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Rectal Cancer - Hospital Recommendation

Colorectal Cancer | Last Active: Apr 7 7:26am | Replies (48)

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@mrt2024

You had radiation>surgery> chemo. This is the thing I want to understand. Which one is the best approach? Followings are what we were told so far:

Radiation( more than regular one) > Chemo > Surgery (If no complete response)

Chemo> Radiation> Surgery ( If no complete response)

Chemoradiation> Surgery

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Replies to "You had radiation>surgery> chemo. This is the thing I want to understand. Which one is the..."

My surgeon went to the tumor board at MUSC in Charleston with my case.I had T3N2 (stage 3) colorectal tumor with lymph node involvement.
Everyone agreed my tumor wouldn’t shrink to nothing no matter how much radiation and chemo. So prior to surgery I had just enough radiation to shrink the tumor and make the margins easier. She removed 26 lymph nodes - 16 were cancerous. That’s why after the surgery the chemotherapy with FOLFOX was recommended.
Maybe someone with earlier stage cancer and a smaller tumor would benefit from neoadjunct therapy. I did not.