Topic: Adjuvant therapy
I have been visiting this forum for the past one month and found this very informational. My mother (68 Yrs) was recently diagnosed with hilar CC in Hong Kong. Her diagnosis was very shocking and scary as most readers of this forum would agree knowing the prognosis of this cancer. My mother was lucky that her case was operable and so she had surgery exactly 4 weeks ago. Her hepatobiliary surgeon seems to be competent and we feel lucky that we found him. My mother did not have much complications except for constipation and is now recovering at home. Her pathology report came back with clear tumor margins although some margins were narrow (0.1cm). The surgeon said this is considered R0 resection. The tumor was 3 x 3 x 1.5 cm and originated from the common bile duct and invaded into the liver parenchyma. There was no malignancy found in the 5 lymph nodes removed. However, there was occasional lymphovacular permeation found around her tumor in the liver. Based on this, the surgeon said this is stage 2 cancer and my mother would have a 50% chance of recurrence rate.
As a overly worried daughter, I was trying to find other relevant information and hope to decrease her chance of recurrence. I found that some of you have received chemo and/or radiation after surgery as adjuvant therapy. Even with this, the cancer came back for some of you. What are your thoughts on this? Right now, my mother does not know of her 50/50 chance simply because we want her to live happily. If she was told, she would get so scared and her quality of life would be affected tremendously. If we tell her about adjuvant therapy, she would have to be told of her prognosis. Her surgeon thinks that chemo/radiation would not lower her recurrance rate and might scare her from it if her cancer comes back.
Your thoughtful advice would be greatly appreciated.