Right side pain --mets?

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AJQ
Posts: 13
Joined: Sun Jul 16, 2017 9:29 am
Location: CA

Right side pain --mets?

Postby AJQ » Sat Oct 07, 2017 11:14 pm

Hi all,

I have a question about possible liver mets. See my signature below for details
Last couple of weeks I have been experience some pain on the right side and it radiates to the back- also on the right side ( I did have right Hemi colectomy). Tylenol does help but then it comes back.
Sometime it is dull and sometimes it is shooting pain for few secs.
Doc will order a CT next week to check.

Any ideas? Did anyone experience such pain? post surgical or mets?

Thank you
AJ
52 yr, stage III adenocarcinoma of appendix and Cecum
5/16/17: LAP Appendix Removal
5/22/17: Diagnosed. T4 poorly differentiated with LVI
6/21/17: LAP RHC: 1/21 positive Lymph. T4N1M0
CEA 6/17: 1.0, 7/17: 1.0, 8/17: 1.0, 9/17: 2.0, 9/28: 2.0, 10/12: 1
7/21/17: baseline CT
7/27/17: started Xelox (Capox) cycles
9/28/17: Completed 4 cycles.
10/09/17: CT scan. Doctor wants to discuss results on 10/12/17
10/12/17: Bad results. Multiple Peri Mets.Starting Folfiri and Avastin in 2 weeks

stu
Posts: 588
Joined: Sat Aug 17, 2013 5:46 pm

Re: Right side pain --mets?

Postby stu » Sun Oct 08, 2017 6:24 am

Hi . My mum has had over ten mets in her liver . The largest was the size of a small orange . Never experienced any pain at all . It came as quite a surprise . She has had some pain from adhesions though .
Hope this helps .
Stu
supporter to my mum who lives a great life despite a difficult diagnosis
stage4 2009 significant spread to liver
2010 colon /liver resection
chemo following recurrence
73% of liver removed
enjoying life treatment free
2016 lung resection
Oct 2017 nice clear scan . Two lung nodules disappeared

Beckster
Posts: 158
Joined: Thu Jan 12, 2017 3:01 pm
Location: New Jersey

Re: Right side pain --mets?

Postby Beckster » Sun Oct 08, 2017 7:04 am

AJQ wrote:Hi all,

I have a question about possible liver mets. See my signature below for details
Last couple of weeks I have been experience some pain on the right side and it radiates to the back- also on the right side ( I did have right Hemi colectomy). Tylenol does help but then it comes back.
Sometime it is dull and sometimes it is shooting pain for few secs.
Doc will order a CT next week to check.

Any ideas? Did anyone experience such pain? post surgical or mets?

Thank you
AJ



Hi AJ

I also had a right hemi colectomy and sometimes I experience right sided pain. It takes a good year for your body to heal from surgery and you are currently on Xeloda, which causes intestinal distress. I experienced all of this. I would not worry...I know that is hard to do because every twinge makes us think of recurrence. If you look at my signature, you will see many similarities. I finished Xeloda in June and still get little twinges now and than. As my oncologist said... Even though we are missing the right side of our colon, the intestines move around. I doubt very much it is met....you are still not completely healed.
57/Female
DX:(CC) 10/19/16
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Tumor type: Adenocarcinoma
Tumor size: 3.5 cm x 2.5 x 0.7 cm
Tumor grade: G3 (surgical) G2 (biopsy from colonoscopy)
TNM: T3N0M0/IIA
Positive lymph nodes: 0 out of 24
Lymphovascular invasion
Surgical margins: clear
Lynch- Negative
12/27/2016 - Capeox, anaphylactic reaction to oxaliplatin on first infusion-discontinued
1/2/17 to 6/9/17- Xeloda monotherapy
6/26/17- CT scan NED :D
CEA- 6/17- 3.6, 9/17- 2.8

Brearmstrong
Posts: 25
Joined: Sun Mar 26, 2017 3:24 pm
Location: CT

Re: Right side pain --mets?

