LVI positive/neg

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beach sunrise
Posts: 1041
Joined: Thu Mar 05, 2020 7:14 pm

LVI positive/neg

Postby beach sunrise » Mon Jun 29, 2020 12:07 pm

Hi everyone, Question: Is LVI always present if you have lymph node involvement? Why or why not?
8/19 RC CEA 82.6 T3N0M0
5FU/rad 6 wk
IVC 75g 1 1/2 wks before surgery. Continue 2x a week
Surg 1/20 -margins T4bN1a IIIC G2 MSI- 1/20 LN+ LVI+ PNI-
pre cea 24 post 5.9
FOLFOX
7 rds 6-10 CEA 11.4 No more
CEA
7/20 11.1 8.8
8/20 7.8
9/20 8.8, 9, 8.6
10/20 8.1
11/20 8s
12/20 8s-9s
ADAPT++++ chrono
CEA
10/23/22 26.x
12/23/22 22.x
2023
1/5 17.1
1/20 15.9
3/30 14.9
6/12 13.3
8/1 2.1
Nodule RML SUV 1.3 5mm
Rolles 3 of 4 lung nodules cancer
KRAS
Chem-sens test failed Not enough ca cells to test

BLZ85
Posts: 6
Joined: Thu Mar 12, 2020 4:52 pm

Re: LVI positive/neg

Postby BLZ85 » Tue Jun 30, 2020 9:36 am

Hello!

My pathology (I did 4 rounds of FOLFOX and 6 weeks of chemo/radiation prior to surgery) was LVI negative but I had some viable cells in 1 node. I am not sure if it was negative because of prior treatment or if it was always negative. But I did have lymph node involvement. I’m sorry if that doesn’t really answer your question.
34yo Female Dx 2/27/2019
T3N2M0 upper rectum
MSS/pMMR
4 rounds of FOLFOX6
Radiation/xeloda completed 8/8/19
LAR 10/22/19, no residual tumor or cells in rectum
1 positive node after chemo/radiation
No bag
3 rounds of CAPOX
Clear scan 1-16-20
Clear colonoscopy 3-4-20
CEA 1.5 2-28-20, 1.4 5-28-20
Clear scan 7-1-20
Currently NED

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beach sunrise
Posts: 1041
Joined: Thu Mar 05, 2020 7:14 pm

Re: LVI positive/neg

Postby beach sunrise » Wed Jul 01, 2020 2:33 am

thank you so much for your input. It helps! I've been researching this and seems its a crap shoot I guess.
8/19 RC CEA 82.6 T3N0M0
5FU/rad 6 wk
IVC 75g 1 1/2 wks before surgery. Continue 2x a week
Surg 1/20 -margins T4bN1a IIIC G2 MSI- 1/20 LN+ LVI+ PNI-
pre cea 24 post 5.9
FOLFOX
7 rds 6-10 CEA 11.4 No more
CEA
7/20 11.1 8.8
8/20 7.8
9/20 8.8, 9, 8.6
10/20 8.1
11/20 8s
12/20 8s-9s
ADAPT++++ chrono
CEA
10/23/22 26.x
12/23/22 22.x
2023
1/5 17.1
1/20 15.9
3/30 14.9
6/12 13.3
8/1 2.1
Nodule RML SUV 1.3 5mm
Rolles 3 of 4 lung nodules cancer
KRAS
Chem-sens test failed Not enough ca cells to test

Beckster
Posts: 438
Joined: Thu Jan 12, 2017 3:01 pm
Location: New Jersey

Re: LVI positive/neg

Postby Beckster » Thu Jul 02, 2020 3:53 pm

I had LVI with no lymph node involvement. Stage 2A T3N0M0. LVI is considered a high risk of recurrence, but it is subjective. I have been cancer free for almost 4 years.
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 :D
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 :D

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beach sunrise
Posts: 1041
Joined: Thu Mar 05, 2020 7:14 pm

Re: LVI positive/neg

Postby beach sunrise » Tue Jul 07, 2020 10:54 am

Thank you, Beckster! I guess this is just something that will drive you crazy trying to understand. I hope you are doing good!
8/19 RC CEA 82.6 T3N0M0
5FU/rad 6 wk
IVC 75g 1 1/2 wks before surgery. Continue 2x a week
Surg 1/20 -margins T4bN1a IIIC G2 MSI- 1/20 LN+ LVI+ PNI-
pre cea 24 post 5.9
FOLFOX
7 rds 6-10 CEA 11.4 No more
CEA
7/20 11.1 8.8
8/20 7.8
9/20 8.8, 9, 8.6
10/20 8.1
11/20 8s
12/20 8s-9s
ADAPT++++ chrono
CEA
10/23/22 26.x
12/23/22 22.x
2023
1/5 17.1
1/20 15.9
3/30 14.9
6/12 13.3
8/1 2.1
Nodule RML SUV 1.3 5mm
Rolles 3 of 4 lung nodules cancer
KRAS
Chem-sens test failed Not enough ca cells to test


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