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Doctor insights on: Colon Cancer Lymph Nodes

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Dr. Barry Rosen
4,214 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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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?

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?

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. ...Read more

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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?

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?

Maybe not.: Although having disease in the lymph nodes increases the risk the disease is floating in the blood (which is why chemotherapy is effective in improving survival as it kills disease everywhere-including the blood) the relapse rate for stage 3 disease untreated is not 100%. You may still beat it. I would suggest speaking with an oncologist to see if treatment now would be of benefit. ...Read more

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

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

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. ...Read more

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

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

It is relative.: This depends upon the stage of cancer at diagnosis. Colon cancer is staged by the dukes' system. Stages a and b have no lymph mode involvement and so no spread is likely. Stage c patients do better if <5 nodes are involved so those are likely to be slower than those with >5 nodes. Stage d means distant metastasis (organs involved). It is hard to say since people come in at diferent stages. ...Read more

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My husband had a colon tumor removed they got it all but has stage 3 colon cancer 6 of 20 lymph nodes what does this mean?

My husband had a colon tumor removed they got it all but has stage 3 colon cancer 6 of 20 lymph nodes what does this mean?

An excellent website: I am sorry to hear your news. You obviously have been going through a lot. The nih has an excellent, patient friendly website with info about this. See: http://www.Cancer.Gov/cancertopics/pdq/treatment/colon/patient/page2 the site goes on to discuss treatment. He is most likely looking at chemotherapy. Your oncologist should be able to help with the details. Good luck to you both. ...Read more

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

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

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. ...Read more

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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

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

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. ...Read more

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What type and stage could be predicted of a colon cancer that is around 8 CM and not spread to lymph nodes?

Stage 1 or 2: A colon cancer that is confined to the bowel wall, irrespective of size is stage 1 or formerly duke's a. If it grows through the bowel wall, it is stage 2 or the old duke's b. If lymph nodes are involved, it is stage 3 or the old duke's c. Stage 4 or the old duke's d has spread to distant sites. Your described case could be stage 1 or 2. ...Read more

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

Very unlikely: Colon cancer that does not involve lymph nodes should not have neck lymph node involvement. If you recently had surgery you probably had a central catheter placed in your neck for IV administration. This may be the lump you are feeling. Make sure you talk to your doctor at the next visit to have a look. You could also have swelling from the endotrachral tube. ...Read more

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Dr. Eric Kaplan
921 doctors shared insights

Colon Cancer (Definition)

Final few yards of your intestine, between the terminal ileum (small bowell) and rectum. It squeezes water and solidifies waste to stool. It is subject to outpouching (divertics) polyps, and these can become cancers. The cells are abnormal, invade into the muscle and travel ...Read more


Dr. Tiffanie Noonan
1 doctor shared a insight

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