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Doctor insights on: Lymph Nodule Hyperplysia Colon

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What does it mean lymph nodes negative but 3 nodules found around the tumor , is it possible that other nodules might still be in the colon?

What does it mean lymph nodes negative but 3 nodules found around the tumor , is it possible that other nodules might still be in the colon?

Satellite tumors can: Occur around the primary, but nodes are separate entities. The size, location of the tumor, penetrance through the bowell wall are important. The node dissection and patholgy needs to find > 13 nodes for evaluation; fewer leads to uncertainty. ...Read more

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Dr. Adam Lewis
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


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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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Nodule & polyp found in colon. Wat are these?

Nodule & polyp found in colon. Wat are these?

Ask Pathologist: No way to say without pathological analysis of a tissue specimen. How were the findings discovered? If no sample of the lesions were obtained you would require a colonoscopy to get a sample to find out. ...Read more

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What would you reccommemd for a 49 year old female who has a colonoscopy report fo"100s of nodules" all throughout her colon?

What would you reccommemd for a 49 year old female who has a colonoscopy report fo"100s of nodules" all throughout her colon?

Colectomy??: Was this your first colonoscopy? Did you know of any polyps previously. A colon that contains literally hundreds of polyps (nodules) suggests a genetic syndrome - the problem being that any of these polyps could potentially be precancerous. You need to discuss this with your gastroenterologist right away, as you may need to have the colon removed. ...Read more

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Is a nodule another name for a met in colon cancer ?

Nodule: Nodule is simply a term that denotes a well circumscribed mass. It can be either benign or malignant. ...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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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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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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Colon resection for ca showed 2 lymph nodes involved. What are chances of ca spreading to cirrhortic liver?

Colon resection for ca showed 2 lymph nodes involved.  What are chances of ca spreading to cirrhortic  liver?

Can occur..: But hopefully your colon cancer was found before it could spread to the liver. Colon cancer can spread to the liver in any person, irregardless if you gave cirrhosis or not. See your oncologist to evaluate what the best treatments may be for your specific condition. Blood testing and x-ray tests such as ct, mri, or pet scans are indicated for some people. ...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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In a metastic colon can patient is a nodule in adrenal gland a met ?

It can be: Adrenal nodules are common and are often benign. But several cancers are prone to spread and land in the Adrenal gland as metastatic cancer. This can be determines with the help of PET scan or a biopsy if the nodule is growing in serial CT scan studies. This can be sorted out in 2-3 month time of follow up/repeat study. ...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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What are benign swollen lymph nodes in lower colon?

Colon nodes: It depends on the way these were diagnosed. Benign indicated that a biopsy was done and reviewed under the microscope. If the diagnosis was made on CT, it may have just been "mesenteric adenitis " a relatively incidental finding. ...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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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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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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It has been a year sine colon ca with esld. Was to weak for chemo. What now? Also found lymph node involvement.

It has been a year sine colon ca with esld.  Was to weak for chemo.  What now? Also found lymph node involvement.

Observatoon: I presume that you had a resection and had a positive node. Thus, you had stage 3 cancer. If your liver disease precluded treatment and was not from cancer, you still might be cured. Most of the information on the benefit of preventive chemo suggests that it should be done within 6-8 weeks. It sound like it was not safe and may not help. ...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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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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If a person with colon cancer has a liver met, 1 node and 1. 0.5 mm nodule In lobe , what is approx prognosis ? Primary removed last yr

If a person with colon cancer has a liver met, 1 node and 1. 0.5 mm nodule
In lobe , what is approx prognosis ? Primary removed last yr

Not good: Once a cancer had metastasized, it becomes inoperable and the only way to slow it down is with either radiation and or chemotherapy when these treatments work. Ultimately the treatment itself produces immunosuppression and makes the patient susceptible to infection which is often the actual cause of death. All these variables impact the length of survival. ...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 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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I had colon cancer three years ago, now nodule on left lung. Could it be cancer again?

I had colon cancer three years ago, now nodule on left lung. Could it be cancer again?

Yes: Depending on the Dukes classification as to extent of tumor into bowel wall and number of lymph nodes involved the chances of a lung lesion being metastasis is a possibility. A PET/CAT will help identify the lesion as met or not. If neg. careful follow up and possible biopsy might be necessary. ...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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Is nano knife a good option to remove mets from Colon cancer ? Mets are- 1 in liver , 1 node ,1 sub pleural nodule . All small and chemo Not Worked .

Only certain lesions: Mets from colon cancer when smaller than 5 cm and exta hepatic in orign are good targets for nano knofe therapy. In the liver when there is no response to chemo one has many options including chemoembolization, isotope infusion or infusion with rasiolabelled microspheres. When chemo fails one can also add the newer immunotherapeutic agents. ...Read more

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Is a 0.5 CM lung nodule in colon cancer pt regarded a small ? Can it be ablated ?

Is a 0.5 CM lung nodule in colon cancer pt regarded a small ? Can it be ablated ?

Depends on what: the nodule is. If the nodule is a met from colon cancer, then ablating this apparent solitary nodule is not likely to affect the course of the disease. Calling is small or large is not relevant, the nature of the lesions needs to be ascertained. ...Read more

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I have a 4x3mm sub plural nodule lower right lobe w/family history of lung and colon cancer. Should I get further testing?

What were you told?: These little nodules are extremely common especially in areas where histoplasmosis is endemic, like my home in Kansas. If you look hard enough, probably a majority of folks have them. Unless your radiologist recommends an attempt at a biopsy, I'd forget about it or as maximum monitor it by imaging. There's really no test except biospy; and it's too small to hit easily with a needle. ...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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Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Yes: Chemotherapy regimens based on the drug Fluorouracil (5-fu) have been part of the treatment for high-risk stage ii or stage iii colon cancer. Many clinical trials have shown that these regimens improve overall survival primarily by reducing the high risk of recurrence within the first two years after surgery. ...Read more

Dr. John To Dr. To
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2 new nodules on a CT report on a colon cancer patient , why are not measurements stated?

Dr. John To Dr. To
1 doctor agreed:

Complicated: Measurement of lesions at CT is not a trivial task. Measurement in the axial plane in two dimensions may not reflect the volume of the lesion. The measurement is affected by slice thickness and window and level settings. RECIST 1.1 is a standard for tumor measurement, but it seems outdated with modern CT. Development of new lung lesions in high risk colon ca is bad, size willnot affect therapy. ...Read more

Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


Dr. Sheila Smith
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