Today David and I met with Dr. Fisher, the G.I. Oncologist at Stanford University Hospital. We expected to hear nothing new today. And for the most part, we didn't. Firstly, he summarized the working theory that has driven the Tumor Board's decisions thus far. They are banking on the possibility that the tumor cells that were growing in this recent lymph node were "left behind" cells from the original surgery 2 & 1/2 years ago. These cells may have escaped the same time the cells that traveled to my liver previously escaped, and have just been hanging around while unfortunately surviving 2 rounds of chemotherapy. If this is the case, then there's a possibility that they have removed the remaining stragglers and this *could* be the end of things. We are looking on the bright side of things here, which is the right thing to do.
He also repeated that he does not see any reason to resume chemotherapy at this time. He'd rather save those bullets for when and if they may have more benefit. If this surgery has, in fact, removed anything remaining then there's no reason to subject me to poison. And if there are any roaming cells, well, let's face it, 2 round of chemotherapy haven't eradicated them so why should a third. So, we are going to hold tight for now and keep an eye on things. It may be that in the future, chemotherapy may be used to shrink future tumors and so we'll save it for times like that.
So, for now, no chemo and no radiation.
He also then said he'd like to rescan me in January and then in June (if the January scan is clear.) I have to admit that rescanning in 5 months feels strange but I guess that also gives me through the holidays to take it easy. Also, my recurrences have not come back all that quickly after each surgery. The first one was 10 months after the first surgery. This past recurrence was 17 months after the second surgery. (Let's not muddle things with the fact that the first one came back 3 months after chemotherapy ended.)
I will be discussing these recommendations with our original oncologist to see if she's comfortable with this plan. She can always order interim scans if she feels that I can benefit from greater frequency.
