Rectal cancer (Stage 3A) diagnosed late June 2017

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NHMike
Posts: 1887
Joined: Fri Jul 21, 2017 3:43 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby NHMike » Wed Jan 30, 2019 2:27 pm

Maggie Nell wrote:
NHMike wrote:
The waves of pain are interesting. I guess that this is how the intestines normally work - they wake up every two minutes to push food along. There can be some gurgling too.

It would be nice if there were a surgical answer. I know that removing the scar tissue could have it come back but right now I'd prefer an ileostomy to what I'm going through right now.



What you can do to help with the motions of the peristalsis is to lightly massage your abdomen, in a clockwise motion. Start from your appendix and gently (let your
discomfort level be your guide) rotate the flat of your hand in a large circle - visualize going up the ascending colon, then across your transverse colon, down descending colon and back to appendix. Do that as many times as you feel needful, gradually pressing down more firmly with the flat of your hand - you're helping to push along any
bloating and faecal material. I have qualifications in tactile therapies and Compassionate Touch massage and whenever I get the sense of there being a
kink-in-the-hose and I'm seeing the bright flashing lights of an ambulance in my immediate future, I give my tummy a rub. I now give myself an abdominal massage before and after eating as part of my self-care.


I looked at blockages and there is a company out there that does some kind of massage work to break up scar tissue. I have heard of this being done in limbs but also heard that it's a very painful process. The other thing is that it typically takes about eight hours until food gets to the junction of the small and large intestines so it's a delayed reaction thing. I haven't eaten anything since yesterday afternoon and didn't eat that much but it still took a long time to go through. I'm planning on eating something today - maybe a piece of toast and I'm curious to see whether things are any better today. I got a lot of sleep last night and some during the day today. It would be nice if rest helped things along. I have the feeling that my surgeon will take a day or two to get back to me so it would be nice if I could survive until then.

I just ordered my CT scan from July (because of elevated CEA) as the oncologist wanted to see it and I'm going to order my CT scan showing the obstruction so that my surgeon has it available to look at. I have an appointment with Dana Farber on Tuesday and I'll bring the imaging disks and they'll put it up so that my doctors at DF and Brigham and Women's has access. I'd like to avoid extra scans if possible. I was surprised when my oncologist asked for the scan as I didn't think that they usually read them.

I did do a little probing and pushing but I didn't really feel things outside of whether it felt hard or soft. When it feels soft, I don't have problems. But, this afternoon, I'm doing okay because there's no food in the system. I have some Werthers and I'm going to suck on them for calories.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

mpbser
Posts: 684
Joined: Wed Apr 19, 2017 11:52 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby mpbser » Wed Jan 30, 2019 2:37 pm

I know that when there is paralytic ileus (which is similar to and comorbid with blockage), the system needs to rest before it reboots. However, I could be wrong but I think that if you continually depriving the small intestine of food, it slows down to match intake. This could be exacerbating the problem. What about soups and smoothies? Grazing on stuff like that might be just what you need to get back on track.
Wife 4/17 Dx age 45
5/17 - Lap left hemi
Adenocarcinoma
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm T1 N0
CEA: 1.4, 2.1, 1.5, 1.9, 1.9, 2.1, 2.1, 2.4, 1.7, 2.0, 2.9, 2.2
MSS/MSI-L
Lynch no; KRAS wild
Immunohistochemsistry: Normal MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI shows met
Resection & HAI Mar 7??

NHMike
Posts: 1887
Joined: Fri Jul 21, 2017 3:43 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby NHMike » Wed Jan 30, 2019 2:58 pm

mpbser wrote:I know that when there is paralytic ileus (which is similar to and comorbid with blockage), the system needs to rest before it reboots. However, I could be wrong but I think that if you continually depriving the small intestine of food, it slows down to match intake. This could be exacerbating the problem. What about soups and smoothies? Grazing on stuff like that might be just what you need to get back on track.


