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Doctor insights on: Colon Cancer Lymph Nodes

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Dr. Barry Rosen
4,344 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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Is colon cancer stage 3b pt4a pn1c, no lymph nodes involvement curable?

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. ...Read more

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Colon cancer: pathology report says pt4a pn1c. And it also says no lymph nodes involved, how could that be?

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 more

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

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

Characteristics: These are all characteristics we use to determine the aggressiveness of a cancer.

These dictate to us, if and which chemotherapy should be used and other treatments and follow ups accordingly.

The features you describe should all warrant a consultation with an oncologist. ...Read more

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In stage III colon cancer what is the significance of spread to 2 of 17 lymph nodes? What are lymph nodes?

Significant: Cancers spread by either blood vessels or lymphatic pathways. Lymph nodes are collections of tissue along the lymphatic pathways, and are common places for tumor particles to start to grow. Your oncologist can discuss it in detail as to other measures you need to take, such as chemotherapy, radiation, more surgery, or some combination of all of the above. ...Read more

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I think I might have colon cancer. Is it possible for colon cancer to spread to the lymph nodes in my neck? If so how likely? I'm 18 years old. Female

I think I might have colon cancer. Is it possible for colon cancer to spread to the lymph nodes in my neck? If so how likely? I'm 18 years old. Female

Not Very Likely: Given your age it is highly unlikely you have colon cancer. Major factors that increase the risk of colon cancer include family history, age, and inflammatory bowel disease. Most common cause of swollen lymph nodes in neck are a recent viral or bacterial infection. See your doctor if you are concerned or have concerning gastrointestinal complaints. ...Read more

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My mother has stage IV colon cancer that has mestitized to the liver. She has 15 tumors in liver with spots in her lungs and lymph nodes. Prognosis?

My mother has stage IV colon cancer that has mestitized to the liver. She has 15 tumors in liver with spots in her lungs and lymph nodes. Prognosis?

Stage IV colon cance: Your mohter's cancer is stage iv.

Please refer to the table on this page for survival data:

http://www. Cancer. Org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-survival-rates

i am so sorry to hear that you are going through this terrible time. ...Read more

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Can you successfully treat a recurrent colon cancer? This is my mothers third time. Had all lymph nodes removed after first surgery I

Colon cancer: It appears your mother's colon cancer has been recurrent over a period of years, meaning it is not likely to cure her microscopic disease. That said, her disease can be managed for as long as individual foci can be targetted and more widespread disease cannot be controlled. There is no exact timeline on that, but regular follow up with her doctors should monitor her status/control/progression. ...Read more

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What are typical colon cancer symptoms that most patients have? Do all cancer patients have swollen, painful lymph nodes?

What are typical colon cancer symptoms that most patients have? Do all cancer patients have swollen, painful lymph nodes?

Here are some. ..: Does this question pertain to you? If yes, it is much less likely happening to one at 20. The common symptoms related with colon cancer are changed habit of BM without traceable foods indigestion, bloody in or on stool, but most patients would not have any symptoms at all in its early stage. Besides, it related LN enlargement presents in mesentery, not outside. More? Ask doctors timely. ...Read more

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If chemotherapy fails what options lfd metastic colon cancer? Mets to liver, peritoneal, lymph node?

Experimental therapy: Some cancer centers do research on patients with aggressive cancers or cancers who do not respond to usual treatment.

Although after chemotherapy, there are not very many options and people would like to keep patients as comfortable as possible.

Hope it is helpful. ...Read more

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Swollen lymph nods stomach pains lump on rib cage under right breast loose stools feeling of pressure top right stomach 22 year old. .. Colon cancer?

Not likely: It is very unlikely that you have colon cancer, however, persistently swollen lymph nodes are a cause for concern and you should consult your doctor for a work-up and explanation for the symptoms. ...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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If left untreated, how long does a person have to live with colon and lymph node cancer?

If left untreated, how long does a person have to live with colon and lymph node cancer?

Can't tell: ...But if the cancer has not spread beyond the lymph nodes, it is still curable. We respect patient's decisions regarding treatment choices but I wonder why someone in these circumstances would prefer to go untreated. If this is about you, please think about it well. ...Read more

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I am not constipated but at the end of my bm I feel that there`s a part that won`t come out. Can a 23 year old have colon cancer?

I am not constipated but at the end of my bm I feel that there`s a part that won`t come out. Can a 23 year old have colon cancer?

Yes: It would be inordinately uncommon, but a 23 year old can have colon cancer. To be sure you are not missing anything, see a doctor and be examined. ...Read more

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What are you chances of having colon cancer in your 30's compared to a younger age?

What are you chances of having colon cancer in your 30's compared to a younger age?

Depends: Depends on familial risks of colon cancer and any inherited disorders linked to the possibility of colon cancer such as polyposis conditions. Generally, risks of colon cancer are higher after age 50. A cleveland clinic site states that less than 2% of colon cancer occurs under age 40. Even less common to have colon cancer in age 30's or younger. ...Read more

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If a person in their mid 30's were to get colon cancer would it almost always be due to a hereditary form of cancer compared to sporadic?

Maybe: Some hereditary factors increase colon cancer risks such as some types of colitis (ulcerative colitis, crohn's disease), familial polyposis, hnpcc, lynch syndrome, etc. But younger people can get spontaneous colon cancers too. Get a referral to a gastroenterologist as indicated. Most colon cancer occurs after age 50, and reported 8-10 people per 100, 000 get colon cancer under age 50. ...Read more

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My grandmothers mom had colon cancer in her 70's. My grandmother is still alive and mom has no risks but should we be screened early because of this?

My grandmothers mom had colon cancer in her 70's. My grandmother is still alive and mom has no risks but should we be screened early because of this?

Take a test: Because your grandmother had colon cancer, your mother is considered to be at risk and since I suspect she is in her 50's, she should have a screening colonoscopy. There are on-line risk assessment tools for risk for colon cancer - you might try the test located at the following url: http://digestive. Ccf. Org/. ...Read more

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Grandmother died of colon cancer in her 70s. Granddaughter has had 3 clean colonoscopies in her 50 s. How often should I be screened?

Grandmother died of colon cancer in her 70s. Granddaughter has had 3 clean colonoscopies in her 50 s. How often should I be screened?

Yes, over 50: Every one over 50 years should undergo colonoscopy. If there is a history of colon cancer in the family, it can be done earlier. The biggest discomfort is the bowel prep to get ready for test. If you don't want a colonoscopy, it can be done by ct scans and performing virtual colonoscopy. Early colon cancer usually begins as a polyp and is curable. Colonoscopy is generally repeated every 5 years. ...Read more

Dr. Hirenkumar Italia
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


Dr. Mark Ingerman
12 Doctors shared insights

Colonic (Definition)

This is a combining term referring to some condition, treatment or disease of the colon. Such as colonic enema, colonic ...Read more