Hi bethany,
One of the problems faced in oncology, is that there is no clear method to select which patients truly benefit from chemotherapy until the difference is observed afterwards. The chemotherapy improves on the outcomes of recurrence and death. While I mentioned 3 drugs in your previous post, even with the use of 1 drug, that 1 drug is able to reduce recurrence by 40% and death by 33%. Better combinations of drugs have showed bigger gains, so that we are seeing patients who are free of disease in the order of 70 to 80% of patients disease free at 3 years (and the current trend shows this will be maintained to 5 years). Without chemotherapy, the chances of being alive at 5 years is only 44%.
I think part of your reluctance is the belief that chemotherapy is poison and is necessarily bad for you. If we take a look however at the experiences of patients with advanced/metastatic disease: treatment is associated with equivalent if not better quality of life compared to those who prefer not to take it. Hence, it is a paradox. Yes, it is designed as a poison, but within the limits of tolerance. Virtually anything can become a poison given an inappropriate dose, even the all-natural remedies and supplements have this potential. Actually, some of the drugs developed and used today as chemotherapy comes from all-natural poisons.
Everything is pretty much up to you. Bear in mind that the decision to take chemo or not will be worth making within the first 8 to 12 weeks after your surgery, as the delay is associated with less gain in outcomes. This is because, the treatment is targeting the little bits of cancer that may already be circulating looking for sites to colonize.The longer you start in treatment, the more time the cancer has to gain a sufficient foothold.
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