Hello I am new to this support group. My dad 69 year old male was originally diagnosed with colon cancer in June 2022. He had a resection. He then did 6 months of chemo. In April 2024 he had a reoccurrence. He did a folfox regimine from May-September and had a small mass removed in early September. The surgery was extensive due to the location. They removed ~3 feet of colon. It was in the same area as his previous surgery.
10 weeks after surgery he is complaining of pain around the surgical area so the doctor did a CT scan. They are reporting an intramuscular mass in that area. They said it has been there the whole time but they can’t tell what size it is due to it being in the muscle.
They would like to restart the folfox asap because on the chemo the mass was not changing.
I know I don’t have a lot of exact details and I may have misused some terms. I am just trying to see if anyone has any experience with intramuscular masses.
Thank you
Intramuscular mass
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beach sunrise
- Posts: 1166
- Joined: Thu Mar 05, 2020 7:14 pm
Re: Intramuscular mass
Hi Marf, I got nothing. I just want to welcome you to the forum of the greatest collective minds/experiences. Maybe someone will come along with some info for you. You can research on this site also to find info.
Beach
Beach
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
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
Re: Intramuscular mass
Hi Marf,
Intramuscular / Intrabdominal masses are common in peritoneal metastasis. They can happen from seeding during surgery or in your case may be present to start with. Peritoneal mets are easily missed on scans due to their diffuse nature, but is also a bit of a speciality. I would recommend sending your scans to a high volume cancer centre that specialises in Cytoreductive Surgery /HIPEC /Peritonectomy to get a better read of your dad's situation. They should have multidisciplinary teams that sit on the board that can recommend the best treatment path. Chemo is less effective on peritoneal mets but it also depends on the type of cancer e.g mucinous etc, and spread. There is also radiotherapy, and depending on location /size, may be more effective than chemo.
I would definitely get a second opinion, as in my late husbands experience, oncologists are more likely to recommend chemo than not.
Good luck,
CL
Intramuscular / Intrabdominal masses are common in peritoneal metastasis. They can happen from seeding during surgery or in your case may be present to start with. Peritoneal mets are easily missed on scans due to their diffuse nature, but is also a bit of a speciality. I would recommend sending your scans to a high volume cancer centre that specialises in Cytoreductive Surgery /HIPEC /Peritonectomy to get a better read of your dad's situation. They should have multidisciplinary teams that sit on the board that can recommend the best treatment path. Chemo is less effective on peritoneal mets but it also depends on the type of cancer e.g mucinous etc, and spread. There is also radiotherapy, and depending on location /size, may be more effective than chemo.
I would definitely get a second opinion, as in my late husbands experience, oncologists are more likely to recommend chemo than not.
Good luck,
CL
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