Kathy....you are right with your statement re: adjuvant therapy. It is estimated that 7 of 10 oncologists recommend it however; at this point, we don't have large scale studies providing data in re: to the efficacy of the drugs.
Several adjuvant studies will complete by mid to end of this year and those results will shed more light on the situation.
Porter, sorry for not reading your question correctly. When Kathy underwent the resection 3 1/2 years ago, there was less inclination of administering adjuvant therapy because; there was no evidence that it might work - which drug - which combination of drugs? Many felt that rather than have the patient undergo difficult treatment with unknown results, the conservative approach appeared to be that of no chemo. We also have to remember that we are witnessing a higher increase of resections than that of several years ago in addition to a few targeted drugs available and the increase in radiation treatments for adjuvant therapy. Rarely do we see "debulking" of tumors rather, the approach of shrinking the tumor, resect, and then treat, appears to be in the forefront.
Porter, from what we have seen on this site, adjuvant therapy will begin 6 weeks post surgery if you so choose to do it. You might want to reach out to others and address the question as to why they choose adjuvant therapy.
Kathy, you have done extremely well - no recurrence 3 1/2 years out; that is fantastic.
Hugs to both of you,
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