Doctor insights on:
When Does Colon Cancer Spread To Lymph Nodes
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 moreSee 1 more doctor answer
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
Local and distant: The most common spread is to local nodes around the esophagus. But the spread, or metastasis can be more distant such as to nodes around the celiac plexus, the region where the blood supply to the stomach arises below the diaphragm. But distant metastasis can be to nodes in the neck, particularly associated with the lymphatic chain that drains into the subclavian vein on left behind clavicle ...Read moreSee 1 more doctor answer
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
Not necessarily: Lymph nodes are one aspect of evaluation for stage and treatment of breast cancer. It depends on size of breast cancer itself, number of lymph nodes involved, hormone status of the tumor, and dna testing can also help identify breast cancer risks. If the lymph node involvement is small, then there is little additioanl risk to the patient. There are many factors involved in assessing breast cancer. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
Absolutely!: Lymph node (ln) involvement implies the presence of cancer cells "elsewhere" in the body. Therefore, the chance for cure is dependent on one's ability to kill these cancer cells thru a combination of chemotherapy & one's immune system. Fortunately, we have many effective drugs to rx breast ca, leading to improved cure rates as compared to even a decade ago. Ln involvement is not a death sentence. ...Read more
Does papillary thyroid carcinoma always spread to the lymph nodes first or can it spread elsewhere first?
Lymph node spread: Pure papillary carcinomas spread to adjacent lymph nodes most of the time , rare to distant organs , and relatively slow growing controllable tumors with good prognosis with treatment (s). ...Read more
It can: The more correct way of looking at this is if colon cancer if found in the lymph nodes at the time of surgery, this suggests that surgery alone may not be able to prevent the disease from spreading elsewhere. Chemotherapy may be needed and also a careful search should be done to see if the cancer has already spread to other places like the liver. ...Read moreSee 1 more doctor answer
See below: Can be stage 2 or higher breast cancer. Would need more information on breast tumor size, cell type, hormone receptors, tumor dna. Will need surgery for lumpectomy & removal of some axillary lymph nodes, chemotherapy, radiation therapy. The oncologist that has all the information can be much more informative. ...Read more
Can oral or oropharyngeal cancer spread to supraclavicular nodes without spreading to other cervical nodes first?
Unusual but possible: As we are taught in fellowship, "tumors don't read text books." supraclavicular nodal metastasis is a distant site, technically stage iv. Usually the pattern is regional spread followed by more distant spread, but sometimes there are "skip" situations. Best of luck. ...Read moreSee 1 more doctor answer
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