Esophageal Cancer: Surgery Or Not?
I just completed my 8 Chemo and 28 radiation treatments with a follow up Pet Scan. My wife and I were excited with the images when compared to the 1st pet scan that showed cancer in the lower 3rd of the esophagus as well as in a couple of limpnodes located in the area. Our radiologist showed us the images and said it showed absolutely nothing now. We felt a EGD with a biopsy would be the next logical step but the surgeon who would be performing the surgery really wasn't receptive to it. She is probably the best in our area and performs a high volume of these surgeries annually. Her comment being "Even if the test comes back clear, the cancer returns 50 % of the time". So now I'm in the position of trying to make a decision to go with the surgery or not. I'm 70 years old, in good health. I'm just struggling with what I should do. I know it's not a easy surgery or recovery. I'm not afraid of the fight, I just don't know if I need to make it
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No need to worry. Yes, the recovery is tough and not much fun, but way better than the alternative. Your redesigned stomach will give you fits when you start eating normal foods again. You will spend lots of time in the bathroom, but eventually you will figure out the foods that are best for you and how to eat. Seems everyone is a little different when it comes to this part of their recovery. I always remember what my son said when I was having second thoughts about treatment, “Dad, do we have to sit here and watch you roll over and die, or are you going to stand up and fight this like the man we know you are”. I fought and dam glad I did. I am 5 years out from surgery and doing fairly well. Life isn’t perfect, but I am still enjoying time with family and friends. Take Care and Good Luck with your fight. No doubt in my mind that you will also win.
Alex
I was diagnosed with EC several years ago. I had 28 days of chemo and radiation. After 3 weeks, the tumor in my lower esophagus had shrunk 40%. And after treatment my scans showed the cancer was gone and my lymph nodes were back to normal. I did not have surgery. The treatments for cancer continue t improve so there is hope for a brighter future. Be aware the side affects are not fun and you may feel tired for a while. When do you start treatment?
Don
I’m 38 and about to start chemotherapy for 3 months before I am going into surgery, I am worried , can anyone tell me what recovery is like? And don’t hold back your answers please I need an idea of what I’m facing
Cheers guys Alex
I'm Gona try what you did . I'm not good with surgery
I'm in the same boat. they are talking surgery but I'm just not going for it. i think I'll be like you and just try chemo and rad. and hope for the best
Not long winded at all. I truly appreciate you
sharing your success story
I am a T3N1. My surgery would be performed by 2 surgeons performing the Ivor-Lewis esophagectomy which is performed with incisions in the abdomen right side of the chest. We've been told by a different surgeon robotics couldn't be used for my condition. Not sure that would be the case at Mayo but geographically it would be difficult for us anyway. Your ability to eat the way you do is remarkable. Most of the information hasn't been quite as promising. Thank You again for your input.
I was diagnosed April 1, 2023 with adenocarcinoma the the stomach junction at 70 years old, and staged T3N0 at the Mayo Clinic in Phoenix. I underwent 25 proton radiation treatments and 5 Carbo / Taxel infusions once a week. I continued to walk 2 miles a day on the treadmill. The radiation and chemo was a non event and I actually gained 3 pounds. I underwent minimally invasive I-L robotic surgery August 1. I had cryoablation on the chest wall nerves for pain management and never experienced any discomfort. I was up walking the halls the next day after surgery. I was discharged after 7 days and was on a feeding tube for one week until I could get enough calories and protein on my own. I was actually doing water aerobics in the pool 3 weeks to the day after surgery. I have experienced no acid reflux, dumping or restrictions on what I eat. I eat all the ice cream, dairy and sugar I want. I eat filet mignon and lobster for Sunday dinner, albeit it at 5 pm so I have plenty of time to digest before bed. I do not take any stomach acid medication. I bought a Sleep Number bed to sleep on a slight incline and have no issues getting good rest. The only life style change I have made is eating smaller meals more frequently. I still have my happy hour cocktails. I have actually gained 5 pounds since being diagnosed almost a year ago. All this being said, I just wanted to convey to you that a lot of us go through the treatment plan without complications. Nobody writes in social media about those, only their horror stories. Social media is what it is, need I say more? But if you are lucky enough to qualify for the surgery, don't turn it down. This procedure is proven to be a cure for this beast. Even your own doctor says it will come back. PET scans do not pick up the microscopic cancer cells floating around in your lymph node highway. And when it does come back, it's stage 4 and there's not much you can do about it other than battle it with chemo. Sorry for being so long winded, but I want you to know there are some of us that go through surgery reasonably well. Good luck in your decision.
Hi Colleen,
Had a EGD performed yesterday. Should get the results early next week which will help with the final decision. After reading the pros and cons from the input of others, I know I'd love to avoid it if possible.
@rickho, I wanted to check back in with you. Did you make a decision about whether to have surgery or not?
Just the standard type of blood test and urine testing.
I also have a immune system problem , minimal change disease”