Doctor insights on:
Nodules On Colon
I have numerous lung nodules. Colon resection done 7/2011. Cancer in mass and 2 lymph nodes. New scan shows numerous nodles in both lungs (very small), largest is a 7.0mm and too close to artery. My CEA is 5.6 and suv is 2. What do u think?
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
On a CT report radiologist states 'Nodules" in a metastic colon cancer patient. Why would He not put any measurements?
You are right,: There should be some measurements, except perhaps if the nodules have been described on prior CT reports, are a known finding, and are unchanged. ...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 more
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?
HEMICOLECTOMY: SHORT ANSWER. NO. USUALLY THEY REMOVE PART OF THE COLON AND RECONNECT IT ...Read more
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 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
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
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
Had colonoscopy, impressions were nodular mucosa in rectum. Ileum/colon normal. Given Flagyl. Biopsy results pending. Could this be cancer? I'm 36/F.
Biopsy: The diagnostic gold standard for colon disease is the biopsy. I suggest getting a written pathology report of the biopsy taken. ...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.]
What is prognosis like for colon cancer pt with 1 liver met, 1 node and 0.5 lung nodule? Primary was resected last year. Cea 10. Bloodwork normal?
Prognosis: Prognosis is determined at time of diagnosis/treatment. Seems cancer is/was stage 4, which has a shorter prognosis than stage 1. If stage 4 is NEW, newly discovered liver metastasis, then prognosis will be negatively impacted compared to a year ago. Regardless of prognosis, talk with your docs. Take friend/family with you to appointments to help with understanding. Treatments exist. Be well. ...Read more
Afraid so: Given the circumstances you described the lung nodule would be presumed to be a met unless proven otherwise. Does the person have liver mets? If yes, then the lung nodule is more likely to be met. ...Read more
If a lung nodule remains unchanged on the three month CT scan, it's less likely a met right in a colon cancer or?
Less likely but!: Pulmonary nodules that are stable by CT fit 2 yrs are benign. 3 months is not long enough to be certain. More follow up needed. ...Read more
If chemotherapy treatment fails for metastic colon cancer pt, what else can be done for a liver met, 1 node and a tiny lung nodule?
Remove lung lesion: At age 34 attempt at cure should be made. If liver met small and primary already out, liver met to be resected or microwave ablated. Usually chemo is only of temporary value and if all fails, the FDA protocol for monoclonal antibody Neo102 is available for treatment of metastatic colon cancer having failed chemo. The small node and lung lesion can be removed by laparoscopy/thoracoscopy. ...Read more
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
CT - 5.8x6.4cm rnd complex cystic mass in posterior pelvis inseparable from adjacent sigmoid colon. Demonstrates lobulated enhancing nodule centrally.
Not sure: A posterior pelvic complex cystic mass in a 65-year-old woman can have many potential causes. This needs to be checked out to find the actual cause and to consider treatment options. You should see a gastroenterologist for further evaluation, if you're not already seeing one. ...Read more