Hi everyone....I have been a member for over 3 years with stage 2A colon cancer. However, recently I received a phone call from a long time friend who was just diagnosed with right sided colon cancer at the age of 75. They are reaching out to me because I also had right sided colon cancer. Needless to say, they are trying to focus and stay calm, but it is very hard. He has had multiple colonoscopies and twice in the past, he was hospitalized for bleeding after the procedure. 2 1/2 years after his last colonoscopy, he lost about 8 pounds and bloodwork showed that he as anemic and low iron. He had surgery 2 weeks ago at a designated cancer center and received his pathology report.... T4 tumor, 2 out of 24 nodes, clear margins, LVI, Grade 3, normal CEA...so I am thinking 3B. Clear ct scan for metastasis.
They are meeting with the oncologist on Monday, and I know the basic questions for him to ask, but I am asking any of you here to add specific questions with regards to age, treatment, Vitamin C IV or anything thing else that he may benefit by. Thanks...
Beckster
3b right sided colon cancer questions for Onc
3b right sided colon cancer questions for Onc
57/F
DX:(CC) 10/19/16
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Type: Adenocarcinoma
Tumor size:3.5 cm x 2.5 x 0.7 cm
Grade: G3
TNM: T3N0M0/IIA
LN: 0/24
LVI present
Surgical margins: clear
MSS
12/27/2016 - Capeox, anaphylactic
1/2/17 to 6/9/17- Xeloda
6/17,12/17,6/18,12/18,6/19,12/19,12/20,12/21 CT Scan NED
CEA- 6/17- 3.6, 9/17- 2.8 12/17-2.8, 3/18-3.1, 6/18-3.0, 9/18 2.8, 12/18 2.5 3/19 3.1 6/19 3.1 9/19 2.6 12/19 2.8 6/20 3.0 12/20 2.7 6/21 2.9,[color=#000000]12/21 2.7[/color]
Clear Colonoscopy 10/17, 11/19,11/21
DX:(CC) 10/19/16
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Type: Adenocarcinoma
Tumor size:3.5 cm x 2.5 x 0.7 cm
Grade: G3
TNM: T3N0M0/IIA
LN: 0/24
LVI present
Surgical margins: clear
MSS
12/27/2016 - Capeox, anaphylactic
1/2/17 to 6/9/17- Xeloda
6/17,12/17,6/18,12/18,6/19,12/19,12/20,12/21 CT Scan NED
CEA- 6/17- 3.6, 9/17- 2.8 12/17-2.8, 3/18-3.1, 6/18-3.0, 9/18 2.8, 12/18 2.5 3/19 3.1 6/19 3.1 9/19 2.6 12/19 2.8 6/20 3.0 12/20 2.7 6/21 2.9,[color=#000000]12/21 2.7[/color]
Clear Colonoscopy 10/17, 11/19,11/21
Re: 3b right sided colon cancer questions for Onc
He needs to know his basic tumor genetics: MSS/MSI, BRAF and KRAS wildtype or mutated.
The big question will probably be advujant chemo or not. (Or immunotherapy if he is MSI.) There's a lot of discussion right now about not taking the risk during the height of the epidemic.
The big question will probably be advujant chemo or not. (Or immunotherapy if he is MSI.) There's a lot of discussion right now about not taking the risk during the height of the epidemic.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemi
11 of 25 LN,5 mesentery nodes
5mm liver met
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
7/18 and 11/18 CT NED
12/18 MRI 5mm liver mass, 2 LNs 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: all fails but Celebrex
12/23/19 CT stable
5/20 MRI stable/NED
6/20 Stop Key
All MRIs NED
3/17/18 blockage, r hemi
11 of 25 LN,5 mesentery nodes
5mm liver met
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
7/18 and 11/18 CT NED
12/18 MRI 5mm liver mass, 2 LNs 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: all fails but Celebrex
12/23/19 CT stable
5/20 MRI stable/NED
6/20 Stop Key
All MRIs NED
Re: 3b right sided colon cancer questions for Onc
boxhill wrote:He needs to know his basic tumor genetics: MSS/MSI, BRAF and KRAS wildtype or mutated.
