Chemotherapy after oesophagectomy

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I’ve recently had an oesophagectomy and because 1 lymph node contained cancer I’m being advised to have chemotherapy but I’m not sure what to do. Has anybody been in a similar situation?

  • I was lucky in that my post-surgery pathology showed no signs of any cancer cells but, nonetheless, I elected to undergo post-op chemo (albeit at 70% strength). I wanted to make sure that I had thrown everything available at being cured of my cancer. Your decision of course but, in your situation, I wouldn’t even be thinking twice about it. 

  • How you doing Cool Blue 

    Nic nac

  • Did you have any side effects from the chemo?

  • All my margins were clear and 18 lymph nodes were also clear so after discussion with my surgeon and oncologist I decided to decline the post op chemo but if there had been any sign of cancer at all I would have had it. I don’t know if I made the right decision time will tell ! I can honestly say there has been times when I thought I should have had it to complete the treatment but time will tell ! 

    Hope this helps !!

  • Hi Nic nac,

    I’m doing pretty good thanks  Occasional bouts of reflux and still get tired easily but getting on with life. How about yourself? CB

  • Hi,

    Side effects were much the same as pre-op;

    • fatigue
    • neuropathy
    • lack of appetite
    • tastebuds wrecked

    But none of them were permanent. I only had three post-op cycles and I was glad to be done with it, to get my tastebuds back (and my hair) and to continue my recovery from surgery. 

  • Great i am about the same as you .occasionally acid reflux .

    Putting a bit of weight back so a good 

    Nic nac

  • I had no signs of cancer after surgery but elected to go ahead with another 4 rounds of FLOT chemo. Made me feel unwell as it does.  Was it the right decision?  i don't know, i just wanted to throw everything at it. 

    A year later,  Aug 24 i was diagnosed with a recurrent tumour in my right paratrachael lymph node ( hark at me being all medical...lol). Found at a routine ct scan. It is inoperable but i have had more chemo and radiotherapy for it. While it hasn't gone, it is behaving itself for now. Not growing or spreading. Good luck everyone.  High to Cool Blue and NicNac.

  • I'm about to start my post op FLOT chemotherapy.

    Clear margins, no cancer in 35 lymph nodes removed but evidence of cancer cells in small veins and nerves.

    I hear it is worse the second time around, however, needs must.

  • Hi , i had four flots then surgery the same as u's , they took 49 lynth nodes no cancer in any then i had same chemo at 80%  last two were hardest but im three werks since chemo . Im still coughing a lot and they testing for aspiration but really dragging there heals even though iv said im losing weight as im being sick after meals from coughing , im actualy done with ringing and getting fobbed off ive gone through pals now . My mum had the same cancer couldnt finish pre op chemo and radio therapy and hers come back as brain tumors but thats her journy. Stay posative people thats key .