the_dude wrote: ...I would like to see what the below passages mean in the mean time. Thanks for your time.
Report from Radiologist
Colo-colic intusucception of ascending colon noted with a large ill defined polypoidal soft tissue density, moderately enhancing mass measuring approximately 7x4.4 cm epicentered in ascending colon as its lead point, not causing any significant obstructin/dilatation of bowel loops proximal to it.
Cirucumferential nodular wall thiceking with submucosal oedema noted extending into hepatic flexure and proximal half of treansverse colon. Multiple draining mildly enhancing mesenteric lymphnodes noted in righ half of abdomen, largest measuring 1.5x0.9 cm in right iliac fossa and 1.1 x 1cm in central mesentry. Prominent vasa rectal seen supplying ascending colon. Mild perienteric fat stranding noted.
Base of caecum, ileo-caecal junction and appendix appear grossly normal.
Visualized sections of both lung bases, reveal multiple subsegmental atelectatic bands with bilateral mild defree pleural effusion. Peribronchovascular ground glass haze noted in both lungs (rught>left) indicating active insult. No evidence of any obvious focal lesions.
Bone window reveals no obvious eveidence of any focal bone lesions. Age related spondylotic changes in underlying spine.
Colo-colic intusucception of ascending colon noted with a large ill defined polypoidal soft tissue density, moderately enhancing mass epicentered in ascending colon as its lead point, not causing any significant obstruction/dilatation of #bowel loops proximal to it. Circumferential nodular wall thickening with submucosal oedema extending into hepatic flexure and proximal half of transverse colon with multiple draining mildly enhancing mesenteric lymphnodes and prominent vasa rectae seen supplying ascending colon associated with mild perienteric fat stranding noted - Likely of malignant etiology with local metastases to mesentric lymph nodes.
I will give my own opinion, but I am not a scientist or medical professional.
The Radiologist Report comes in two parts. The top part contains the "facts" that the scan reveals. The bottom part contains the personal opinion of the Radiologist after his/her review of the basic facts. The most relevant part is the very last sentence, where the Radiologist gives his/her overall impression.
From the final sentence, it appears that the Radiologist thinks that this is likely a Stage III diagnosis, such as T4b N1b M0. This is just my layman's opinion.
I would say T4b because of the term "intussusception" used in the description,. which seems to imply that the tumor has grown outside the colon wall and immediately back into another adjacent loop in the colon.
I would say N1b because it seems that at least 2 or 3 of the local lymph nodes are possibly involved with metastases.
I would say M0 because all of the problems in the liver and lungs seem to be benign. In particular, the problems in the lungs sre likely due to injuries sustained during the previous open heart surgery and not to cancer.
Thus, in the TNM staging system this would equate to Stage IIIC (Group 3) which is shown here:
Your father is very lucky to have you as an advocate and information gatherer. If the diagnosis is in fact a Stage III diagnosis, then the recommended standard of care would probably be surgery to remove the tumor and local lymph nodes, followed by a 6-month regimen of "mop-up" chemotherapy to take care of any circulating cancer cells that might be left over after surgery. The surgery would have to be done by a Board Certified colorectal surgeon.
Radiation is not normally done for tumors in the ascending colon.
There are 2 Board Certified colorectal surgeons affiliated with Moffitt Cancer Center. For the hospital as a whole, here is their US News & World Report scorecard on Colon Cancer Surgery:https://health.usnews.com/best-hospitals/area/fl/moffitt-cancer-center-6391069/colon-cancer-surgery