I had tried soups but they led to the same issues though I think that I was having too much soup. My wife made a broccoli soup that was fine ground but it didn't turn out well. I think I want to talk to my surgeon about this but I don't if I'll be able to get an appointment soon. Email would be fine. I guess I may have some clear soup today too. Liquids are going through fine right now. It doesn't cause the cramping. That is a good sign. But it would be nice to be able to eat again without worrying about it.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

NHMike
Posts: 1887
Joined: Fri Jul 21, 2017 3:43 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby NHMike » Thu Jan 31, 2019 10:22 am

I'm feeling a lot better today. I can drink fluids without it resulting in pain. I will try some solid food at some point, maybe tomorrow. I got 11 hours (according to my watch) of sleep last night but I think that I rested a lot more than that. I'm suspecting that something was inflamed. At any rate, I'll keep an eye on it.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

mpbser
Posts: 684
Joined: Wed Apr 19, 2017 11:52 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby mpbser » Thu Jan 31, 2019 11:20 am

What about Ensure or other nutritional drinks?
Wife 4/17 Dx age 45
5/17 - Lap left hemi
Adenocarcinoma
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm T1 N0
CEA: 1.4, 2.1, 1.5, 1.9, 1.9, 2.1, 2.1, 2.4, 1.7, 2.0, 2.9, 2.2
MSS/MSI-L
Lynch no; KRAS wild
Immunohistochemsistry: Normal MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI shows met
Resection & HAI Mar 7??

NHMike
Posts: 1887
Joined: Fri Jul 21, 2017 3:43 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby NHMike » Thu Jan 31, 2019 11:26 am

mpbser wrote:What about Ensure or other nutritional drinks?


I drank Ensure once and couldn't stand it. I have a box of Organic Broth in the office today and I'm going to heat that up and sip on it. I also have some Nuun tablets and a can of soup. The soup has macaroni and beans in it but I could just have the broth. I'm going to play it by ear - if things are good, I will try a bit of food tonight and see how it goes.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

MissMolly
Posts: 601
Joined: Wed Jun 03, 2015 4:33 pm
Location: Portland, Ore

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby MissMolly » Thu Jan 31, 2019 12:14 pm

Mike:
I am sorry to read of your repeated acute episodes of piercing abdominal pain and limited intestinal motility.

As you eloquently discuss, episodes of this nature have a detrimental effect on one’s psyche as well as nutritional intake and physical well-being. The unpredictability of how or when an episode will manifest creates its own level of concern/worry hovers over your conscious thoughts. The episodes can lead to an adversion to eat and a form of PTSD.

Radiation therapy can lend to adhesions/scar tissue and thinning of irradiated tissue in the beam of the radiation field. Connective tissue, segments or loops of small bowel, and adjacent organs can become tethered to one another or “frozen” in place. Radiation is oft called the “gift that keeps on giving.” Latent tissue effects can manifest months or even years after completing radiation therapy.

Functional motility (the choreographed movement) of the intestine can also be affected with surgery and chemotherapy.
Surgery can traumatize the vagus nerve, resulting in altered motility/movement. The intestinal contractions can become erratic, intermittent, or slowed. Chemotherapy, especially oxi, can cause small fiber motor neuropathy of the small bowel and large intestine. The result is intestinal slowing or an underpowered intestine or an erratic pattern of contractions that essentially move food along and through.

There are constructive ideas that you can implement as you await more definitive discussion with your surgeon to identify your particular situation.

Massage therapy to mobilize and detach adhesions is a well-known and clinically beneficial treatment. You can Google search “physical therapy for the mobilization of post-surgical adhesions” to get a full overview. The NIH has several published studies that point to the benefits.

You may also want to consider a daily bowel program as a proactive maintenance plan. Many individuals with a history of abdominal surgery take to daily dosing with Miralax or Milk or Magnesia (osmotic laxatives) OR daily dosing with Citracel or Metamucil COMBINED with a focus on ensuring a liberal intake of clear fluids (48 oz). The intended effect is to soften and loosen the consistency of fecal matter so that it can pass through narrowed or tightened intestinal passageways + a kinetic/movement effect to nudge intestinal motility along.

Eating small portion sizes is also beneficial. 1/2 cup or less. You do not want to overwhelm the intestinal system at any one time. Grazing and snacking as compared to a large meal.

