Hello,
Just wanted to update everyone and get some understanding. My Chemoradiation completed on 3/9 with great results. Tumor shrunk and so did lymph nodes that were suspicious.
Surgery is scheduled for 6/6/2017 and it is a Laparoscopic and TME with coloanal anastomosis. I just want to make sure this is right. I am a bit nervous of why a TME is needed as well, but I am not sure, if they are usually done together.
Of course I am very apprehensive about surgery.
The radiation therapy was so painful in the booty when passing stool, but I am better now, that was done 3/9.
MRI results 2nd time around:
IMPRESSION:
1. MRI rectal cancer T category is T2
2. Maximum EMD of invasion is 0 mm
3. Minimum tumor to MRF distance is 21 mm
4. Low rectal tumor component No
5. Mesorectal lymph nodes/tumor deposits: Negative (resolution of
suspicious mesorectal adenopathy)
6. EMVI: Absent
7. Extra-mesorectal nodes: Suspicious-moderate interval regression of
left obturator and internal iliac adenopathy.
8. Tumor regression grade: TRG 2 - good response to therapy.
MRI results 1st time
IMPRESSION:
1. MRI rectal cancer T category is T2 or early T3.
2. Maximum EMD of invasion is 0 mm.
3. Minimum tumor to MRF distance is 0 mm (i.e. potential CRM is
threatened).
4. Low rectal tumor component No.
5. Mesorectal lymph nodes/tumor deposits: Suspicious.
6. EMVI: Positive.
7. Extra-mesorectal nodes: Suspicious.
Any advice would be great.
Thanks,
Rikimaroo