← Return to Aggressive appendix cancer and right hemicolectomy: Chemo worth it?

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@dvosburg

Interested to know what type of appendix cancer you have and everyone is a little different. Also, is there an option for you to have HIPEC to help ensure any tiny specs of cancer are taken care of? I have stage 4 grade 2 mucinous adenocarcinoma, and it was found after a tumor had formed on my fallopian tube. I had hysterectomy, right hemicolectomy and HIPEC surgeries but before that I did 6 rounds of FOLFOX. From what I understood it was to buy some time and "do something" according to colon cancer protocols between surgeries of discovery and HIPEC/debulking. I don't believe there is a great deal of research showing significant impacts with chemo for our cancer. If I was told I should do more chemo I would seriously rethink it. Instead, I would opt for another HIPEC surgery so my focus on always to stay healthy enough to do that all over again. I also scan every 6 months still and watch my cancer markers. All is stable so far. I am 4 years NED.

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Replies to "Interested to know what type of appendix cancer you have and everyone is a little different...."

I had grade 2 mucinous aggressive appendiceal cancer found with ultrasound when I had lower stomach pain. It was 3 times larger than it should be and tumor had grown to the last layer (serosa) but all intact. I had a perforation on one end with mucosa t4. It was removed. All margins clean. (up against colon). A month later I had right hemacolectomy. And 20 lymph nodes removed. All were free of cancer and pathology report was excellent. It’s just the perforation that raises risk and causes concern. I chose not to do chemo because it would have maybe helped 5% and maybe not. They are treating it like colorectal cancer because aggressive appendix cancer so rare. Not much statistics out there … 50% chance I’ll get cancer again within 5 yrs. Getting ctscan in February to put my mind at ease. Bloodwork was good.
4 years is great for you!! Thank you for writing. Best of luck for continuing NED.