Doctor insights on:
Colon Cancer 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
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
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
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
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
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
What does n1c means in colon cancer? What does it mean depostits of tumor but without lymph nodes involvement
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
What stage colon cancer is it if 9 out of 16 lymph nodes involved and is it curable with chemotherapy?
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
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:
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
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
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
Does a delay of 3 months before starting chemo affect the survival statistics in stage 3 colon cancer? 2 lymph nodes involved.
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
Does apple core stricture with mass and few lymph nodes on ct always mean a colon cancer diagnosis or other possible differential diagnosis?
Likely: But you need a biopsy. Nothing is for sure ...Read more
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
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
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
If chemotherapy fails what options lfd metastic colon cancer? Mets to liver, peritoneal, lymph node?
My Immature Gran is 0.7 Lymph 14.7monocyte 10.1 History of colon cancer but no trace recent 3 years. Fell OK except for fatigue?
Glad to hear: This blood wrk des not bother me. Be thankful for good health. ...Read more
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
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?
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
So many variables: Too many variables to give you a pertinent answer. Consult your oncologist to help you with clinical decisions ...Read more
What kind of mets:
It depends what kind of metastases we are talking about.
if the spread to the lymph nodes, surgery and chemotherapy, and possible radiation therapy could be very helpful.
if the spread to the liver the prognosis is less optimistic, unless the metastases are able to be resected.
other metastases are less promising in spite of chemotherapy and radiation therapy. Like bone and brain. ...Read more
Colon mets: Not having your chart and you in front of me makes it very hard to give you an accurate idea on prognosis. When chemo is started, that means your CA cells have gone beyond the boundaries which would have made txing it simple. The simpler the tx, the better the prgns. The harder the tx, the worse the prgns. On a positive note, f/u with your docs, stay faithful, and you might get a pleasant surprise ...Read more
Is being diagnosed with stage 4 colon cancer and being a diagnosed with stage 2 but having a recurrence later the same in terms if prognosis?
Prognosis is stage: It is stage-dependent. Once the Cancer has relapsed the prognosis is bad as the disease is typically fatal. As long as it remains stage-2, there is hope for a better prognosis as long as the disease is not visibly present. In one individual the prognosis and outcome is ultimately same although numerically speaking survival is longer as long as the Cancer has not shown up in the tests. ...Read more
Staging & treat soon: Staging addresses prognosis--based on tumor depth of local invasion through colon & spread of tumor (metastasis) to sites distant from primary mass. Histology (microscopic typing), genetic factors (polyposis syndromes), age of onset, co-morbidities, completeness of removal, & environmental factors (for example Aspirin increase survivability) all play roles. Early detection & removal is key here. ...Read more
See below: Colon cancer stage depends on how deep the cancer invades through the intestinal layers, if the cancer spread to lymph nodes, or if the cancer spread to other organs. Pathology helps determine the stage after surgical removal. Stage 1 best over 90% survival, stage 2 about 80% survival, stage 3 about 60% survival & stage 4 about 40% survival. Numbers very rough and each person responds differently. ...Read more