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Doctor insights on: Colon Cancer Lung Nodule

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Is a 0.5 CM lung nodule in colon cancer pt regarded a small? Can it be ablated?

Is a 0.5 CM lung nodule in colon cancer pt regarded a small? Can it be ablated?

Depends on what: The nodule is. If the nodule is a met from colon cancer, then ablating this apparent solitary nodule is not likely to affect the course of the disease. Calling is small or large is not relevant, the nature of the lesions needs to be ascertained. ...Read more

Dr. Barry Rosen
4,351 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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If chemotherapy fails, and there is a tiny new lung nodule, 1 liver met and 1 node can anything b done in colon cancer pt aged 65?

If chemotherapy fails, and there is a tiny new lung nodule, 1 liver met and 1 node can anything b done in colon cancer pt aged 65?

Sometimes: Depending on co-morbidities and surgical risk, some studies have shown survival benefit with surgical resection of metastatic lesions. Consult with cancer surgeon. ...Read more

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What is prognosis like for colon cancer pt with 1 liver met, 1 node and 0.5 lung nodule? Primary was resected last year. Cea 10. Bloodwork normal?

What is prognosis like for colon cancer pt with 1 liver met, 1 node and 0.5 lung nodule? Primary was resected last year. Cea 10. Bloodwork normal?

Prognosis: Prognosis is determined at time of diagnosis/treatment. Seems cancer is/was stage 4, which has a shorter prognosis than stage 1. If stage 4 is NEW, newly discovered liver metastasis, then prognosis will be negatively impacted compared to a year ago. Regardless of prognosis, talk with your docs. Take friend/family with you to appointments to help with understanding. Treatments exist. Be well. ...Read more

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In colon cancer person can a 0.5 CM lung nodule be a met? This was seen on a ct Scan.

In colon cancer person can a 0.5 CM lung nodule be a met? This was seen on a ct Scan.

Afraid so: Given the circumstances you described the lung nodule would be presumed to be a met unless proven otherwise. Does the person have liver mets? If yes, then the lung nodule is more likely to be met. ...Read more

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If a lung nodule remains unchanged on the three month CT scan, it's less likely a met right in a colon cancer or?

If a lung nodule remains unchanged on the three month CT scan, it's less likely a met right in a colon cancer or?

Less likely but!: Pulmonary nodules that are stable by CT fit 2 yrs are benign. 3 months is not long enough to be certain. More follow up needed. ...Read more

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If chemotherapy treatment fails for metastic colon cancer pt, what else can be done for a liver met, 1 node and a tiny lung nodule?

If chemotherapy treatment fails for metastic colon cancer pt, what else can be done for a liver met, 1 node and a tiny lung nodule?

Remove lung lesion: At age 34 attempt at cure should be made. If liver met small and primary already out, liver met to be resected or microwave ablated. Usually chemo is only of temporary value and if all fails, the FDA protocol for monoclonal antibody Neo102 is available for treatment of metastatic colon cancer having failed chemo. The small node and lung lesion can be removed by laparoscopy/thoracoscopy. ...Read more

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Can anything b done for a liver met, 1 lung nodule and a lypmph node if chemo fails? Does this mean no treatment for colon cancer pt? Primary removed

Can anything b done for a liver met, 1 lung nodule and a lypmph node if chemo fails? Does this mean no treatment for colon cancer pt? Primary removed

Metastatic colon CA: Typically, metastatic cancer (cancer that has spread to organs/areas beyond where it started) is considered incurable. There are some exceptions; if colon cancer has a single metastasis to the liver OR a lung, then chemotherapy & surgical removal of the met might be successful (perhaps 50%).For more than one organ, chances are less, & treatment frequently shifts towards comfort if chances poor/none. ...Read more

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I had colon cancer three years ago, now nodule on left lung. Could it be cancer again?

I had colon cancer three years ago, now nodule on left lung. Could it be cancer again?

Yes: Depending on the Dukes classification as to extent of tumor into bowel wall and number of lymph nodes involved the chances of a lung lesion being metastasis is a possibility. A PET/CAT will help identify the lesion as met or not. If neg. Careful follow up and possible biopsy might be necessary. ...Read more

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I have a 4x3mm sub plural nodule lower right lobe w/family history of lung and colon cancer. Should I get further testing?

What were you told?: These little nodules are extremely common especially in areas where histoplasmosis is endemic, like my home in Kansas. If you look hard enough, probably a majority of folks have them. Unless your radiologist recommends an attempt at a biopsy, I'd forget about it or as maximum monitor it by imaging. There's really no test except biospy; and it's too small to hit easily with a needle. ...Read more

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Is it unusual for colon cancer to spread to the lungs?

Is it unusual for colon cancer to spread to the lungs?

