Lymph node involvement

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Mohrfamily
Posts: 195
Joined: Tue May 22, 2018 4:04 pm

Lymph node involvement

Postby Mohrfamily » Tue Nov 26, 2019 11:09 am

So 2 weeks post op and the surgical report was given to me goodness knows i tried reading it and comprehending all of it. The surgeons were... are fine with everything. Out of 32 nodes they harvested only 2 came back with cancer and assured us they got everything out of the colon.

Thoughts?
DH dx stage IV liver mets largest 6x6.4 cm
Colonoscopy/endoscopy/port place 5/29
4cm mass in splenic flexure
1st round FolFox 5/30
08/2018 new CT no new lesions, clear lungs, slight decrease in colon.
3/2019 PET scan shows greater than 6-7 liver mets largest measuring 3x3 cm. No growth nothing new.
8/15/19 largest liver lesion 1.9x2.1
9/16/2019 OSU to proceed with surgery implant HAI and colon resection
11/19 resection of colon HAI placed no surprises in surgery

Gravelyguy
Posts: 263
Joined: Thu Jul 05, 2018 6:03 pm

Re: Lymph node involvement

Postby Gravelyguy » Tue Nov 26, 2019 11:33 am

I had 1 out of 25 positive. My oncologist said 1 is better than 25 out of 25 and not as good as 0 out of 25. Thanks Captain obvious. He stressed that 25 was a lot of lymph nodes so feel confident that they got it all and that it wasn't a bunch of them that were positive.

I think the same holds true for you guys. 2 isn't that many and they took out a ton of them so I would say it is a good thing!

Hope this helps,

Dave
6/17 dx mRC 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 LAR with coloanal anastomosis (no rectum left)
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!
6/11/19 clear scans CEA 1.0

radnyc
Posts: 414
Joined: Tue Apr 06, 2010 6:32 pm

Re: Lymph node involvement

Postby radnyc » Tue Nov 26, 2019 12:29 pm

I had two of 17. Stage 3b? Chemotherapy for 3-6 months to hopefully clean up any stray cancer. Stay strong.
DX Jan '10, at 47
Feb - colon resection - 2/17 nodes
April - liver mets - Stage 4
3 months Folfox chemotherapy
August '10 liver resection and HAI pump
7 months chemo FUDR HAI and Folfiri systemic
NED since August 2010
Last treatment April '11
HAI Pump removed Dec '15

Maelleous
Posts: 125
Joined: Tue Nov 01, 2016 8:13 am
Location: FL

Re: Lymph node involvement

Postby Maelleous » Tue Nov 26, 2019 1:29 pm

I was 9 of 38. Still going strong 3 years in.
M 35 yr
DX Rectal Cancer, 10/16 (symptoms Feb 2016)
Dx stage 2 - Surgery Oct 25 201 Loop ileo w/ j-pouch
Close margins within 1mm
9/38 lymph nodes involved on path / Stg IIIc,pT4, pN2 B, p.M0. MSS, K‐ras, NRAS, no mutation
Started Folfox - 3rd Treament, Dec 30th 2016 Cardiac Arrest - Lucky to be part of the 6% to survive!
S-ICD installed / Port Removed
Vaccine Clinical trial at UPMC - last shot June 2017
Reversal 8/1/17 - Praying this is it!
Still NED

Mohrfamily
Posts: 195
Joined: Tue May 22, 2018 4:04 pm

Re: Lymph node involvement

Postby Mohrfamily » Wed Nov 27, 2019 5:12 pm

Thank you all this like always is great feedback
DH dx stage IV liver mets largest 6x6.4 cm
Colonoscopy/endoscopy/port place 5/29
4cm mass in splenic flexure
1st round FolFox 5/30
08/2018 new CT no new lesions, clear lungs, slight decrease in colon.
3/2019 PET scan shows greater than 6-7 liver mets largest measuring 3x3 cm. No growth nothing new.
8/15/19 largest liver lesion 1.9x2.1
9/16/2019 OSU to proceed with surgery implant HAI and colon resection
11/19 resection of colon HAI placed no surprises in surgery

Rock_Robster
Posts: 399
Joined: Thu Oct 25, 2018 5:27 am
Location: Melbourne, Australia

Re: Lymph node involvement

Postby Rock_Robster » Thu Nov 28, 2019 11:28 pm

I had 1 out of 27 after my rectal surgery. I was stressed about it for a while then he reminded me that the 1 was now sitting on a pathology table somewhere where it can’t hurt anyone :D
Male 37; Melbourne, Australia
10/2018 Dx 3.5cm RC adenocarcinoma, 12cm from AV
Mod diff, EMVI+ LVI+ PNI-
3 LN; 4 liver mets
pT3pN1aM1a; Stage IVa. MSS, NRAS (G13R)
CEA: Oct-18= 12; Nov-18= 14, Mar-19= 2.4, Aug-19 <2.0
11/18 - FOLFOX x 6
3/19 - Liver resection
4-5/19 - 25 x pelvic radiation; complete met. response
07/19 - ULAR (robot), temp ileo, 1/27 LN
08/19 - Missed liver spot
08-11/19 - FOLFOX x 1, FOLFOXIRI x 1, FOLFIRI x 5
12/19 - Planned liver resection #2 & (01/20) stoma reversal


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