I have stage 4, no surgery (thank god!), and have been on Xeloda and Avastin for over a year now. I started with every three weeks intravenous Oxaliplatin, Avastin, and whatever else was in the 'cocktail' and Xeloda - two weeks on, one week off. I just spent 4 hours one day every three weeks hooked up.
After 10 rounds of Oxaliplatin, my hands went numb, so off that one.
I've had 30 rounds of raditation that knocked the tumor down from 10 centimeters to 2.
I will continue to do the Avastin and Xeloda 'cocktail' until it's not working and the cancer becomes active again. My mets are to lymph nodes into my abdomen and some suspicious node in my neck. Petscans showed very little movement in the nodes after a year and some change, so it's doing it's job.
I had a second opinion on treatment before I started with another very well respected oncologist and she was all over surgery, NO Avastin until after surgery, and wasn't too hip on the Xeloda (which is another form of 5FU) either, but she wanted to have a port implanted and everything intravenous. I don't have the time to go two days and then to a nurse on the third day to have the pump unhooked and the port cleaned!
SHEESH!!! Too inconvenient!
I wasn't too hip on her methods, (too aggressive for my taste), so I took my docs's route.
I was diagnosed February of '07 and I feel great these days! The Avastin hasn't been an issue whatsoever. Nose bleeds every once in a while as another poster said. Blood pressure is good. And contrary to what the other doctor said, (the one who didn't want to use Avastin until after surgery), it didn't cause me any bowel perforations! If yo research that it says only 1% of patients have that happen.
In the end you'll choose the treatment that YOU feel comfortable with. DON'T listen to others about the lack of surgery - most fols thar haven't been there, (or have) are all over the surgery thing. I've read enough that had led me to belive that surgery isn't always the best option unless it's absolutely necessary.
I'm 46, by the way and I REALLY don't think this is what's gonna get me! Don't let the cancer become you. Live your life as normal as possible and keep away form those who are overly focused on cancer.