Colon cancer in a lymph node

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Joined: Sun Jan 03, 2016 10:32 am

Colon cancer in a lymph node

Postby Andrea1976 » Wed May 13, 2020 7:22 pm

My surgical oncologist says 1 distant colon lymph node is larger. He is not sure if it cancer. And is ordering MRI and Pet scan. What does it mean? Obviously it would be stage 4. My liver is ok. Can lymph nodes be enlarged for other reasons? What is the treatment? Thanks
Last edited by Andrea1976 on Thu May 14, 2020 10:18 am, edited 1 time in total.
Stage I
pedunculate polyp in descending colon
moderately diff adenocarcinoma 0.6 cm
Tumor confined to the head of the polyp
Stalk margin 2 cm negative for dysplasia and malignancy
Polyp removed during colonoscopy 1/15/16
No lymphovascular involved
No surgery

Posts: 114
Joined: Thu Mar 03, 2016 11:21 pm
Location: Sydney, Australia

Re: Colon cancer in distant colon lymph node

Postby del » Wed May 13, 2020 10:19 pm

I'm so sorry to hear of your recurrence, Andrea. I was diagnosed around the same time as you in 2016 and I remember your story very well and reading all of your messages.

Yes, there are other things that can cause lymph nodes to enlarge, like a mild infection or illness. I had a few enlarged nodes on my original staging MRI scan which thankfully turned out not to be cancerous. How distant is it? You say it is a colon lymph node. My understanding is that it would still be considered a local recurrence if a colon lymph node is cancerous.

Wishing you all the best and hoping for some positive scan results.
Male, 33 @ dx, stage 1 RC (T1N0M0 0/29 LNs)
2016-02 - Cancerous polyp removed during colonscopy, 0.5 mm margin
2016-03 - ULAR & TME surgery, temp ileostomy
2016-04 - DVT, pulmonary embolism
2016-11 - Ileostomy reversal
2018-10 - Another DVT & PE

Achilles Torn
Posts: 120
Joined: Fri Dec 16, 2016 2:41 pm

Re: Colon cancer in a lymph node

Postby Achilles Torn » Sun May 17, 2020 1:15 pm

Lymph nodes can be enlarged for many reasons and sometimes can return to normal size on their own. In my case a PET scan revealed significant lymph spread but chemo shrank them all back to normal on subsequent CT/PET scans.

They can’t really tell without a biopsy but i recommend a PET scan.

Lots of stories on this board of enlarged lymph nodes disappearing to never return. This could well be the same for you.
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.

Posts: 289
Joined: Sun Sep 27, 2015 11:29 am

Re: Colon cancer in a lymph node

Postby kandj » Tue May 19, 2020 1:12 pm

DH has had lymph nodes enlarged for cancerous reasons (a few in his lungs for a lung recurrence, some near the original location when he was diagnosed) and for non cancerous reasons (he had one in his groin enlarged for unknown reasons. It was not cancer though, it went away on its own. My DS (15) has had some along the back of his neck become enlarged when he was dealing with acne. A PET will let you know what's going on. I was always told that size (less than 1cm is good) is a good indicator too. I will say that the one in DH's groin was over over 1cm and was nothing. And firmness (although they have to go in and feel them if they are not palpable and that isn't exactly ideal for things like the ones in your abdomen and lungs).
wife to DH, dx 8/15 stage IV @36, numerous unresectable liver Mets
resection and HAI placed 12/15
Liver resection 5/19/2016 15-20 mets removed (surgeon lost count, but it hopeful he got it all!)
Recurrence 7/2017 4 Liver mets and one possible lung met
Radiation on liver Mets 12/17
Lung met 10/18
VATS on lung met 11/18 started xeloda
Chemo break 6/19-11/19 lung/adrenal gland recurrence 11/19
Adrenal ablation2/20 Robotic Assisted VATS 3/20 Xeloda again

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