New poster colon no lymph nodes? Bunriv

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Bunriv
Posts: 1
Joined: Fri Jun 16, 2017 11:46 am

New poster colon no lymph nodes? Bunriv

Postby Bunriv » Fri Jun 16, 2017 12:13 pm

Hi I am new to the board. My mom had colon surgery 3 weeks ago laparoscopic. The pathology cane back stage 2 t3. I only took out six lymph nodes. And I'll follow up with the surgeon he said the reason he didn't take more is because there were none there.? He said he would usually take 20 but there were none there and that he thinks it's because my mom had chemo before for her lomg cancer. Now we saw an oncologist who is just as confused. And is not sure of the stage. Has anyone heard of this before? We are in a great hospital with an amazing surgeon but it just seems so strange to me.

Lee
Posts: 5171
Joined: Sun Apr 16, 2006 4:09 pm

Re: New poster colon no lymph nodes? Bunriv

Postby Lee » Fri Jun 16, 2017 10:25 pm

Bunriv wrote:. The pathology cane back stage 2 t3. I only took out six lymph nodes. .


Hi and welcome,

That is unusual. Maybe if nothing else, lite chemo (5FU) for a few months to be on the safe side.

Maybe a 2nd opinion also to see if everyone is on the same page.

Good luck,

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 10 years and counting!

ccpt1958
Posts: 7
Joined: Mon Dec 31, 2012 11:35 am

Re: New poster colon no lymph nodes? Bunriv

Postby ccpt1958 » Thu Jun 22, 2017 5:38 am

I was diagnosed with stage 3A colon cancer in the spring of 2012. I had one positive node, out of 4 nodes that had been removed. The surgeon said he didn't see any other nodes. I was 55 and otherwise healthy. As far as I know, I'm still cancer free.
diagnosed stage IIIA 4/2012
sigmoid resection 4/2012
T2T1MO (only 4 lymph nodes harvested)
completed FOLFOX 11/2012
dropped oxy after the 4th treatment due to worsening neuropathy
clean scan 1/2014
NED

User avatar
LPL
Posts: 290
Joined: Fri Apr 22, 2016 12:49 am
Location: Europe

Re: New poster colon no lymph nodes? Bunriv

Postby LPL » Thu Jun 22, 2017 1:49 pm

Hi Bunriv,
When we got hubby's surgery report and I saw that 'only' 9 lymp nodes had been resected.. I wondered why? I had heard/read "at least 12" !
Then I read " Many factors affect the number of lymph nodes examined, including extent of surgical resection, patient age, tumor location, and pathology techniques. ".
http://www.ncbi.nlm.nih.gov/m/pubmed/26 ... 0IV%20mCRC
I knew that the Surgeon was Good!! and it was in a cancer specialist hospital. The report also said that my DH's Colon was "very short"! So I have decided that everything that should be taken out was taken out and that not all people are the same.
DH @ 65 DX 4/11/16 CC recto-sigmoid junction
Adenocarcenoma pt 35x15x9mm G3(biopsi) G1(surgical)
Mets 3 Liver resectable
T4aN1bM1a Stage IVa 2/9 LN
MSS, KRAS-mut G13D
CEA & CA19-9: 5/18 2.5 78 8/17 1.4 48 2/14/17 1.8 29
4 Folfox 6/15-7/30 (b4 liver surgery) 8 after
CT: 8/8 no change 3/27/17 NED for now :D
:!: Steroid induced hyperglycemia dx after 3chemo .. hospitalized, insulin -> Metformin
Surgeries (open):
3/18 Emergency colostomy 5/23 Primary+gallbl+colostomy reversal (+port) 9/01 Liver mets


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