Stage 1 folow up CT scan

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Utwo
Posts: 102
Joined: Mon May 23, 2016 10:14 am
Location: T.O.

Stage 1 folow up CT scan

Postby Utwo » Wed Jun 14, 2017 8:25 am

What is a typical stage 1 follow up CT scan?
Does it include lungs?

In my case CT scan was only below diaphragm.
58 yo male at diagnosis - T1bN0, 0/15 lymph nodes, low grade/moderately differentiated adenocarcinoma
03/16 colonoscopy #1: 2 small polyps removed in left colon
04/16 colonoscopy #2: caecum sessile 3 cm polyp piecemeal removed
05/16 CT, blood test ...
05/16 laparoscopic right hemicolectomy with a few complications (bleeding, leak, infection)

Deb m
Posts: 328
Joined: Tue Jan 14, 2014 10:08 am

Re: Stage 1 folow up CT scan

Postby Deb m » Wed Jun 14, 2017 10:15 am

My husband was a high risk stage two, so it was from chin to thigh ct scan every three months. I think even for stage I it's chin to thigh, just not as frequent though.

deb m

TXLiz
Posts: 169
Joined: Thu Sep 22, 2016 3:31 pm

Re: Stage 1 folow up CT scan

Postby TXLiz » Thu Jun 15, 2017 11:47 am

I poked around google and couldn't find a stage specific follow up plan. I am sure it's out there, somewhere.

https://www.fascrs.org/patients/disease ... ed-version

This seems like a good article about follow up.

I wonder if they do not want to expose you to the extra radiation as a stage one?

I'd want my lungs included, as a baseline.

Perhaps I am wrong, and I hope someone in the know chimes in.
Vomiting and blockage 9/19/16 46 y F
R hemi colectomy 9/20/16
Stage 3 B CRC, located in cecum
3 out of 16 lymph nodes positive
perineural invasion/lymphovascular invasion
infiltrating, mod differentiated adenocarcinoma with a mucinous component
separate tumor nodules present in pericolonic adipose tissue
Baseline PET scan clear 9/16 CEA 0.5
FOLFOX 10/16- 3/17
April 16th, CT scan clear. CEA 1.1
Lynch "inconclusive"

Andrea1976
Posts: 354
Joined: Sun Jan 03, 2016 10:32 am

Re: Stage 1 folow up CT scan

Postby Andrea1976 » Fri Jun 16, 2017 7:53 am

Stage 1 is in a grey zone. Here are the NCCN guild lines. Page 37. It depends if your stage 1 is a polyp cancer and if it has risky features. Most stage 1 don't have regular CT scans.

https://www.nccn.org/patients/guideline ... /colon.pdf
Stage I
pedunculate polyp in descending colon
moderately diff adenocarcinoma 0.6 cm
Tumor confined to the head of the polyp
Stalk margin 2 cm negative for dysplasia and malignancy
Polyp removed during colonoscopy 1/15/16
No lymphovascular involved
No surgery
CEA after polyp removal 0.3
Genetic testing negative for colon and breast cancer
39 year old female. I am not celebrating my 40th but waiting for my big 50 birthday party!!!

TXLiz
Posts: 169
Joined: Thu Sep 22, 2016 3:31 pm

Re: Stage 1 folow up CT scan

Postby TXLiz » Fri Jun 16, 2017 12:31 pm

Andrea1976 wrote:Stage 1 is in a grey zone. Here are the NCCN guild lines. Page 37. It depends if your stage 1 is a polyp cancer and if it has risky features. Most stage 1 don't have regular CT scans.

https://www.nccn.org/patients/guideline ... /colon.pdf


Thank you for posting that link. It's helpful and has great info.
Vomiting and blockage 9/19/16 46 y F
R hemi colectomy 9/20/16
Stage 3 B CRC, located in cecum
3 out of 16 lymph nodes positive
perineural invasion/lymphovascular invasion
infiltrating, mod differentiated adenocarcinoma with a mucinous component
separate tumor nodules present in pericolonic adipose tissue
Baseline PET scan clear 9/16 CEA 0.5
FOLFOX 10/16- 3/17
April 16th, CT scan clear. CEA 1.1
Lynch "inconclusive"

