← Return to Standard of Care, and non surgical options (Rectal Cancer)

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@daledales

I would recommend discussing the watch and wait approach with your doctor. You may need to get a second or third opinion, not all doctors are comfortable with this approach.
I had colon cancer 3 years ago and achieved pathlogical complete response (pcr)
I am on a watch and wait protocol, no surgery. I am extremely happy with my results and quality of life.
This approach is not the "standard of care" for most surgeons.

I have blood work every 6 months(CBC and comprehensive metabolic panel)with CEA ,PSA tests, scans every 6 months-MRI alternating with PET scan, colonoscopy annually, Ctdna blood tests annually

Article on ctdna testing
https://www.nejm.org/doi/full/10.1056/NEJMoa2200075

I have attached a link to Memorial Sloan Kettering Cancer Center
https://www.mskcc.org/news/how-watch-and-wait-approach-may-help-people-rectal-cancer-preserve-their-quality-life

I have attached some articles from National Library of Medicine- you will need to register but it is free
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7422545/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8887849/

Keep reaching out and learning , good luck

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Replies to "I would recommend discussing the watch and wait approach with your doctor. You may need to..."

My path to pcr was short course radition, oxaliplatin, and capecitabine pills. Some studies show 20 to 35% can achieve no residual disease with these type of treatments