Will I be offered chemo after solitary pulmonary resection?

  • 9 replies
  • 4 subscribers
  • 933 views

Hi,

I was diagnosed with ultra-low rectal cancer in 2020. Had a total mesorectal incision for a T2 tumour. At histolgy an extra nodal tumour was found under the microscope so this ramped the staging up to Dukes C (T3). As a result of the extra nodal tumour I received 3 months of adjuvant CAPOX chemo.

Roll on 2 years and I have just had a stage 0/stage 1 (10mm) solitary pulmonary nodule removed from my left lung in a VATS segmentectomy. There was no C in the lymph nodes or the margins but the nodule WAS secondary not primary. So, rectal cancer in my lung. I now have to wait for the original bowel cancer team to decide what to do next. Do you, fellow sufferers, think I will be offered chemo OR told to watch and wait?

All replies gratefully received!

Many thanks.

  • Hi and a very warm welcome to the online community which I hope you'll find is both an informative and supportive place to be.

    I don't have experience with this type of cancer, so I don't know what your team will decide to do next. However, I noticed that your post hadn't had any replies yet, so I hope you don't mind me suggesting that you also join and post in the bowel cancer group as you'll find people there with secondaries in their lungs.

    If this is something that you'd like to do clicking on the link I've created will take you there where you can then join and post in the same way as you did here. You can also join in with existing conversations by clicking on 'reply'.

    It would be great if you could pop something about your diagnosis and treatment so far into your profile as it really helps others when replying to you and also when looking for someone on a similar pathway. It also means that you don't have to keep repeating yourself. To do this click on your username and then select 'Profile'. You can amend it at any time and if you're not sure what to write you can take a look at mine by clicking on my username.

    x

    Community Champion Badge

     "Never regret a day in your life, good days give you happiness, bad days give you experience"

  • Hi errollG

    Hope things are ok with you.

    You are mirroring my experience in every single detail including except my surgery is end of Oct, so you are ahead of me. I wish I was coming back to you with guidance, but I'm actually wondering (as you posted this 27 days ago), whether you have had an answer to you question re chemo or watch and wait? - All the best

  • Hi Stevejhb,

    I've delayed replying to you until I had a definitive answer, which I now have!

    After successful resection of the solitary metastatic lung nodule I was referred back to my bowel cancer specialists to decide what should happen next. They have told me that they 'think' I don't need to have chemotherapy this time round. Instead they will 'wait and watch' with yearly monitoring scans.

    I hope this is of some help to you and I wish you all the very best with your forthcoming surgery.

    Good luck and good health! 

  • Hi errollG

    Thanks for coming back to me on this, much appreciated.

    I'm glad your op went well and wish you a speedy recovery. Hope you don't mind my asking, how long were you in hospital for after the op and also, from your experience, what's the likelihood of me sitting working at a desk at home 3 days after release from hospital?

    All the best

    Steve

  • Hi Steve,

    I don't mind at all! We're all in this together, so to speak.

    I had the op (VATS) on the Monday and I was discharged from hospital on the Thursday. The medics like you to walk 4 times round the ward to get the lung up and running. I was doing considerably more and had some 20 minute cardio sessions on the exercise bike. On the third day I did try to walk to Oxford from JR Hospital but the 38 degree heat cut that walk short!

    If, other than the lung nodule, you are reasonably fit and well I would think that you will have no problem working at a desk at home for 3 days a week. My only issue was that I couldn't sleep on the side of my lung op for a couple of weeks. Compared to the total mesorectal excision for rectal cancer the lung op was a walk in the park. I hope that you find it similarly so.

    Regards,

    Steve (also!)

  • Glad all went well with your op x

    Ruth 

  • Hey Steve

    Thanks so much for this feedback. Really helps to know. Hope all goes well for you re the future.

    Very kind regards 

    Steve

  • Thank you Ruth.

    Tbh, my cancer 'journey' has been inconsequential compared to what you have been through. It is humbling to read others experiences and gives a much greater sense of perspective.

    I truly hope that your medical trial and ongoing treatment yields superb results for you.

    Very best wishes,

    Steve 

  • Glad to hear you are doing so well and able to work x

    Ruth