My husband had polyps in his rectum and sigmoid colon. they were taken out by using a snare and were biospied showing to be malignant. he then had another rectal exam and biopsy of the cell walls this showed that the it did not spread into the lymph nodes

Not sure: What is your question. Lymph node status can only be detected possibly with ct or pet scan and surgical specimen removal, that is, after colon &/or rectal resection.

Please See Surgeon: The rx of ca of the rectum is dependent upon the stage and precise location of the tumor. It sounds like your husband underwent an endorectal ultrasound to determine the stage so as to decide if the first step should be surgery or chemotherapy + radiation therapy. Please meet w/a general/colorectal surgeon to clarify the options available. When caught early, there is a high cure rate. Good luck!

Team approach: It would be a good idea to see a multidisciplinary team of doctors (surgeon, radiation oncologist and medical oncologist) before finalizing a treatment plan.

Need further w/u: Your husband will need to have a complete work-up- i.e. At a very minimal to have a ct scan, plus minus a pet scan, and an endoscopic ultrasound for staging purposes. Rectal cancer requires multi disciplinary approaches. He will need to see a medical oncologist, a colorectal surgeon and a radiation oncologist to formulate the plan of care. Good luck.

More evaluation: Colon and rectal carcinoma is one of the most common. Depending on age, stage, and grade of the tumor, a multimodality approach will be used to manage him. Without a pathology report of the grade, extent of invasion, wall involvement, and true lymph node spread, you will need to have a more complete examination. Radiation, surgery, and oncology, with pathology all need to be involved.