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My decision on adjuvant chemotherapy


Bruce u

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I got a 2nd opinion this morning on having adjuvant chemo. for stage 1b. Actually this oncologist, a lung specialist, would not make a recomendation but wanted to discuss it with the other 5 specialist at the Cross Cancer Institute in Edmonton. He informed me of the U.S. study that included stage 1 which reported a 12% benefit but then said the data was incorrect on almost half of the participants. He then discussed the study completed by the Ontario Cancer Centre last month. This study reported a 15% benefit but included stage 2 as well as stage 1. They did not recommend it for stage 1b. The basic guideline at the Cross is if it is greater than 4cm they recommend chemo but smaller and they do not. Mine was 2.1cm. The 5 other specialist: 2 said they would not recommend it, the other 3 said they would discuss it with their patient but then let the patient decide. If the patient decided to have chemo, they would include that the evidence did not support this decision. I decided to have the chemo. If a study next year finds here is a benefit, I will be ahead of the game. I begin next week for 4 treatments of Cisplatin and Vinorelbine ( Navelbine ).

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Bruce,

Glad to see that you talked to your doctors and researched the subject. Also very glad to see that you are going to take the adjuvant chemo. Prayers for the best!

Carol

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I am glad you made a choice, I can't say if it is right or wrong, but it is your decision!!! Any stats that shows it helps is worth it in my book

I was at 1A which was kind of a no brainer for most oncologists --there were no stats at all that showed that it helped at 1A and I was not going to put chemo in my body unless I knew it would help

so far I am doing ok---

good luck to you and I hope you have the same results that I have had!

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I would just like to thank everyone for their encouragement, advice and support. I have been receiving conflicting recommendations from the professionals over the past 3 weeks.I found this site and it was the feedback that I have received that convinced me to have the treatment. When you can make a difference in a stranger's life by sharing your experience's, it demonstrates how important this site is. Thank you again.

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Bruce,

I'd rather err on the side of aggressiveness and know I did everything possible. I think you made a good choice.

You might want to check out Dr. West's site at Onctalk.com, where he has addressed studies and issues relating to early stage and adjuvant chemo.

Best of luck,

Welthy

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  • 4 weeks later...

Bruce I agree with Alisa. Gary had his surgery in 2005 and given the choice of chemo after surgery even though the surgeon said they got it all but he also said you can never be 100% sure. Gary was 2b only because the tumor was about 10cm th size of a tennis ball. We have never regretted getting that added insurance.

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