Doctor insights on:
Lymphoid Nodule Hyperplysia Colon
A 5mm t1 nodule was removed from my terminal ileum & other colonic polyps were found. Dr said either lymphoid follicles or carcinoid? Please explain.
Entirely different: You have to wait for final report , don't worry for a pathologist it is as easy as distinguishing an apple from orange. Lymphoid follicles are normal lymph tissue common at that site. Rare carcinoid tumors from neuroendocrine cells (nerve cell ) produce systemic symptoms due to histamine & serotonin secretion , if it is you are lucky found it very early stage , you will be fine follow with doctor. ...Read moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
Doctor told me if he finds mor nodules in next colonoscopy I might need to have section of colon removed. Does that mean I would have that bag?
If chemo has not worked , and colon can pt has 1 liver met, 1 aortocaval node , 1 sub pleural nodule, is ablation beneficial. ?
No....: Here is a situation where treatment may be worse than the disease. ...Read more
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
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
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
Colon cancer pt with 1 met in liver , 1 node, 1 sub pleural nodule. Chemo resistence.. Tried Xeloda (capecitabine) and irinotecan both. Can anyting be done ?
Try HT Concierge: Marilyn, given your situation, you need more advice that can be given in short answers like this. I would recommend a second opinion in England, In whatever regional center is best. In addition, consider health top concierge. Several excellent oncologists are available by searching. Hang in there! ...Read more
Colon cancer, primary removed . Now 1 liver met , 1 node n 1 aortocaval nodule . Chemo irinotecan n Xeloda (capecitabine) has not worked. Wats survival few years?
Can ablation be beneficial for metastic colon cancer with the following :
1 liver met , 1 node , 1 sub plueral nodule ?chemo not worked
STOP!: You need to stop wasting your time and my time. I have answered this question multiple times and you still keep asking about it again and again!.. What are you looking for???? ...Read more
If chemotherapy fails , and there is a tiny new lung nodule , 1 liver met and 1 node can anything b done in colon cancer pt aged 65?
Colon cancer pt. old ct- nodule on left adrenal gland. ( was not met). New ct- new adrenal nodule . Are these the same or diffetent ones, ?
Must compare CT's: The best way to tell if these are the same nodule or if this is a new nodule would be to have the radiologist or your oncologist compare the CT's side-by-side. It may be obvious that they are or are not the same nodule. If it is not obvious, then further testing may be necessary, perhaps even a biopsy of the nodule if it is worrisome. Good luck. ...Read more
Just got a CT scan result at er: narrowing of ascending colon above cecum, as well as a spiculated 12x11mm nodule in the rml. What could these mean? [44/male/ex smoker (11 years), no family colon c.]
Both need evaluation: The narrowing can be due to inflammation or malignancy and needs to evaluated by colonoscopy. The lung nodule also needs to be followed if you're a nonsmoker or perhaps even biopsied if you are. It can represent scar, inflammation, or malignancy. ...Read moreSee 1 more doctor answer