Moderate or avoid foods high in insoluble fiber. Insoluble fiber foods: pineapple; asparagus; artichoke leaves and heart; edamante; large legumes such as kidney beans or black beans; coconut; celery stalks; membranes if oranges and grapefruit; skins of apples, pears. You get the idea. Insoluble fiber is fiber that is not easily broken down by mechanical chewing nor digestive enzymes.

100% apple juice and 100% grape juice (not from a juice concentrate) have flavonoids that propel intestinal motility. I always keep 100% Concord grape juice on hand.

You are doing the best that you can in laying on your left side and using moist heat when you feel an episode brewing. Sidelying allows the intestinal tract to drop down with gravity, shifting adhesions and loops of small bowel. Moist heat or a warm shower helps ease muscule guarding.

You have my empathy. An intestine on partial shut-down is agonizing.
Karen
Dear friend to Bella Piazza, former Colon Club member (NWGirl).
I have a permanent ileostomy and offer advice on living with an ostomy - in loving remembrance of Bella
I am on Palliative Care for broad endocrine failure + Addison's disease + osteonecrosis of both hips/jaw + immunosuppression. I live a simple life due to frail health.

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Maggie Nell
Posts: 941
Joined: Wed May 27, 2015 1:57 am
Location: Melbourne, Australia

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby Maggie Nell » Thu Jan 31, 2019 1:30 pm

Maggie Nell wrote:
NHMike wrote:
What you can do to help with the motions of the peristalsis is to lightly massage your abdomen, in a clockwise motion. Start from your appendix and gently (let your discomfort level be your guide) rotate the flat of your hand in a large circle - visualize going up the ascending colon, then across your transverse colon, down descending colon and back to appendix. Do that as many times as you feel needful, gradually pressing down more firmly with the flat of your hand - you're helping to push along any bloating and faecal material. I have qualifications in tactile therapies and Compassionate Touch massage


I looked at blockages and there is a company out there that does some kind of massage work to break up scar tissue. I have heard of this being done in limbs but also heard that it's a very painful process.



NHMike, I think you have misinterpreted my post. The instructions I gave were for a gentle soothing massage with the flat of your hand no different to how
a mother would rub the stomach of a child suffering with colic pain. Self-administered soothing touch helps to reduce the tension in the whole viscera and
supporting muscles and attachments to the pelvic girdle and spine.

I had described a simplified version of a shiatsu Hara massage.
DX April 2015, @ 54
35mm poorly diff. tumour, incidental finding following emergency r. hemicolectomy
for ileo-colic intussusception.
Lymph nodes: 0/22
T3 N0 MX

NHMike
Posts: 1887
Joined: Fri Jul 21, 2017 3:43 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby NHMike » Fri Feb 01, 2019 8:43 am

I had a hard-boiled egg, a piece of toast and a bunch of saltines for dinner and woke up at 5:00 AM, and, nothing.

That's a very good sign as it normally takes eight hours for food to get through the small intestine and it's either through or blocked. I've had some water and the water seems to go through so I'm hoping that the food went through as well. I won't really know until tomorrow morning as it takes 36-40 hours for food to clear all the way through.

The last time I had the issue, the intense pain took place about eight hours after eating. So I'm cautiously optimistic.

Some thoughts: it may be that I've been taking too many fluids the past couple of weeks and that may be overwhelming the GI system.
I ran four miles on Saturday and that may have inflamed something.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

NHMike
Posts: 1887
Joined: Fri Jul 21, 2017 3:43 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby NHMike » Tue Feb 05, 2019 8:08 am

I went to the bathroom Saturday morning and it was a relief that things were working. I haven't gone since then (3 days) but I haven't really eaten much of anything. I'm at Dana Farber right now drinking prep for a CT Scan. I thought I was going to see the doctor but I'm glad I showed up early as I needed to start the prep and hour before. I brought along the CTs from last summer and December - the December was for the blockage so it might only be abdominal. The appointment with the oncologist is next week.

I also went back to doing my strength workouts this weekend and it feels good to get back to doing them.

So no pain or problems since Wednesday.