Postby Brearmstrong » Sun Oct 08, 2017 7:22 am

:( AJ, I also have lots of right side pain and pain here and there throughout my abdomen. No connection to types of food or anything that I can figure out. It too has me scared of spread given my T4 tumor. I have my next CT scan on the 16th. My oncologist also thinks it is from my surgery but that was in March 2017 and the pains started about 6 weeks ago. Folfox has ended so not sure what is going on. Keep us posted on your scan results and hoping it's just nothing for the both of us!
45 Female Jan 2017 after appendectomy
DX: (CC) tumor started in appendix and went through colon wall
Adenocarcinoma w/ mucinous features 4.1cm
mod diff G2 T4aN2
Stage IIIC
nodes 8/50
CEA 4.6 after surgery < .05
margins clear
No mutations- just bad luck
FOLFOX April-sept 2017
Clean CT scan July 2017 watching one small lung nodule 4mm
October 2017 clean CT scan 4mm lung nodule stable, new 2 mm nodule watching

veckon
Posts: 94
Joined: Thu Jul 27, 2017 7:44 am

Re: Right side pain --mets?

Postby veckon » Sun Oct 08, 2017 7:53 am

My liver mets have not to my knowledge ever caused pain. However, my peritoneal mets did present with pain in the abdomen.
27 yo male
Metastatic rectal cancer diagnosed 12/16
Liver metastases and peritoneal carcinomatosis
Lynch syndrome, MSI-H
Failed liver resection 3/17
FOLFOX6 12/16 - 05/17
Keytruda 5/17 - present
@Memorial Sloan Kettering

plastikos
Posts: 269
Joined: Wed Jan 14, 2015 6:09 am

Re: Right side pain --mets?

Postby plastikos » Mon Oct 09, 2017 3:17 am

No way to know for sure. Some mets cause pain (if they stretch the liver capsule) and some don’t. No harm in seeing a doctor or getting at least an ultrasound.
Diagnosed St. IV Colon CA @ 37, male, Kras wild type, MSI-high (2014)
11/2014 Right Hemicolectomy + Liver Resection
12/2014 - 6/2015 FOLFOX + Cetuximab
10/2015 - Recurrence liver
Liver resection 10/2015
FOLFIRI 11/2015 - 5/2016
Recurrence liver, nodes 11/2016
Pembrolizumab 12/2016 -> pseudoprogression (?), biliary obstruction -> biliary stenting
Chemo 4x: most mets inactive and smaller on PET-CT
March 2017 - Back on Pembrolizumab
Sept 2017 - SIRT

DarknessEmbraced
Posts: 2795
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Right side pain --mets?

Postby DarknessEmbraced » Mon Oct 09, 2017 9:55 am

I hope both of you get answers from your CT scans!*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

AJQ
Posts: 13
Joined: Sun Jul 16, 2017 9:29 am
Location: CA

Re: Right side pain --mets?

Postby AJQ » Tue Oct 10, 2017 3:20 pm

Thank you all for your answers and support. My doctor ordered CT scan yesterday and today I got the call to see my oncologist this Thursday to discuss scan results. They would not release the results to me :(. I asked them 3 times...

This must be bad news and I am very scared and nervous. Thursday seems so far away and why I cant get an idea today. Anyone with such experiences?

Pain is still there on the right side. Wondering if this is Liver, Lymph, Peritoneal or bone...

AJ
52 yr, stage III adenocarcinoma of appendix and Cecum
5/16/17: LAP Appendix Removal
5/22/17: Diagnosed. T4 poorly differentiated with LVI
6/21/17: LAP RHC: 1/21 positive Lymph. T4N1M0
CEA 6/17: 1.0, 7/17: 1.0, 8/17: 1.0, 9/17: 2.0, 9/28: 2.0, 10/12: 1
7/21/17: baseline CT
7/27/17: started Xelox (Capox) cycles
9/28/17: Completed 4 cycles.
10/09/17: CT scan. Doctor wants to discuss results on 10/12/17
10/12/17: Bad results. Multiple Peri Mets.Starting Folfiri and Avastin in 2 weeks

lpas
Posts: 984
Joined: Wed Nov 19, 2014 11:11 pm

Re: Right side pain --mets?

