Doctor insights on:
Colon Cancer Lymph Nodes
Does a delay of 3 months before starting chemo affect the survival statistics in stage 3 colon cancer? 2 lymph nodes involved.
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 as risk of relapse is high in first 2 yrs. It is not standard. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
Colon cancer: pathology report says pt4a pn1c. And it also says no lymph nodes involved, how could that be?
Not in lymph nodes: In general, the 'N' of a tumor staging report refers to involvement of lymph nodes, and anything that isn't 'N-0 (zero)' usually means there are lymph nodes involved by tumor. However, 'N' staging is different for every organ site . In the colon, the N1c stage specifically refers to there being tumor deposits in the fat outside of the colon wall, but not in the lymph nodes themselves. ...Read moreSee 2 more doctor answers
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