HoneyJack
Posts: 43
Joined: Thu Nov 13, 2014 11:32 pm

Re: Stage 1 folow up CT scan

Postby HoneyJack » Sat Jun 17, 2017 6:07 am

At my one year mark I had chest/pelvic/abdomen CT and they've not given me any since.
Wife & mom
Right colectomy 4/2014 @41yrs old
Tubulovillous T2-N0-M0 0/30 nodes (located in Cecum)
Stage 1 colon well-mod differentiated
Lynch negative
NED

5/2014 Chest CT showed enlarged lymph nodes/biopsied Sarcoidosis! (Not symptomatic)
3 incisional hernias fixed 3/2016

Maelleous
Posts: 52
Joined: Tue Nov 01, 2016 8:13 am
Location: FL

Re: Stage 1 folow up CT scan

Postby Maelleous » Tue Jun 20, 2017 4:24 am

I was stage 3C and had to stop chemo after 3 rounds due to cardiac arrest from the chemo and they only had me doing CT scans every 6 months. I had the arrest this past December 31s and because I entered a clinical trial for a vaccine got one in March, and will be getting one on July 6th and then won't get one again for 6 months.
M 35 yr
DX Rectal Cancer, 10/16 (symptoms began Feb 2016)
Very low CEA / MRI appeared to show contained: did Surgery Oct 25 2016
Loop ileo w/ j-pouch
Semi clean margins but close (1mm)
9/38 lymph nodes involved on path / Stg IIIc,pT4, pN2 B, p.M0. MSS, K‐ras, NRAS, no mutation
Started Folfox - 3rd Treament, Dec 30th 2016 Cardiac Arrest - Lucky to be part of the 6% to survive!
S-ICD installed / Port Removed
Currently doing Vaccine Clinical trial at UPMC

tarheelmom
Posts: 146
Joined: Mon Mar 07, 2016 5:55 pm

Re: Stage 1 folow up CT scan

Postby tarheelmom » Tue Jun 20, 2017 2:59 pm

I just returned from my 1 year follow up appointment with my surgeon. He does not recommend CT scans for Stage 1 patients. He said he relies on CEA and as soon as he sees a trend in CEA, then he would scan. He wants to test CEA levels every 3 months.

This surgeon is not the one who did my surgeries (he left and went far away). This surgeon is highly regarded, but when I pushed on the CT scan, he cited recent data that indicate CT scans do not improve outcomes for Stage 1 patients. Is there anyone else who has not had CT scans after the initial surgery and treatment? If I really want a scan, he'll order it (or my PCP will); but he was pretty adamant that it was overkill.

Thoughts?
52 y at dx, mom to 4
DX: RC on 2/22/2016
Stage I, T2N0M0, 0/32 LN
23 mm x 7 mm moderately differentiated invasive adenocarcinoma
3 cm from anal verge
4/12/16: ULAR, TME, & temp ileostomy
6/14/16: ileo reversal

del
Posts: 44
Joined: Thu Mar 03, 2016 11:21 pm
Location: Sydney, Australia

Re: Stage 1 folow up CT scan

Postby del » Wed Jun 21, 2017 5:31 am

I get a full chest/pelvic/abdomen CT every 6 months. There is no standard follow-up protocol for stage 1, but I think I would want at least one full CT for some peace of mind.
Male 33, stage 1 RC (T1N0M0 0/29 LNs)
2016-02 - Cancerous polyp removed during colonscopy, 0.5 mm margin
2016-03 - ULAR & TME surgery, temp ileostomy
2016-04 - DVT, pulmonary embolism
2016-08 - Clean CT
2016-11 - Ileostomy reversal
2017-03 - Clean CT & colonoscopy


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