Lump

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rcreese38
Posts: 1
Joined: Mon Mar 20, 2017 1:34 pm

Lump

Postby rcreese38 » Mon Mar 20, 2017 1:37 pm

My mother(78 years old ) has stage 4 colon cancer. ( below is the finds after surgery )

Her treatment plan is Chemo (oxaliplatin) by port once every two weeks and xeloda for two weeks. She has been doing this November.

Her first PET scan ( Sept. 2016) showed lymph nodes that was involved also with the addition of the para-aortic being involved on the opposite of the colon cancer find.

The second Pet Scan ( early Feb 2017) showed no new places and a big decrease in size of all Lymph nodes involved.

Fast forward to last week. We have a lump on top of shoulder. Its about a inch from the base of her neck. Lump is soft and zero pain or tenderness .

We are seeing her Dr. this week. Just wondering if anyone had a lump show up out of the blue like this .













Right colon



Gross Description

The specimen is received in formalin in one container labeled with the

patient's (Name ) and "right

colon". The specimen consists of a portion of bowel measuring 15.0 x 11.0

x 6.8 cm in greatest dimensions. Two staple margins are identified. The

proximal staple margin is identified, and there is an appendix present.

The ileocecal valve is identified. The serosal surface is pink-tan, and a

darker area is appreciated that is tan-brown to black measuring 2.8 cm.

The specimen is opened along its length revealing white-tan-pink colonic

mucosa and an area of ulceration with an exophytic mass that measures 6.1 x

4.3 x 2.2 cm in greatest dimensions. This mass is within 0.6 cm of the

ileocecal valve, within 3.5 cm of the proximal margin, within 6.7 cm of the

distal margin, and within 1.3 cm of the radial margin. The staple margins

are shaved and submitted. The mass is sampled and submitted. Normal

mucosa is sampled and submitted. The appendix present measures 3.4 x 0.6 x

0.4 cm in greatest dimensions. The serosal surface is pink-tan and

otherwise unremarkable. The appendix is cross sectioned revealing pink-tan

cut surfaces that are otherwise unremarkable. No fecalith is identified.

Representative sections are submitted as per the summary of sections.



SUMMARY OF SECTIONS:

A Proximal margin

B Distal margin

C-G Representative sections of the tumor

H-I Presumed normal colonic mucosa

J-K Representative sections of the appendix

L-V Lymph nodes, 11c

(Cassettes L and M contain one bisected lymph node

each,

cassettes N-V contain multiple single lymph

nodes).



DOS/ab



DIAGNOSIS

Right colon:



Procedure - Right hemicolectomy.

Tumor site - Right colon.

Tumor size - 6.1 cm in greatest dimension.

Macroscopic tumor perforation is not identified.

Histologic type - Adenocarcinoma with mucinous component.

Histologic grade - Low grade.

Microscopic tumor extension - Tumor invades through the muscularis

propria into the subserosal adipose tissue.

All margins uninvolved by invasive carcinoma.













Distance of invasive carcinoma from closest margin - 1.3 cm from

radial

margin.

No history of prior treatment.

Lymph-vascular invasion is present.

Perineural invasion is not identified.

Tumor deposits are present (2) - The largest measuring 0.6 cm.

Seven of twenty-four lymph nodes are positive for metastatic neoplasm

(7/24).

Immunostains on the neoplasm are pending.

Appendix - No pathologic changes



Pathologic staging - pT3 pN2

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dianetavegia
Posts: 2612
Joined: Sat May 16, 2009 8:47 pm
Facebook Username: Diane Weldy Tavegia
Location: Villa Rica, Georgia
Contact:

Re: Lump

Postby dianetavegia » Tue Mar 21, 2017 3:29 pm

I'd be freaking out. Is it above her port? She could have a blockage of some sort. I wouldn't wait to show the doctor. I'd call or call the surgeon who inserted the port if it's on that side.
Stage IIIB cc surgery 1/7/09. 5/17 nodes. 12 tx FOLFOX
Stage IVa 2/15/12. CEA 6.4 PET = 1.5cm liver met. HR 4/11/12 No chemo

NED at scan April 2017 Eight yrs, 3 months since original dx. Five yrs. 6 months post liver resection.
“O Lord my God, I cried out to You, And You healed me.”
Psalms 30:2

rcreese
Posts: 5
Joined: Sat Sep 03, 2016 7:11 am

Re: Lump

Postby rcreese » Tue Mar 21, 2017 8:26 pm

We seen the oncologist today. It is a Lymph node. .( right supraclavicular node) Size 3 cm x 3 cm . She is had a cat scan late this afternoon. ( Just had a PET scan in Feb and this did not show up )

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dianetavegia
Posts: 2612
Joined: Sat May 16, 2009 8:47 pm
Facebook Username: Diane Weldy Tavegia
Location: Villa Rica, Georgia
Contact:

Re: Lump

Postby dianetavegia » Wed Mar 22, 2017 2:22 pm

A PET Scan would show cancer. Maybe this is infection ONLY! Crossing fingers, toes and saying a prayer (not in that order).
Diane
Stage IIIB cc surgery 1/7/09. 5/17 nodes. 12 tx FOLFOX
Stage IVa 2/15/12. CEA 6.4 PET = 1.5cm liver met. HR 4/11/12 No chemo

NED at scan April 2017 Eight yrs, 3 months since original dx. Five yrs. 6 months post liver resection.
“O Lord my God, I cried out to You, And You healed me.”
Psalms 30:2

DarknessEmbraced
Posts: 2785
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Lump

Postby DarknessEmbraced » Wed Mar 22, 2017 4:00 pm

I hope it's an infection.*hugs*
Diagnosed 10/28/14, age 36
Colon Resection 11/20/14, LAR (no illeo)
Stage 2a colon cancer, T3NOMO
Lymph-vascular invasion undetermined
0/22 lymph nodes
No chemo, no radiation
Clear Colonoscopy 04/29/15
NED 10/20/15
Ischemic Colitis 01/21/16
NED 11/10/16
CT Scan moved up due to high CEA 08/21/17
NED 09/25/17

Achilles Torn
Posts: 80
Joined: Fri Dec 16, 2016 2:41 pm

Re: Lump

Postby Achilles Torn » Wed Mar 22, 2017 4:41 pm

Commonly it is the left supraclav nodes that are from colon cancer as those nodes are connected to the abdomen. It can show up on the right but this is less common. That combined with the recent PET scan would mean you have a good chance of it not being cancer. However only a biopsy will tell you.
40 yo Male. BC Canada. Sigmoid Colectomy Dec. 2016
Pathology T3N2bM1 19 of 24 Nodes Positive + tumour deposits
PET scan - Para-Aortic and Iliac Lymph node spread. Stage VI.
Moderately differentiated. MSS. KRAS/BRAF Wild.
Mutations: TP53, ERBB4, MLL3, PDCD1LG2, PRKDC, SMAD3
FOLFOX Commenced Jan 9/2017 - Avastin(Bev) added after round 1.
June 2017 Dose Reduction on Round 11 due to Neuropathy.
Good PET Scan July 2017 - on maintenance 5FU/Bev every 2 weeks until progression.


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