol. This is just one story. I wish you the very best!

     
    Old 10-03-2006, 10:11 AM   #5
    gocatsgo
    Veteran
    (female)
     
    gocatsgo's Avatar
     
    Join Date: Aug 2005
    Posts: 376
    gocatsgo HB User
    Re: Chemo/Rad before or after surgery?

    I think that you will find that having radiation w/continuous 5FU infusion is standard of care for rectal cancer. My understanding is that it decreases the chance of recurrence. Also, if you have any hope of restoring function (ie pooping out your bum) you should do the radiation first, in my opinion. This way, the doc cuts out the radiated section and gives you a better chance of having some bowel control - if you are able to have a sphincter sparing surgery.

    Good luck,
    Cats

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Chemo after chemo hope I can make it through this stuff santee245 Cancer: Uterine 29 11-11-2009 09:36 PM
    chemo-radiation before rectal surgery?? susie24 Cancer: Colon 11 10-28-2007 05:26 PM
    CEA Rise after 1st chemo impactzone Cancer: Colon 2 11-06-2006 06:41 AM
    Stage 4 colonrectal caner & chemo is not working Daddys #1 Girl Cancer: Colon 8 10-27-2006 05:15 PM
    Rectal Cancer Stage III, Radiation/Chemo No Surgery? charcurley Cancer: Colon 3 05-05-2006 08:15 PM
    Questions-post op exercise, diet, soreness, chemo, etc. christy217 Cancer: Colon 5 04-27-2006 11:32 AM
    Post op chemo and radiation Mudlark Cancer: Colon 7 09-05-2005 07:21 AM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 10:11 PM.





    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!