Postby lpas » Tue Oct 10, 2017 10:54 pm

AJQ wrote:Thank you all for your answers and support. My doctor ordered CT scan yesterday and today I got the call to see my oncologist this Thursday to discuss scan results. They would not release the results to me :(. I asked them 3 times...

This must be bad news and I am very scared and nervous. Thursday seems so far away and why I cant get an idea today. Anyone with such experiences?

Pain is still there on the right side. Wondering if this is Liver, Lymph, Peritoneal or bone...

AJ


I'm so sorry you're having to go through this stress, but I do think it's much too soon to assume the worst. It would be very unusual to develop a met while in the midst of your initial chemo. I worried about this too when I was going through XELOX and my doctor said he had only seen it happen once or twice in his entire career. As you indicated in your initial post this could very easily be a post-surgical issue. I don't think it's fair to assume that the office's refusal to provide advance info necessarily means mets.

Will be keeping fingers and toes crossed that everything turns out OK. Good luck and please let us know!
11/14: Dx sigmoid CC @ 45yo
12/14: laparoscopic colectomy + hysterectomy
Stage IIIB, T3N1bM0, 2/20 nodes, MSS, G2, KRAS (A146T), TP53, SMAD4, ERBB2, pre-surgical CEA 1.0
2/15 to 7/15: XELOX, celecoxib & many supplements
3/16: Ovarian mass, rt ovary removed. Benign fibroid.
9/16: clean colonoscopy
3/17: clean CT
Post-chemo CEA: 3.0, 2.5, 2.3, 2.0, 1.6, 1.3, 1.8, 2.1, 1.8, 2.0, 1.8, 1.9, 1.7, 1.5, 1.6, 1.5, 1.4, 1.4, 1.3, 1.3, 1.6, 1.6
Mom to a 3 & 5-year-old

orlar
Posts: 11
Joined: Fri Jul 21, 2017 12:51 am
Location: oregon

Re: Right side pain --mets?

Postby orlar » Wed Oct 11, 2017 3:08 pm

Sorry you have this added stress, but hang in there. I am 4 months out from my right hemicolectomy and at various times have also experienced dull and sharp pains on the right side. They would come and go and I never can connect to a specific cause (food, day in chemo cycle etc.) ONC and surgeon both said it could be a year before things get settled down. As hard as it is, try and de-stress as much as you can. Wishing you good news tomorrow!
56yo male
DX 5/15/17 CEA 16.2
Right Hemi colectomy 6/8/17
Ascending colon (cecum) 5.8 x 3.9 x .7cm
mod differentiated adenocarcinoma
Stage 3 (T3 N2b M0) 12 of 21 lymph nodes positive
power port on 7/11/17
Folfox started 7/12/17

Beckster
Posts: 158
Joined: Thu Jan 12, 2017 3:01 pm
Location: New Jersey

Re: Right side pain --mets?

Postby Beckster » Thu Oct 12, 2017 2:37 pm

AJQ wrote:Thank you all for your answers and support. My doctor ordered CT scan yesterday and today I got the call to see my oncologist this Thursday to discuss scan results. They would not release the results to me :(. I asked them 3 times...

This must be bad news and I am very scared and nervous. Thursday seems so far away and why I cant get an idea today. Anyone with such experiences?

Pain is still there on the right side. Wondering if this is Liver, Lymph, Peritoneal or bone...

AJ


How did your appt go with the oncologist?
57/Female
DX:(CC) 10/19/16
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Tumor type: Adenocarcinoma
Tumor size: 3.5 cm x 2.5 x 0.7 cm
Tumor grade: G3 (surgical) G2 (biopsy from colonoscopy)
TNM: T3N0M0/IIA
Positive lymph nodes: 0 out of 24
Lymphovascular invasion
Surgical margins: clear
Lynch- Negative
12/27/2016 - Capeox, anaphylactic reaction to oxaliplatin on first infusion-discontinued
1/2/17 to 6/9/17- Xeloda monotherapy
6/26/17- CT scan NED :D
CEA- 6/17- 3.6, 9/17- 2.8

Ron50
Posts: 620
Joined: Fri Feb 10, 2006 7:04 pm

Re: Right side pain --mets?