I did have to pick up the workload from the coworker with the collapsed lung. He may be getting out of the hospital today or tomorrow but I expect he'll need a few weeks to completely recover. I do need to catch up on the board.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

Gravelyguy
Posts: 114
Joined: Thu Jul 05, 2018 6:03 pm

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby Gravelyguy » Tue Feb 05, 2019 5:26 pm

Glad things are going ok for you Mike. I have not had a blockage and I can’t remember where I read it, so take this with a grain of salt, but I seem to remember reading that frequent small meals are supposed to help one not get a blockage. I know you have managed your LAR syndrome by doing a lot of fasting. Again, I can’t remember where I read it and I could be wrong but might be worth talking with your Dr. about.

Take care of yourself,

Dave
6/17 dx mCRC t3n1m1 very low rectal tumor 2 liver Mets 1.3 cm and .9 cm

6/17 begin 4 rounds Folfox w/Vectibix
9/17 short course radiation
10/17 rectal and liver resection cancer is out of here!
11/17-3/18 8 rounds Folfox
6/18 still NED!! Takedown
8/28/18 still NED! CEA .8 new low for me
10/18/18 colonoscopy clear
12/12/18 clear scans, CEA .9 still NED!

Lee
Posts: 5818
Joined: Sun Apr 16, 2006 4:09 pm

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby Lee » Tue Feb 05, 2019 5:35 pm

Glad to read you are doing better. This was many years ago, I was told walking is very good at easing up a blockage. Not running, butt walking. So the next time (pray that this was it), walk around, not fast, just general walking. It's helped me few times.

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!

NHMike
Posts: 1887
Joined: Fri Jul 21, 2017 3:43 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby NHMike » Mon Feb 11, 2019 11:27 am

I found the main reason for the blockages and it's doing pullups. I had various suspicions and thought it was drinks and/or foods but I eliminated a bunch of things that I suspected and then noticed a pattern where I had an incident, it would get better, and then come back after five or seven days. I compared my workout log to my health log and noticed that I started doing pullups shortly before the first blockage.

I spoke to my fitness center manager and she said that her sports physio said that pullups are the last thing to return to after an abdominal surgery. It had been five months and my doctor had cleared me after two months but I don't think that doctors generally work that much with people that workout a lot. So I probably should see a sports physio for a consultation. It's a bit of a shame as pullups are one of my favorite exercises.

There is one other exercise that causes this problem but to a much lesser degree. I have it narrowed down to one of two exercises - weighted abdominals and weighted torso rotation. So I'll either drop the weights when I do those or just drop them altogether.

My original suspects of coffee, vegetables, spritzer, large amounts of broth - probably aren't problems. Though coffee does seem to speed up the digestive process.

I go in to Dana Farber early in the morning (I will leave at 4:30 AM) to get the CEA and also see what my oncologist thinks of the CT Scan from last week. I'm also going to ask him if there are any issues related to the blockages. I dropped off the CT scan when I had the blockage.

In general, the problems fade gradually and are gone after five days. So I'll just not do those exercises for now. It might be possible to build up to them in the future.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

NHMike
Posts: 1887
Joined: Fri Jul 21, 2017 3:43 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby NHMike » Tue Feb 12, 2019 10:30 am

Oncologist:
Your bloodwork looks great.
Your CT Scan looks great.
You need a colonoscopy.
See you in three months and six months for bloodwork.
Next scan is in 2020.

Work is getting easier and I'll get back to reading the board more. We missed the deadline but that's a good thing as the product isn't ready.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

mpbser
Posts: 684
Joined: Wed Apr 19, 2017 11:52 am

Re: Rectal cancer (Stage 3A) diagnosed late June 2017

Postby mpbser » Tue Feb 12, 2019 3:09 pm

Pull-ups were the culprit! Who would have known? I will make sure my husband stays away from them post surgery.
Wife 4/17 Dx age 45
5/17 - Lap left hemi
Adenocarcinoma
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm T1 N0
CEA: 1.4, 2.1, 1.5, 1.9, 1.9, 2.1, 2.1, 2.4, 1.7, 2.0, 2.9, 2.2
MSS/MSI-L
Lynch no; KRAS wild
Immunohistochemsistry: Normal MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI shows met
Resection & HAI Mar 7??


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