Which way to go?

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Hi all.  My 4th Flot was cancelled.  So I'm in the position of having to decide a way forward soon, Always been 'primed' for the op.  But I've sensed a change of direction.  Just had my 2nd PET scan yesterday, an additional oncology appointment tomorrow.   I'm 80, in good shape,  have a heart murmer,  2 robotic hips,  fitness not bad.  But I understand the recovery time of the Ivor Lewis  and the possible set backs, daunting.  I'm also , aware,  mostly, of the difficulties that can occur with chemoradiation.    Has anyone had to decide one or the other, ssuming the team on't decide for me!  T3N0M0.   Thanks

  • I was diagnosed with T3N0M0 (adenocarcinoma) in June 2024. I did not have to make the decision you may face as I was deemed inoperable due to pre-existing medical conditions. It was made for me.

    My choice was no treatment or chemoradiotherapy.

    I was given a strong steer by the MDT to have chemoradiotherapy from the point of view of quality of life. And with the intent to cure.  I tolerated the regimen of 5 weeks radiotherapy and chemo (pacitaxel / carboplatin) well. Although the MDT did talk me through some of the serious adverse effects of chemo radiation I did not experience any of them.

    The treatment did not cure my cancer but significantly reduced it and was followed up by brachytherapy in April 2025. It has remained stable and localised since October 2024.. 

    i have as the MDT expected had good quality of life throughout. My symptom of acid reflux is controllable with omeprazole. 

    I know I am not cured and one day there will a recurrence. But I’ve had a wonderful year and more of  making memories with my family, marvellous holidays (eating anything I want) and the knowledge I have cancer has made me cherish each day. Achieving far more than I thought I would in those early days of diagnosis.

    Whatever you decide or is decided for you i wish you the best x 

  • Thanks for reply.  Best wishes for lots more memories.