Postby Ron50 » Thu Oct 12, 2017 4:19 pm

I have had right side pain for years after my cancer op. Most of it disappeared when they removed my gallbladder. It seems to go hand in hand with colorectal cancer and the chemo used. I had a hard time convincing doctors regarding the pain until one of the many small cholesterol stones blocked off my pancreatic duct resulting in acute pancreatitis. I found out what pain was at that point. Ron.
dx 1/98
st 3 c 6 nodes
48 sessions 5Fu/levamisole
no recurrence cea <.5
numerous l/t side effects of chemo

AJQ
Posts: 13
Joined: Sun Jul 16, 2017 9:29 am
Location: CA

Re: Right side pain --mets?

Postby AJQ » Thu Oct 12, 2017 9:57 pm

Beckster wrote:
AJQ wrote:Thank you all for your answers and support. My doctor ordered CT scan yesterday and today I got the call to see my oncologist this Thursday to discuss scan results. They would not release the results to me :(. I asked them 3 times...

This must be bad news and I am very scared and nervous. Thursday seems so far away and why I cant get an idea today. Anyone with such experiences?

Pain is still there on the right side. Wondering if this is Liver, Lymph, Peritoneal or bone...

AJ


How did your appt go with the oncologist?



I started another thread. Not good :(. Peri mets and was told I have less than a year. Onc wants me on Folfori and Avastin- I am going to see Appendix cancer experts next week and possibly exploratory Laparoscopy.

not a good day - need hope

AJ
52 yr, stage III adenocarcinoma of appendix and Cecum
5/16/17: LAP Appendix Removal
5/22/17: Diagnosed. T4 poorly differentiated with LVI
6/21/17: LAP RHC: 1/21 positive Lymph. T4N1M0
CEA 6/17: 1.0, 7/17: 1.0, 8/17: 1.0, 9/17: 2.0, 9/28: 2.0, 10/12: 1
7/21/17: baseline CT
7/27/17: started Xelox (Capox) cycles
9/28/17: Completed 4 cycles.
10/09/17: CT scan. Doctor wants to discuss results on 10/12/17
10/12/17: Bad results. Multiple Peri Mets.Starting Folfiri and Avastin in 2 weeks

kandj
Posts: 200
Joined: Sun Sep 27, 2015 11:29 am

Re: Right side pain --mets?

Postby kandj » Mon Oct 16, 2017 9:18 am

I am so sorry for the bad news. I hope a HIPEC is something they can do for you.

I wanted to answer the original question in case this comes up for someone in a search.

DH presented with side pain as his only symptom. For him it lead to a diagnosis of colon cancer with 10+mets to his liver (that was what was causing the pain). He also had right sided pain and referred shoulder pain following his liver resection. He brushed it off as pain from nerves that were cut and from his arm being held up during surgery. Turned out he had a liver abscess. They are 100% fatal if they burst. :shock: :shock: He went in to the ER about 12 days post surgery because he spiked a fever and that us how they found that. Luckily they caught it before it ruptured. While pain can be nothing, it is always best to get it checked.

Again, AJQ, I am so sorry about your recurrence. I will pray HIPEC is an option for you and the docs are wrong about their estimate in your time left.
wife to DH, Diagnosed at 36yo with stage 4 CRC August 2015 mom to 3 boys
numerous mets throughout liver, unresectable currently
Folfox +avastin aug 15-Nov 15
Lynch and MAP negative
Folfiri starting Jan 2016
Primary resection and HAI pump placed Dec 2015 at MSKCC, FUDR started Dec 2015
Liver resection 5/19/2016 15-20 mets removed (surgeon lost count, but it hopeful he got it all!)
Recurrence 7/2017 3 Liver mets and one possible lung met. Focusing on Liver mets for now. Back on FOLFOX to get them shrunk!


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