What stage am I

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What stage am I

Postby rdavis12 » Tue Feb 27, 2024 12:37 am

So I’m new to this was diagnosed originally by CT and MRI as stage 3N1 rectal cancer had tnt treatment and after surgery pathology stated T3NOMO no cancer found in 12 nodes but with Perineural invasion. Am I a stage 3 or stage 2 ?
Staged T3N1MO at diagnosis 4-23
After TME surgery pathology staged T3NOMO 0/14 nodes involved only other thing on report was Perineural Invasion Present.
6 weeks Radiation Duke
4 mos Capox
CEA-4.7 at Diagnosis
1.8 after Chemo
12-5 LAR surgery
Currently in surveillance.

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Re: What stage am I

Postby CRguy » Tue Feb 27, 2024 12:54 am

What Stage has your oncologist told you ?
Caregiver x 4
Stage IV A rectal cancer/lung met
17 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

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Joined: Mon Jun 29, 2020 3:38 pm

Re: What stage am I

Postby I_will_fight » Thu Mar 07, 2024 7:03 am

Good question.

I am not so familiar with the staging of rectal cancer (mine was colon)

Depending on whether that node had cancer cells in it you might be stage 2a or 3a. Statistically both should give you good chances.

This paper cites someting like 75-85% (and it includes also cases with higher stage than your own)

https://ascopubs.org/doi/abs/10.1200/JC ... suppl.4007
Last edited by I_will_fight on Thu Mar 07, 2024 7:07 am, edited 1 time in total.
46 yo male Spain
06/2020 - 6cm T3N0M0 CC splenic flex
3 and 4 mm lung ground glass
lymp 0/37
KRAS mt G13D
V/LNI absent
PNI present
07/20 - hemicol surg, optimistic surgeon.
11/20 - 4 x CAPOX completed.
12/20 - Clear colonoscopy
02/21 - MRI liver lesion unchanged.
11/21 - Clear CT
02/22- Colonoscopy: Sessil polyp 3mm
05/22- Clear CT
06/22- Negative Signatera
12/22- Negative Signatera
01/23- Clear CT
07/23- Clear CT, normal markers.
09/23 - Negative Signatera
01/24 - Clear CT

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