This is Dr. David
I am a cancer doctor
what stage was your bowel cancer which was found with surgery?
was there spread to lymph nodes?
have you consulted with a medical oncologist yet after surgery?
are they recommending chemotherapy for you?
in the USA, chemotherapy doctors tend to recommend FOLFOX chemotherapy regimen after colon cancer surgery which include 5FU, oxaliplatin and leukovorin as a combintation.
I can talk to you more by phone if you accept phone consultation.
let me know if you have questions.
are you having to pay for your mother's chemotherapy?
what do you mean by " do not wish to throw good money after bad"
are you paying for private doctor care in the UK?
I would get a copy of her pathology report. I would be able to tell her stage and lymph node invasion from that pathology report from the surgery.
your fee pays for the duration of this conversation. not per reply
I didn't know about her heart condition.
is a good website
to put in her tumor information and get disease free survival information with adjuvant chemotherapy and without adjuvant chemotherapy.
because her tumor is stage III, chemotherapy will decrease the chances of her colon cancer spreading.
with just surgery alone, her long term cure rate is only in the 40-50% range
with the addition of chemotherapy, we can raise up her cure rate up to the 70-75% range.
so that is significant.
lymphatic vascular space involvement in the tumor specimen is a predictor of if there is spread to adjacent lymph nodes
in the USA, we have found that patients who have 12 or more lymph node removed with the colon cancer surgery do better than those with less than 12 removed.
so we have put into place efforts to try to make sure all patients who have colon cancer have at least 12 lymph nodes removed at the time of surgery.
this we think is therapeutic as well as prognostic in giving information about if the cancer has spread to lymph nodes or not.
let me know when you would like me to give you a call.
you are welcome
I'm at work right now seeing patients.
I may be able to call you in 10-20 minutes.
I called just now. no answer.
I hope I didn't call to late.