CT scan report and PARA-AORTIC Lymph Nodes!

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Daniellabella
Posts: 35
Joined: Wed May 23, 2018 10:32 pm

CT scan report and PARA-AORTIC Lymph Nodes!

Postby Daniellabella » Sun Jul 08, 2018 3:47 am

Hello everyone,

I am sincerely trying to calm my anxiety and not freak out.

My husband has been diagnosed with rectosigmoid-sigmoid cancer. The CT report for “staging” says T3-4a, N2, M0.

However, I’m concerned about a part of the report that mentions, “multiple, prominent para-aortic lymph nodes.”

Is that what makes him N2? Or wouldn’t that make him M1?

So far they told us this is Stage 3 but isn’t this a metastasis?

I’ve done the search engine on Colon Club for PALN and I’m scaring myself.

What does “multiple PROMINENT nodes” really mean?

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Atoq
Posts: 264
Joined: Wed Oct 25, 2017 9:31 am

Re: CT scan report and PARA-AORTIC Lymph Nodes!

Postby Atoq » Sun Jul 08, 2018 4:08 am

Hi! Sorry for this new diagnosis. I think M refers to long distance metastasis like lungs or liver. Prominent means that they are enlarged, but they need a histologic test to see if they are cancerous.

Claudia
45 year old, mother of 2
Dx rectal cancer October 2017
At least T3N2aMX (suspect metastasis to one lung 8 mm)
Lynch negative
Neoadjuvant chemoradiotherapy Xeloda + 25x2 Gy
05.12.17 laparotomic surgery for blockage, colostomy
25.01.18 laparotomic lar, hysterectomy, ileostomy
05.03.18 core needle biopsy of lung, updated to stage IV
07.05.18 CAT scan, lung metastasis 11 mm
04.06.18 ileostomy reversal
26.06.18 wedge VATS surgery

Daniellabella
Posts: 35
Joined: Wed May 23, 2018 10:32 pm

Re: CT scan report and PARA-AORTIC Lymph Nodes!

Postby Daniellabella » Sun Jul 08, 2018 4:18 am

Atoq wrote:Hi! Sorry for this new diagnosis. I think M refers to long distance metastasis like lungs or liver. Prominent means that they are enlarged, but they need a histologic test to see if they are cancerous.

Claudia


Thanks for replying, Claudia.

I’m thinking there’s only one reason they are enlarged...cancer!

So this feels like a death sentence, as the report mentions MULTIPLE prominent nodes.

Basically, the cancer is now traveling all over his body, right?

Brearmstrong
Posts: 53
Joined: Sun Mar 26, 2017 3:24 pm
Location: CT

Re: CT scan report and PARA-AORTIC Lymph Nodes!

Postby Brearmstrong » Sun Jul 08, 2018 5:44 am

Hi, try not to panic. I was stage 3C but had a quick recurrence after 12 rounds of folfox. My tumor was on the right side so when it came back to the para aortic lymph nodes I was then stage IV. It does mean that it is now through out his blood stream but don’t give up hope that it can be treated! I had surgery in May and they removed 5 of them that were cancerous. My oncologist said that for a small % it doesn’t come back! He can do this!!
45 F Jan 17 Mom- two boys
tumor in appendix into colon
Muc Adeno 4cm
mod diff G2 T4aN2
nodes 8/50
CEA 4.6 after surgery < .05
KRAS G12D MSS
FOLFOX Apr-sep 17
Clean CT scan Jul 2017 watching lung nodule 4mm, clean CT oct 17, CEA 3.4, nov 17 CEA 8.1. May 18 2.3
Oct 2017 clean CT 4mm lung nodule stable,3 new 2 mm nodule.
Nov 17 PET para aortic nodes uptake. Stage IV
Folfori w/avastin Dec 17 CEA 7.1
May 18- surgery to remove nodes- 5 positive. June 18 start xeloda 3000mg/day

User avatar
Atoq
Posts: 264
Joined: Wed Oct 25, 2017 9:31 am

Re: CT scan report and PARA-AORTIC Lymph Nodes!

Postby Atoq » Sun Jul 08, 2018 8:13 am

Daniellabella wrote:
Thanks for replying, Claudia.

I’m thinking there’s only one reason they are enlarged...cancer!

