Question 1

does a delay of 3 months before starting chemo affect the survival statistics in stage 3 colon cancer? 2 lymph nodes involved.

Accepted Answer

Yes: Any delay over 56 days has been shown to decrease survival rates.

Question 2

why are tumor deposits in colon cancer considered as lymph nodes when there are no lymphovascular invasion, because of td it's becoming a stage 3?

Accepted Answer

Local spread: If the tumor deposits are located away from the main primary, then most authorities consider them to be equivalent to a positive lymph node(s).  Most likely these deposits got there via lymphovascular invasion even if the pathologist could not see that histologically on the slides.  The ajcc also considers discontinous tumor deposits as n1c in the pathological staging system.

Question 3

i have stage iii colon cancer with 2 lymph nodes involved. i was too weak to go through chemo, but now  after 6 months, am i sure to get it again?

Accepted Answer

Stage 3 colon cancer: Nothing is 100% for sure.  Discuss this with your surgeon to get the facts in your case.  Everyone is different.

Question 4

how quickly colon cancer is spreading from lymph nodes to other organs?

Accepted Answer

Highly variable: Each person is different and there is no set time or schedule where colon cancer may or may not spread to lymph nodes or to other organs. Some small colon cancers will spread early and other cancers will grow large and not spread.

Question 5

how fast can colon cancer be spreading from lymph nodes to other organs?

Accepted Answer

Unknown: Highly variable from one person to the next. It likely depends on the cell type and cancer dna that can vary between each person. Some cancer types are more likely to spread than others.

Question 6

after resection of colon cancer with few lymph node involvement, what next?

Accepted Answer

Chemotherapy: So stage 3 disease or lymph node involvement needs adjuvant chemotherapy.  I also like to get a baseline ct scan of the abdomen and pelvis. The standard chemotherapy would be a regimen called folfox which is folinic acid, 5-fu, and oxaliplatin.  The treatment is given every 2 weeks for 12 treatments or 6 months.  Hope this helps.

Question 7

what other treatment that folfox for 6 months do you reccomend for someone with a stage 3b colon cancer t4 , n1c without lymph nodes involvement? any o

Accepted Answer

Tough one: Well if it is n1, than lymph nodes are positive. If n0 that means lymph nodes are clear or negative. I think folfox 6 months is usually given for stage 3 (lymph node +) disease.  Ilook at age, family history, grade of tumor, lvi, oncotype recurrence score if MMR +, perforation or not and if pt really high risk, than 2 years of Xeloda (capecitabine) as risk of relapse is high in first 2 yrs. It is not standard.

Question 8

does colon cancer spread to neck if lymph nodes are negative?

Accepted Answer

It could: Cancer can spread through the bloodstream to most any part of the body bypassing the lymphatic system, so the answer is yes, in theory it is possible.  That said, colon cancer loves the liver and it would be uncommon to go to the neck (i'm assuming you mean neck nodes) only.

Question 9

is colon cancer stage 3b pt4a pn1c, no lymph nodes involvement curable?

Accepted Answer

Yes: Stage 3b usually means lymph nodes are involved, so i think your information might not be entirely accurate. However, even stage 3b colon cancer can be treated with surgery and chemotherapy and the chances of cure are good.

Question 10

what does n1c means in colon cancer?  what does it mean depostits of tumor but without lymph nodes involvement

Accepted Answer

Stage III: Means there are small deposits of cancer (separate from the primary cancer) in the mesentery or the tissues surrounding the colon.  Nodes are negative but is nonetheless a stage iii and should be worked up and treated as such. Best regards.

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Doctor answers about:

Colon cancer lymph nodes

A member asked:

Does a delay of 3 months before starting chemo affect the survival statistics in stage 3 colon cancer? 2 lymph nodes involved.

A member asked:

Why are tumor deposits in colon cancer considered as lymph nodes when there are no lymphovascular invasion, because of td it's becoming a stage 3?

A member asked:

I have stage iii colon cancer with 2 lymph nodes involved. i was too weak to go through chemo, but now after 6 months, am i sure to get it again?

A member asked:

How quickly colon cancer is spreading from lymph nodes to other organs?

A member asked:

How fast can colon cancer be spreading from lymph nodes to other organs?

A member asked:

After resection of colon cancer with few lymph node involvement, what next?

A member asked:

What other treatment that folfox for 6 months do you reccomend for someone with a stage 3b colon cancer t4 , n1c without lymph nodes involvement? any o

A member asked:

Does colon cancer spread to neck if lymph nodes are negative?

A member asked:

Is colon cancer stage 3b pt4a pn1c, no lymph nodes involvement curable?

A member asked:

What does n1c means in colon cancer? what does it mean depostits of tumor but without lymph nodes involvement

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