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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Thank you for sharing. Prayers for you and your husband.
Well as it was explained to us by the thoracic sx. Ivor Lewis sx, which is my husbands only sx option due to size and location of mass, is an 8 hr operation needing the assistance of a surgical oncologist. This is the sx he has declined due to recovery and quality of life. Do I agree??? Not my choice. I will honor and stand by his decision
We are 2 FLOT trtmts down 2 to go. Wait 6 wks for a PET then start radiation x 23 days with wkly chemo
So far he his swallowing and eating has improved. We appreciate all the comments and your stories. You are all in our prayers. One day at a time!!!
Thank you! I appreciate you being willing to talk to them so much! I have passed your number along to my friends and hope you all are able to connect!
It wouldn't take my phone when I just tried.
Let's see if this works /
605-484-3319
At age 62 I think surgery is a right decision; you hopefully have many years left. I'm considering a different decision at nearly age 79--depending on the outcome of my now-completed chemo/radiation treatment course.
Hi, yes. My squamous cell tumor (mid-esophagus) had completely gone away after 7 weeks of radiation and 5 weeks of.chemo (carboplatin plus paclitaxel). One of my oncologists said "watch and wait" was not unreasonable. Your friends can also check out the SANO trial in Netherlands. They compared "active surveillance" to surgery after a complete pathological response like I had to chemorad. They found active surveillance was "not inferior " to surgery in their preliminary results.
Thank you for your reply. Would you be willing to share a bit more about your experience and what led you to your decision? My friends are trying to get perspectives from both populations (with and without surgery). Thank you for your time, so much!
Thank You!
I made the decision to NOT have surgery and I am 6 years NED. There are many factors to consider and I am only one person.
Thank you for sharing your experience! I hope things continue to move in the right direction for you!