Colonoscopy?

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Monimom
Posts: 4
Joined: Wed Jan 08, 2020 6:15 pm

Colonoscopy?

Postby Monimom » Wed Feb 19, 2020 9:49 am

Good Morning,
I was wondering if you were diagnosed with a scan CT or PET did the Dr still order a colonoscopy ?? thanks

KimT
Posts: 686
Joined: Sat Feb 20, 2010 8:53 pm

Re: Colonoscopy?

Postby KimT » Wed Feb 19, 2020 11:49 am

Only a colonoscopy can diagnose colon cancer.
2/10 dx colon cancer
right hemicolectomy 3/19/10
Stage 2a 0/43 nodes
Lynch syndrome
3/14/10 colon resection/ removal of metal clips
Nov 11 dx ovarian cancer

Lee
Posts: 6029
Joined: Sun Apr 16, 2006 4:09 pm

Re: Colonoscopy?

Postby Lee » Wed Feb 19, 2020 5:52 pm

Ditto to what KimT said. My first colonoscopy found my cancer, I had a few other tests including a CAT scan for help in staging.

Has anyone talked to you about him getting a colonoscopy? If they suspect colon cancer, yes he should probably get one.

Lee

P.S. to add, he probably should be scoped to remove any polyps he may have in his colon. Certain polyps turn into cancer.
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 10 years and counting!

DarknessEmbraced
Posts: 3428
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Colonoscopy?

Postby DarknessEmbraced » Sat Feb 22, 2020 11:20 am

My colonoscopy diagnosed my cancer. CT scan showed spread. I would get a colonoscopy if you're concerned.*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
NED 12/21/18
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

boxhill
Posts: 491
Joined: Fri Apr 06, 2018 11:40 am

Re: Colonoscopy?

Postby boxhill » Sat Feb 22, 2020 11:29 am

I was diagnosed in the hospital with a CT scan. The residents were going to hold off until the next day or so in hopes of doing a colonoscopy to make sure what was there, but the gastro surgeon on call overruled them because I had a blockage that needed to be addressed immediately. He saw no reason to wait and risk a rupture of the stressed colon.

In less pressing circumstances, I gathered that they would probably do a colonoscopy before launching into any surgery, even if the CT indications were strong.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemi
11 of 25 nodes,5 mesentery nodes
5mm liver met out
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
Neulasta 6/28
7/18 CT NED
11/18 CT NED
12/18 MRI 5mm liver mass, 2 lymph nodes in porta hepatis
12/31/18 Keytruda
6/19 Multiphasic CT LNs normal, Liver stable
6/28/19 Pause Key, predisone for joint pain
7/31/19 Restart Key
9/19 CT stable
Pain: many fails before Celebrex helps
12/23/19 CT stable

JJH
Posts: 254
Joined: Mon Apr 24, 2017 7:26 am

Re: Colonoscopy?

Postby JJH » Sat Feb 22, 2020 1:30 pm

There have been cases in the news where doctors proceeded with a long course of chemotherapy just on the basis of a suspicious CT scan, with no follow-up biopsies to verify that the spot/lump/mass seen on the scan was in fact malignant. Here is an example of a breast cancer patient who received a large settlement for this type of hasty, erroneous diagnosis.

https://randallmoorelaw.com/texas-woman-wins-malpractice-lawsuit-over-false-positive-for-cancer/

In the case of colorectal cancer, a biopsy of the primary tumor or of one of the remote metastases is usually required to confirm a malignancy before launching chemotherapy. Normally this is done by colonoscopy, but there are other kinds of biopsy procedures, such as needle biopsies, that can also be used to confirm malignancies.


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