Pathology results are in

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Cmarie03
Posts: 29
Joined: Sat Feb 16, 2019 6:35 pm

Pathology results are in

Postby Cmarie03 » Sun Sep 01, 2019 3:43 pm

I had my surgery 8/20/19 at Md Anderson in Houston. I was stage 3C rectal cancer. The tumor had grown into my posterior vaginal wall. Surgery consisted of APR (abdominal perineal resection), complete hysterectomy (was gonna keep these organs but when they got in there said it had to come out), vaginal reconstruction and a permanent colostomy. Surgery lasted about 12 hours!! Science is wild.

My doctor emailed me the results of pathology report and we have our appt Wednesday to go over it:

“Your pathology came back and all of your tumor was necrotic and not viable meaning that the cancer cells had all been killed by the chemotherapy and radiation therapy.
All of the lymph nodes were also negative for viable cancer as well. Finally, the margins were all negative.
We will give you a copy of the pathology report next week when you return to see us in the office.”

I’m interpreting this as most excellent news!!!!

This has been a long 8 months of chemo, radiation and finally surgery. I poured over this forum when I was first diagnosed and so scared. Every scary thing I was terrified of I just put one foot in front of the other and I cannot believe I’m already on the other side of surgery. Still trying to get used to idea of colostomy for life but what’s done is done. I just want to be able to see my kids grow up!! Everyone keep up the good fight!!
Diagnosed stage IIIC rectal cancer 12/20/18 in ER
4 rounds FOLFOX January 2019-February 2019
Xeloda/Radiation March 2019-April 2019
4 more rounds FOLFOX 6/5-7/17
Surgery sched 8/20/19

User avatar
muskokamike
Posts: 224
Joined: Tue Feb 25, 2014 4:38 pm

Re: Pathology results are in

Postby muskokamike » Sun Sep 01, 2019 6:56 pm

Congrats on the pCR. I think about 20% of us rectal patients get em.
53M Dx rc10/31/13
WTF!
CT scan, BONE scan
MRI/T3N0M0 1 suspicious node
5 wks chemo/rad
LAR open TME 2/26/14
temp ileo
0/24 nodes pCR/pathological
Mop up Folfox (8) Mar/28-Jul/4
Aug/14 clear CT scan
8/27/14 reversal
Feb/15 clear scope
July/15 clear CT scan
Feb/16 clear CT scan
Feb/17 clear CT scan
Feb/18 clear scope
Feb/18 clear CT scan
Sep/19 clear CT scan DISCHARGED!
CEA levels 1.6 dx
1.6,1.4,1.7,2.4,2.9, 2.7 2.3 2.5 2.2 2.1 2.5 2.6 2.7
2.7 Sept 19
0-4 normal
https://kicknasscancersass.blogspot.com/

NHMike
Posts: 2324
Joined: Fri Jul 21, 2017 3:43 am

Re: Pathology results are in

Postby NHMike » Mon Sep 02, 2019 5:28 pm

I'm glad that you had a Pathological Complete Response and now starts getting used to the new normal. A 12 hour surgery is a very long surgery. I think that most LARs run around five hours. Adjusting to the changes is part of the new normal.
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

tater
Posts: 114
Joined: Wed Jul 19, 2017 5:53 pm

Re: Pathology results are in

Postby tater » Mon Sep 02, 2019 11:21 pm

Cmarie03 wrote:I had my surgery 8/20/19 at Md Anderson in Houston. I was stage 3C rectal cancer. The tumor had grown into my posterior vaginal wall. Surgery consisted of APR (abdominal perineal resection), complete hysterectomy (was gonna keep these organs but when they got in there said it had to come out), vaginal reconstruction and a permanent colostomy. Surgery lasted about 12 hours!! Science is wild.

My doctor emailed me the results of pathology report and we have our appt Wednesday to go over it:

“Your pathology came back and all of your tumor was necrotic and not viable meaning that the cancer cells had all been killed by the chemotherapy and radiation therapy.
All of the lymph nodes were also negative for viable cancer as well. Finally, the margins were all negative.
We will give you a copy of the pathology report next week when you return to see us in the office.”

I’m interpreting this as most excellent news!!!!

This has been a long 8 months of chemo, radiation and finally surgery. I poured over this forum when I was first diagnosed and so scared. Every scary thing I was terrified of I just put one foot in front of the other and I cannot believe I’m already on the other side of surgery. Still trying to get used to idea of colostomy for life but what’s done is done. I just want to be able to see my kids grow up!! Everyone keep up the good fight!!



You sound just like my wife. She too had a 12 hour surgery. Here rectal tumor had grown into or attached to the uterus and the top part of the vagina. She too also had a great pathology report come back. It was a long recovery for her, its a lot to take our and mess with. Good luck with the recovery and hopefully they now call you NED.
DH to 38 wife w/kids
Stage 3C DX 3/3/17 CEA 29
5-fu and radiation ended May 17, 2017
Stage 4 External iliac node July 17, 2017
FOLFOX + Avistan July 18 2017 CEA 2.3
Nov 9, 2017 Coloanal Anastomosis, Hysterectomy & External Nodes Removed W/ileostomy
Clear Margins NED
CEA 1.5 12/17, 2.1 2/18, 2.3 6/18, 1.1 9/18, 1.3 12/18, 1.8 3/19, 2.5 6/19
Clear CT and MRI on 2/5/2018, 9/18 Clear Scans
Reversal Surgery 6/26/18

User avatar
CRguy
Posts: 10021
Joined: Sun Feb 10, 2008 6:00 pm

Re: Pathology results are in

Postby CRguy » Tue Sep 03, 2019 12:38 am

Cmarie03 wrote:I had my surgery 8/20/19 at Md Anderson in Houston. I was stage 3C rectal cancer. The tumor had grown into my posterior vaginal wall. Surgery consisted of APR (abdominal perineal resection), complete hysterectomy (was gonna keep these organs but when they got in there said it had to come out), vaginal reconstruction and a permanent colostomy. Surgery lasted about 12 hours!! Science is wild.

My doctor emailed me the results of pathology report and we have our appt Wednesday to go over it:

“Your pathology came back and all of your tumor was necrotic and not viable meaning that the cancer cells had all been killed by the chemotherapy and radiation therapy.
All of the lymph nodes were also negative for viable cancer as well. Finally, the margins were all negative.
We will give you a copy of the pathology report next week when you return to see us in the office.”

I’m interpreting this as most excellent news!!!!

This has been a long 8 months of chemo, radiation and finally surgery. I poured over this forum when I was first diagnosed and so scared. Every scary thing I was terrified of I just put one foot in front of the other and I cannot believe I’m already on the other side of surgery. Still trying to get used to idea of colostomy for life but what’s done is done. I just want to be able to see my kids grow up!! Everyone keep up the good fight!!


You have just been through the wringer my friend

You have come OUT the other side with a GREAT attitude and outlook !!!

Cancer ain't easy..... or only sissies would do it.
WE here .... are no sissies 'cos we kick ASS and take names !!!
AND .... I agree All good news moving forward

YOU ROCK BIG TIME !!!!!!!!

Heartfelt best wishes and MEGA CHEERS

In Harmony
CRguy on the journey with you
Caregiver x 4
Stage IV A rectal cancer/lung met
12 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

DarknessEmbraced
Posts: 3370
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Pathology results are in

Postby DarknessEmbraced » Sat Sep 07, 2019 12:48 pm

Wonderful news! :D
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
NED 12/21/18
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)


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