My husband has undergone an Ivor Lewis op as so many of you have.
We were under 3 weeks from unofficial diagnosis (visual on endoscope) many many further tests, to final diagnosis and treatment plan of skipping chemo straight to surgery.
It has been just 3 weeks since the op.
The tumour was T1B and we are nothing but grateful for the early detection and treatable staging.
In the post op medical team meeting the surgeon has passed on the likely plan of no further treatment. The surgery took the tumour plus a 4 inch clearance and 19 lymph nodes, all of which were clear. He expects the oncologist to say no further treatment of chemo or immunotherapy.
The surgeon considers the surgery to be curative which is incredible.
It is a little anxiety inducing to consider skipping post op chemo? so many people advocate for a ‘mop up’ chemo.
Yes it is a bit of a dilemma and obviously you need full help from your MDT rather than lay comment. However, for what it is worth I rejected immunotherapy because of my age and I wanted time away from hospital. I did however have chemo/radiotherapy preop. I am an enthusiast of post op follow up monitoring i.e. CT scans and endoscopy. Whether this has given me as much chance of avoiding/minimising further problems as the immunotherapy might have done I will perhaps never know.
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