No: After the liver, the lungs are the most common distant site of colorectal metastases. In selected patients, removal of such lesions may be indicated and lead to increased survival. ...Read more

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How to identify the risk factors (determinants) of lung cancer, aids, &colon cancer?

How to identify the risk factors (determinants) of lung cancer, aids, &colon cancer?

Lifestyle choices: Cigarette smoking, promiscuous unprotected sex, and low fiber diet or positve family history are simple answers for your listed afflictions, respectively. Screening tests for lung cancer (CT chest), and colon cancer (colonoscopy) are available. Check the American Cancer Society website to determine if you fit the appropriate category to have these exams. ...Read more

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Is nano knife a good option to remove mets from Colon cancer? Mets are- 1 in liver, 1 node, 1 sub pleural nodule. All small and chemo Not Worked.

Is nano knife a good option to remove mets from Colon cancer? Mets are- 1 in liver, 1 node, 1 sub pleural nodule. All small and chemo Not Worked.

Only certain lesions: Mets from colon cancer when smaller than 5 cm and exta hepatic in orign are good targets for nano knofe therapy. In the liver when there is no response to chemo one has many options including chemoembolization, isotope infusion or infusion with rasiolabelled microspheres. When chemo fails one can also add the newer immunotherapeutic agents. ...Read more

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What are the chances of surviving colon cancer that has spread to liver, kidney and lungs?

What are the chances of surviving colon cancer that has spread to liver, kidney and lungs?

Poor: When one finds metastasis to multiple sites from a primary colon cancer the lesion was probably detected late in its development. If the patient is in good condition the primary if not resected should be removed. Chemo with FOLFOX and possibly avastin (bevacizumab) should be attempted. Kidney lesions are extremely rare but can respond to chemo and if causing complication should be resected. ...Read more

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If a person with colon cancer has a liver met, 1 node and 1. 0.5 mm nodule In lobe, what is approx prognosis? Primary removed last yr

If a person with colon cancer has a liver met, 1 node and 1. 0.5 mm nodule In lobe, what is approx prognosis? Primary removed last yr

Not good: Once a cancer had metastasized, it becomes inoperable and the only way to slow it down is with either radiation and or chemotherapy when these treatments work. Ultimately the treatment itself produces immunosuppression and makes the patient susceptible to infection which is often the actual cause of death. All these variables impact the length of survival. ...Read more

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Colon cancer with cancer in liver, lungs sacrum and spine?

Colon cancer with cancer in liver, lungs sacrum and spine?

Stage of cancer: This sounds very serious. Cancer is staged to help understand the treatments and expectations for success with treatment, part of the risk/benefit analysis. Stage 4 is cancer that has spread or progressed significantly outside the organ where it started. Stage 1, 2, 3 and 4 have diminishing expectations for treatment success. Take a friend with you to next appointment. You have choices. Be well. ...Read more

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Chances of metastasis to lung of stage II colon cancer?

Chances of metastasis to lung of stage II colon cancer?

Low but not zero: Stage ii colon cancer means no lymph node involvement by definition, but inadequate lymph node sampling (surgical resection) may "understage" the cancer, so make sure enough ln were taken -minimum of 12! even with appropriate surgery, mets may still occur, although very unusual, so discuss with your treating docs. A pet/ct may give some reassurance so ask if this can be done. ...Read more

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Is a nodule another name for a met in colon cancer?

Nodule: Nodule is simply a term that denotes a well circumscribed mass. It can be either benign or malignant. ...Read more

Dr. John To Dr. To
1 doctor agreed:
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2 new nodules on a CT report on a colon cancer patient, why are not measurements stated?

Dr. John To Dr. To
1 doctor agreed:
2 new nodules on a CT report on a colon cancer patient, why are not measurements stated?

Complicated: Measurement of lesions at CT is not a trivial task. Measurement in the axial plane in two dimensions may not reflect the volume of the lesion. The measurement is affected by slice thickness and window and level settings. RECIST 1.1 is a standard for tumor measurement, but it seems outdated with modern CT. Development of new lung lesions in high risk colon ca is bad, size willnot affect therapy. ...Read more

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Is it possible to cure stage IV colon cancer that has limited number of mets to lung and liver?

Is it possible to cure stage IV colon cancer that has limited number of mets to lung and liver?

Hmmmm: You know, the terms "stage iv" and "cure" are not usually put in the same sentence by oncologists because in theory, most stage IV cancers are incurable. That said, I have seen a handful of patients who had a limited number of metastases to the liver or lung and are in remission years later after aggressive surgery and chemo. Don't lose hope. Best wishes. ...Read more

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Colon cancer pt with 1 met in liver, 1 node, 1 sub pleural nodule. Chemo resistence. Tried Xeloda (capecitabine) and irinotecan both. Can anyting be done?

Colon cancer pt with 1 met in liver, 1 node, 1 sub pleural nodule. Chemo resistence. Tried Xeloda (capecitabine) and irinotecan both. Can anyting be done?

