← Return to Adjuvant treatment for an 82 years old stage3 colorectal cancer

Discussion
Comment receiving replies
@roywalton

Hi - by your question "is it safe to cancel", I assume you are asking Will cancer progress without chemo. That's really a question for your oncologist, but really depends on other information that you have not presented. For example has circulating tumor DNA been assessed? If you are in the US you can get Signatera covered under Medicare. Recent data presented at ASCO, indicates that a negative ctDNA result 30 days following surgery, suggest adjuvant therapy does not have a better outcome then going without chemo. Please ask your doctor about this. As I'm sure you're aware the age is also a significant factor to consider. At many institutions chemo would not be considered simply because of age. I know I would be thrilled just to have 82 years under my belt

Jump to this post


Replies to "Hi - by your question "is it safe to cancel", I assume you are asking Will..."

Thank you for your feedback.
The biomarkers requested by the oncologist for follow up were :
CA 19-9 and ACE.
I believe it’s not ctDNA, ACE is an antigen already, used to detect metastasis and CA 19-9 is found to be frequently associated with colon cancer according to what I understood. Both were negative right before surgery.
I will ask the oncologist about Signatera.