The big question will probably be advujant chemo or not. (Or immunotherapy if he is MSI.) There's a lot of discussion right now about not taking the risk during the height of the epidemic.
Thanks for the response...I did not know there was discussion about taking chemo during the epidemic. Would not doing chemo pass the golden window be detrimental to an ultimate cure?
57/F
DX:(CC) 10/19/16
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Type: Adenocarcinoma
Tumor size:3.5 cm x 2.5 x 0.7 cm
Grade: G3
TNM: T3N0M0/IIA
LN: 0/24
LVI present
Surgical margins: clear
MSS
12/27/2016 - Capeox, anaphylactic
1/2/17 to 6/9/17- Xeloda
6/17,12/17,6/18,12/18,6/19,12/19,12/20,12/21 CT Scan NED
CEA- 6/17- 3.6, 9/17- 2.8 12/17-2.8, 3/18-3.1, 6/18-3.0, 9/18 2.8, 12/18 2.5 3/19 3.1 6/19 3.1 9/19 2.6 12/19 2.8 6/20 3.0 12/20 2.7 6/21 2.9,[color=#000000]12/21 2.7[/color]
Clear Colonoscopy 10/17, 11/19,11/21
DX:(CC) 10/19/16
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Type: Adenocarcinoma
Tumor size:3.5 cm x 2.5 x 0.7 cm
Grade: G3
TNM: T3N0M0/IIA
LN: 0/24
LVI present
Surgical margins: clear
MSS
12/27/2016 - Capeox, anaphylactic
1/2/17 to 6/9/17- Xeloda
6/17,12/17,6/18,12/18,6/19,12/19,12/20,12/21 CT Scan NED
CEA- 6/17- 3.6, 9/17- 2.8 12/17-2.8, 3/18-3.1, 6/18-3.0, 9/18 2.8, 12/18 2.5 3/19 3.1 6/19 3.1 9/19 2.6 12/19 2.8 6/20 3.0 12/20 2.7 6/21 2.9,[color=#000000]12/21 2.7[/color]
Clear Colonoscopy 10/17, 11/19,11/21
Re: 3b right sided colon cancer questions for Onc
I have the impression that the debate is about the risk of lowering one's immune system plus the risk of regular visits to a medical facility (even though from what I've seen at my cancer center it has to be about the safest place there is), which might lead to higher risk of dying from Covid-19 now, vs a possibly higher risk of dying of CRC later.
A tough position.
Every patient and their oncologists have to make their own decisions, I guess. Personally, I'd go for the treatment if it was advisable, and just continue to be very careful, but that's me. (In fact, I am continuing to have Keytruda infusions every 3 weeks.)
If you do some googling on the subject you'll easily find articles discussing it. But do note that the information is constantly changing.
A tough position.
Every patient and their oncologists have to make their own decisions, I guess. Personally, I'd go for the treatment if it was advisable, and just continue to be very careful, but that's me. (In fact, I am continuing to have Keytruda infusions every 3 weeks.)
If you do some googling on the subject you'll easily find articles discussing it. But do note that the information is constantly changing.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemi
11 of 25 LN,5 mesentery nodes
5mm liver met
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
7/18 and 11/18 CT NED
12/18 MRI 5mm liver mass, 2 LNs 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: all fails but Celebrex
12/23/19 CT stable
5/20 MRI stable/NED
6/20 Stop Key
All MRIs NED
3/17/18 blockage, r hemi
11 of 25 LN,5 mesentery nodes
5mm liver met
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
7/18 and 11/18 CT NED
12/18 MRI 5mm liver mass, 2 LNs 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: all fails but Celebrex
12/23/19 CT stable
5/20 MRI stable/NED
6/20 Stop Key
All MRIs NED
Re: 3b right sided colon cancer questions for Onc
What is this person's over all health? Some times, older people die from other medical issues and not the cancer they may have.
Maybe the oral version of 5-FU.
I wish your friend all the best.
Lee
Maybe the oral version of 5-FU.
I wish your friend all the best.
Lee
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 - 16 years and counting!
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 - 16 years and counting!
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