Try HT Concierge: Marilyn, given your situation, you need more advice that can be given in short answers like this. I would recommend a second opinion in England, In whatever regional center is best. In addition, consider health top concierge. Several excellent oncologists are available by searching. Hang in there! ...Read more

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Colon cancer, primary removed. Now 1 liver met, 1 node n 1 aortocaval nodule. Chemo irinotecan n Xeloda (capecitabine) has not worked. Wats survival few years?

Colon cancer, primary removed. Now 1 liver met, 1 node n 1 aortocaval nodule. Chemo irinotecan n Xeloda (capecitabine) has not worked. Wats survival few years?

Survival is less 6+m: Liver spread could be burnt off-radiofrquency ablation. The aortocaval nodule could not be removed except surgically. You 4th stage. Survival is one to two years. ...Read more

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Can ablation be beneficial for metastic colon cancer with the following : 1 liver met, 1 node, 1 sub plueral nodule? Chemo not worked

STOP!: You need to stop wasting your time and my time. I have answered this question multiple times and you still keep asking about it again and again! . What are you looking for???? ...Read more

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What is the life expectancy of a 78 year old, Stage 4 colon cancer spread to liver and lungs? Having chemotherapy (tablets) but losing weight.

What is the life expectancy of a 78 year old, Stage 4 colon cancer spread to liver and lungs? Having chemotherapy (tablets) but losing weight.

Life expectancy: At 78, with stage IV colon cancer, the survival is about 4-6 months without treatment. With the new treatments combining chemo with biological drugs, survival times are in the range of 24-30 months. With a less aggressive treatment I estimate an AVERAGE survival of 9-12 months. Keep in mind these estimates are just a ball park figure, keep things one month at a time. ...Read more

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My uncl has colon cancer that has spread to his liver and now his lungs. He also has CHF and had half of his colon removed. What is his survival rate?

My uncl has colon cancer that has spread to his liver and now his lungs. He also has CHF and had half of his colon removed. What is his survival rate?

Unfortunately: Not too much, not in years, make him comfortable, now the quality of life is important I end stage cancer disease, not just the patient, family also must participate in the decisions. ...Read more

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Why do lungs fill with fluid in end stage colon cancer?

Why do lungs fill with fluid in end stage colon cancer?

Edema: The end stages of many cancers involve fluid in the lungs which can make breathing difficult. There are many reasons; sometimes the cancer has spread to the lungs but not always. Malnutrition and the general body wasting of cancer also plays a role. ...Read more

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Colon cancer pt. Old ct- nodule on left adrenal gland. (was not met). New ct- new adrenal nodule. Are these the same or diffetent ones, ?

Must compare CT's: The best way to tell if these are the same nodule or if this is a new nodule would be to have the radiologist or your oncologist compare the CT's side-by-side. It may be obvious that they are or are not the same nodule. If it is not obvious, then further testing may be necessary, perhaps even a biopsy of the nodule if it is worrisome. Good luck. ...Read more

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Colon cancer 3yrs ago. Surgery, 2spots was in liver. Chemo for 2yrs. Now z tumor is 15 cm& 7.5 wiz spots in lungs! Fatigue &dysfunction liver. What help?

Colon cancer 3yrs ago. Surgery, 2spots was in liver. Chemo for 2yrs. Now z tumor is 15 cm& 7.5 wiz spots in lungs! Fatigue &dysfunction liver. What help?

NCI: It does not seem as though surgery is an option for you at this time. Body-wide treatment such as chemotherapy is going to be the preferred way to treat this. Seek care at a national cancer institute designated comprehensive cancer center. This will give you the best access to available clinical trials. Another option is to go to the website www. Cancer. Gov and click in the clinical trial link! ...Read more

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On a CT report radiologist states 'Nodules" in a metastic colon cancer patient. Why would He not put any measurements?

On a CT report radiologist states 'Nodules" in a metastic colon cancer patient. Why would He not put any measurements?

You are right,: There should be some measurements, except perhaps if the nodules have been described on prior CT reports, are a known finding, and are unchanged. ...Read more

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My mum, 67, was diagnosed with colon cancer with liver metastases, lesions in lungs and kidneys. Starting folfox tomorrow?? Life expectancy?

Not enough: Need to assess for Kras and Nras mutation IF she is wild type she should receive FOLFIRI and Erbitux

If she has mutation the treatment of choice FOLFOX and Avastin

Life expex 22 - 26 months... If responsive disease can be extended with other agents and survival can extend several years.

New agents add to OS sequencing of therapy is important to extend Overal survival ...Read more

Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


Dr. Louis Gallia
13 Doctors shared insights

Colon (Definition)

The colon is another term for the large intestine. This is the final portion of the digestive system, responsible for absorbing water and storing stool before evacuation. It is divided into sections described as cecum; ascending, transverse, descending and ...Read more