Hello,
My dad recently had open heart surgery because of two clogged arteries. After couple of months he was having some bleeding in his bowels. Apparently he thought it was usual after surgery. After about a week or so he almost collapsed and got admitted in to hospital. After blood examination he was having only half the amount of blood by volume. He got blood infusion and was ok. After about three months he lost the blood again and after endoscopy, colonoscopy they found a tumor. They did CTC scan yesterday but radiologist was too busy to explain the results back to us.
Below is the report from Radiologist. We are not sure what it is and if it is cancer what stage it is and how serious it is.
The question I have is is the surgery first line of defense at this moment? Or could we treat by using chemo/radiation? If surgery is a must, do my dad need to undergo chemo and or radiation? We are still waiting on the biopsy report and then we could consult an oncologist. I was doing some online reading and fortunately stumbled upon this forum. I read some posts and it did give me some idea.
I understand the advice I get may be from non-professionals. I will be consulting an Oncologist but it is going to be at least next Monday. I would like to see what the below passages mean in the mean time. Thanks for your time.
Report from Radiologist
Colo-colic intusucception of ascending colon noted with a large ill defined polypoidal soft tissue density, moderately enhancing mass measuring approximately 7x4.4 cm epicentered in ascending colon as its lead point, not causing any significant obstructin/dilatation of bowel loops proximal to it.
Cirucumferential nodular wall thiceking with submucosal oedema noted extending into hepatic flexure and proximal half of treansverse colon. Multiple draining mildly enhancing mesenteric lymphnodes noted in righ half of abdomen, largest measuring 1.5x0.9 cm in right iliac fossa and 1.1 x 1cm in central mesentry. Prominent vasa rectal seen supplying ascending colon. Mild perienteric fat stranding noted.
Base of caecum, ileo-caecal junction and appendix appear grossly normal.
Visualized sections of both lung bases, reveal multiple subsegmental atelectatic bands with bilateral mild defree pleural effusion. Peribronchovascular ground glass haze noted in both lungs (rught>left) indicating active insult. No evidence of any obvious focal lesions.
Bone window reveals no obvious eveidence of any focal bone lesions. Age related spondylotic changes in underlying spine.
Impression
Colo-colic intusucception of ascending colon noted with a large ill defined polypoidal soft tissue density, moderately enhancing mass epicentered in ascending colon as its lead point, not causing any significant obstruction/dilatation of bowel loops proximal to it. Circumferential nodular wall thickening with submucosal oedema extending into hepatic flexure and proximal half of transverse colon with multiple draining mildly enhancing mesenteric lymphnodes and prominent vasa rectae seen supplying ascending colon associated with mild perienteric fat stranding noted - Likely of malignant etiology with local metastases to mesentric lymph nodes.