Categorizing tumors by cell type and not the organ they grow in may alter treatment, experts say
by cancerdie on Mon Jan 21, 2013 03:03 AM
39 year old Stage IV male rectum cancer with 1 single solitary met to the lung. Generally in good health apart from cancer:)
I only just had the primary tumor removed from my rectum on 05 Jan, and am only being referred by my colorectal surgeon to an oncologist later this week.
However the colorectal surgeon is suggesting that a lung resection is hopefully on the cards.
My question sare:
1) Open surgery vs VATS (Video Assisted Thoracic Surgery) which is the best? I have read that there is some suggestion that open surgery is the best option due to the ability for the surgeon to see any other tumors at time of operation. Any advice?
2) if Open surgery what is the likely recovery time to be.
3) I assume that I then go for chemo but what is the waiting time between surgery and being able to start chemo. Someone told methat you can't do chemo until 6 weeks after an operation? Is that correct?
by Nicksmom on Thu Jan 24, 2013 04:31 PM
Hi soon to be survivor,
I've had both surgeries, one on each lung. If you have a choice, VATS should be your first. I was only in the hospital 1 day (surgery at 11am out before noon the next) and felt fine by day 3. The second surgery was to remove the bottom of the lung because I had 2 tumors, too far apart to do VATS. It was much more painful and took much longer to recover with nerve pain from the ribs being seperated and muscle damage from the incision. Thankfully it was the last lung surgery and I've been clear since. When I had chemo, it was able to be started 1 month after colon cancer surgery. Good Luck!!!
by cancerdie on Thu Jan 24, 2013 11:09 PM
Hi Nicks Mom
Thanks for the reply, and the new nick name....love it and will try my best to live up to your expectations.
Can I ask how long after VATS you took to recover? I am trying to work out if I can have VATS how long it will take me to be back at my desk (office work where the most physical effort I do is moving paper)
If I am not a candidate for VATS and go for open surgery how long will it take to recover? The lesion is on my lower right lobe.
Also, when you say that they need to seperate the ribs and muscle is that just move, or do they need to break the bones
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