So this feels like a death sentence, as the report mentions MULTIPLE prominent nodes.

Basically, the cancer is now traveling all over his body, right?


It might sound like it, but now there are better chances to cure cancer even when it is stage 4. The primary tumor sheds metastasis but only a small percentage survive and the immune system takes care of most, for the rest there are chemo, radio, immunoterapy.

Claudia
45 year old, mother of 2
Dx rectal cancer October 2017
At least T3N2aMX (suspect metastasis to one lung 8 mm)
Lynch negative
Neoadjuvant chemoradiotherapy Xeloda + 25x2 Gy
05.12.17 laparotomic surgery for blockage, colostomy
25.01.18 laparotomic lar, hysterectomy, ileostomy
05.03.18 core needle biopsy of lung, updated to stage IV
07.05.18 CAT scan, lung metastasis 11 mm
04.06.18 ileostomy reversal
26.06.18 wedge VATS surgery

Ksiemonsma
Posts: 8
Joined: Sun Aug 27, 2017 11:16 pm

Re: CT scan report and PARA-AORTIC Lymph Nodes!

Postby Ksiemonsma » Sun Jul 08, 2018 8:54 am

I had very high lymph node involvement and feel great today(and hopefully have a lot longer to live). Please trust your doctors and believe in the system as life is better with a positive outlook. I find so much hope on this site and if you read other people’s stories you can too, good luck.
Colon cancer 7/17 age 49
Colectomy 8/17
Stage 3C T4B N2B MO
16/27 lymph nodes
First round of FOLFOX on 9/13/17
3/7/18. 12th round and hopefully last of FOLFOX (9 with oxi)
Clear scans 6/7/18

pantufla
Posts: 124
Joined: Thu Dec 03, 2015 12:44 pm
Facebook Username: kelleykulina

Re: CT scan report and PARA-AORTIC Lymph Nodes!

Postby pantufla » Sun Jul 08, 2018 10:44 am

My DH has some nodes and nodules that have remained stable. My understanding is that they are benign reactive nodes but are not cancerous nodes. Just my 2 cents. Like everyone has been saying, even if it is stage4,it is still treatable.
DH T2 N1b M0. 3/15 positive nodes.
Stage IIIA moderately differentiated adenocarcinoma.
Tumor size 6 cm.
Left hemicolectomy 10/26/15.
FOLFOX 11/30/15 to 5/2/16, full 12 cycles.
Lynch negative.
10/3/16 CT scan clear.
11/10/17 CT: "Focal opacity along the left lower lung, 7 mm. Two small peripheral opacities along the right lower lobe, 2 to 3 mm. A few small to mildly prominent left-sided central mesenteric nodes, up to 13 mm. There are subcentimeter retroperitoneal lymph nodes."
CEA 0.5

Achilles Torn
Posts: 101
Joined: Fri Dec 16, 2016 2:41 pm

Re: CT scan report and PARA-AORTIC Lymph Nodes!

Postby Achilles Torn » Mon Jul 09, 2018 4:20 pm

All this means is that the nodes are likely reactive. While there is still good reason to think they may be benign my advice is to be vigilant. I had prominent nodes noted on my Stage 3 scan which were later revealed by follow-up PET scans to be cancer (only a biopsy would be certain but the PET numbers and subsequent CT's were good enough for me). I had to push for the PET scan which showed I was Stage 4 and while it was horrible news it was undoubtedly a good thing as it meant I received additional treatments and more frequent surveillance scans. This doesn't mean this will be the same for your husband. A good number of patients with enlarged PALN's on initial CT turn out to be nothing, but they will be under represented here by the nature of who is more likely to post.


AT
40 yo Male. BC Canada. Sigmoid Colectomy Dec. 2016
Pathology T3N2bM1 19 of 24 Nodes Positive + tumour deposits
PET scan - Para-Aortic and Iliac Lymph node spread. Stage VI.
Moderately differentiated. MSS. KRAS/BRAF Wild.
Mutations: TP53, ERBB4, MLL3, PDCD1LG2, PRKDC, SMAD3
FOLFOX Commenced Jan 9/2017 - Avastin(Bev) added after round 1.
June 2017 Dose Reduction on Round 11 due to Neuropathy.
Good PET Scan July 2017 - on maintenance 5FU/Bev every 2 weeks until progression.


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