Post operative chemo , following full stomach removal

My operation to remove  the tumour at the Goj junction was successful,  although full stomach removal , all signs cancer removed, and only evidence in 2 out of 21 lymph nodes .

Staging described as T1 after pre op chemo.

Problem , I am really suffering with post op chemo , bedridden most days really nauseous. They reduced dosage to 60%, but I'm really weak.

I know post op chemo is more insurance policy , and somepatients do not even have it.

What is the %risk diference if I stop at 2 and not have 4 cycles post op.

I have been advised risk is minimal just 1 or 2 %, if i stop at 2 and not 4.

Do you have any research I can consider or views on, So i can make a uniformed decision. 

The diference in risk %wise between 2 and 4 cycles

How many people %wise do not have any post op chemo.

How many % do not have all cycles.

My full Gastrectomy was 4 months ago.

  • Hello and thanks for posting

    I'm sorry to read about the challenges you're facing following your surgery and chemotherapy. It's completely understandable to feel uncertain about continuing with your full course of postoperative chemotherapy especially given the side effects you are experiencing.

    People often ask about the risks and benefits from their treatment because they are trying to make a decision on whether to continue with it. I'm afraid we don't have the statistics you've asked for. But the best person to advise you further on this is your specialist team who are familiar with all your medical details.

    It sounds like you had some discussion with your team as you mention they told you that your risk is minimal just 1 or 2 %, if you stop at 2 chemotherapy sessions instead of 4.

    Making a decision on whether to continue with chemotherapy when it has been explained to you that only 1 or 2% of people would benefit is difficult. No one can say if you will be the one who benefits. This is why decisions like this are so difficult and a lot of people struggle with them.

    Many people experience some degree of uncertainty about decision making and inevitably, there is the possibility of regretting whatever you decide. I think your own attitude to having cancer needs to be taken into account, by which I mean how comfortable you will be in the future with your decision.

    Some people worry a lot about their cancer coming back and going forward, they find the idea of having more treatment reassuring. Others are able to focus on the odds being in their favour and don't feel the additional benefit is offset by the side effects of their treatment. You may find it helpful to get in touch with your hospital team if it will help to talk things over with them again. 

    If you want to talk anything over, please do give us a call. Our number is Freephone 0808 800 4040 and the lines are open from 9-5, Mon-Fri. 

    Kind regards, 

    Celene