Doctor insights on:
Lymph Nodes Cancer Treatment
Staging / treatment: Lymph node removal might be part of surgical management, for instance in head/neck cancers. But examination of lymph nodes is also important for staging purposes, to see if the tumor has spread to the lymph nodes. The stage of a cancer indicates whether a tumor is early or advanced, and oncologists use this information to determine what the appropriate therapy should be. ...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
What is cure rate for testicular mixed (ec + yolk) cancer stage iiia (few enlarged retroperit. Lymph nodes max 2.5 CM and two small lung nodes <6mm)?
67y.o. Otherwise healthy male with oral cancer in jaw bone, gums, and lymph nodes. Generally speaking, what is the five year "cure" rate for that?
Just had a total thyroidectomy and 10 days after rai treatment for papillary cancer body scan revealed that the lymph nodes are affected on left side.?
It's ok: If it lights up on post treatment wbs, that means it's getting kill. Give it time. Follow your doc advise. The followup lab and wbs will determine if the rai worked. Good luck. ...Read more
I found another lump on left side of neck, how likely is cancer still roaming my body after thyroidectomy w/rt lymph node removal and i121 treatment?
A new lump in your neck with your history of lymph nodes and thyroidectomy needs you to go back to your doctor and/or surgeon as quickly as possible.
It is not always possible to get a swift appointment to busy doctors but don't be shy! ...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
July 2010 our sweet precious33 yr daughter was diagnosed with cervical cancer that has metastasized to her lymph nodes & brain. Our daughter lives in another city now getting treatment & was in another state when she got her 1st treatment and has been thr
I am sorry that your daughter's disease has progressed and that she is still in pain.
I suggest she see a good pain medicine doctor, preferably one who was trained as an anesthesiologist. There is something called an intrathecal pain pump. It is implanted under the skin of the stomach and a catheter is tunneled under the skin directly into the fluid around the spinal cord. It slowly puts pain medicine directly around the spinal cord similar to how women get an epidural for pain during child birth. This can sometimes control pain that is difficult to control with oral, intravenous, or skin-patch narcotics and a randomized trial comparing intrathecal pain pumps to these other medicines also suggested that people with the pumps live a bit longer, probably due to less side effects from the pain medicine. Patients can walk and do their normal activity with the pump, but there can be side effects and an experienced doctor is needed to place and manage the pump.
There is also a possibility that some of her pain could be controlled with radiation to the back if the pain is from tumor in the spine and that a short course of radiation could help shrink or slow down growth of her neck tumor.
I wish you the best. ...Read more
Non small cell lung cancer stage 111a. Had lobectomy but cancer remains in chest wall and lymph node. What is life expectancy without treatment?
Variable outcomes: It is not entirely clear whether your cancer is truly stage-3A (it means completely resected, no residual cancer left behind). If there is indeed some tumor left behind in the chest wall, then there is high risk of recurrence which will likely cause you problems within 6 to 12 months. This can be controlled with radiotherapy combined with chemotherapy. So you should reconsider your decision. ...Read more
Can you have adeno and squamous lung cancer at the same time? What is the significance for treatment? 2 biopsies --- one from main lung mass showing squamous, one from lymph node showing adeno.
Yes...: It is possible that there are two different cancers. It may also be that the primary tumor is a combination of the two (adenosquamous) and the biopsy only sampled one part. Adenosquamous tumors contain adenocarcinoma and squamous cell carcinoma. And either or both types of cancer may spread to lymph nodes. ...Read more
Survival rate for triple neg receptors for early stage breast cancer after chemo treatment? No lymph nodes involve, stage 1b, grade 2, mastec done
Excellent: According to adjuvant online (www. Adjuvantonline. Com), you have about an 82% 10 yr survival rate based on your specific information provided. This is only an estimate since there are details I do not have such as type of chemotherapy being used. For triple negative breast cancer, these survival rates are quite excellent. ...Read more
Right breast cancer, no lymph node taken out. Had mastectomy, clear margins, 1.2 cm tumor, mitotic rate 1, grade 1, total score 5. Treatment recommend?
Watch: If mastectomy performed, no RT needed. The chance of nodal involvement appearing later is a possibility. It seems when tumor spreads to lymph nodes, the disease remains in the lymph node chain and will not metastasize to other organs such as lung, liver, or bone. When nodes are left to expand, they extend to level 3 nodes, then eventually impinge on axillary vein, a reason for resection. ...Read more
Stage 2 invasive duct Breast cancer that spread to lobule. Doing MRI on other side to see if there is cancer there. Might be in lymph nodes does stage change if it is in lymph nodes and other breast too? What is usual treatment? Thanks
You have asked a thoughtful and important question. That has to be answered by a qualified oncologist. It is complicated and depends on protocols and full knowledge of your situation. If you are not sure of an answer from one oncologist get a second opinion from another.
I am not an oncologist and not qualified to give the answer you deserve. ...Read more
Stage four throat cancer spread to lymph nodes. Smoker and heroin user. Inoperable, no treatment at all. Life expectancy?
No clear answer: Would seek out a palliative care doctor who could help making whatever time is available more comfortable and meaningful. Sorry that cannot be of more help. ...Read more
Sounds like he's: Looking for evidence, but the only proof is a biopsy. Ct-scans reveal lumps, in lungs or the mediastinum, wher the heart, swallowing tube and lymph nodes live. Size and architecture point to or against cancer. Pet/ct follows a biopsy. They must know that there is cancer first, then look for the legitimate treatments. ...Read more
Monitoring Centers: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
Could cancer metastase to distant regional lymph nodes before it metastase to the nearby lymph nodes?
No: Tumors metastasize to regional nodes before distant nodes, but what goes to nodal disease only stays nodal. When breast spreads to nodes, one pos. Axillary node is said to have better prognosis that 10 nodes. This is not due to # nodes but more nodes means primary has been spreading over a longer period of time. If axilla speads it is only to supraclavicular nodes and no other site. ...Read more
High risk: Bladder cancer found to be in the lymph nodes at the time of bladder removal is considered "advanced" and 5 year survival estimates are on the order of 25-30%. However, some patients with relatively little involvement of the nodes can experience prolonged survival, if not cure, from thorough surgical removal of lymph node tissue at the time of surgery for bladder removal. Chemotherapy may help. ...Read more
Metastasis: Many cancers spread to lymph nodes that are in the chest or directly to the lungs themselves. The enlarging tumors compress vital structures including the lungs themselves, arterial supply or venous return to or from the lungs which may fill with fluid. The common denominator is that gas exchange becomes impaired so the blood oxygen level falls. ...Read more
Is it possible to have several palpable bilateral supraclavicular lymph nodes and not be related to cancer?
Does abnormal or reactive lymph nodes mean cancer? How common would a lymphatic cancer be in an 18 year old?
I have just received results of the biopsy of four lymph nodes after a lobectomy. One has cancer, how serious is this?
Lung CA? Not good: I assume you are talking lung cancer, no? It is usually bad news to have lung cancer to begin with, and having a positive node makes things worse. Still, if you had surgery, I assume there was no definite evidence of spread so you have a fighting chance. It is possible your doctor will offer you post operative chemo. Have a good talk with him/her. Good luck and God bless. ...Read more
Please be seen: Any swelling of nodes in the groin need to be explained. Even insect bites on your lower leg can make nodes enlarge. Of course other issues need to be considered, depending on the full history and physical your doctor completes. Good luck. ...Read more