Home   Recent Questions   Ask Oncologist    Health Forums   Testimonials   FAQs


This question was answered on Fri 21, Mar 2008 01:40am by Dr Heinrik M, MD

More info regarding previous question about colon cancer - Invasive grade 2 adenocarcinoma of the colon with invasion of pericolonic adipose tissue and venous involvement of the mesenteric margin of resection


    
Asked by tcbryant (Male ) on Thu 20, Mar 2008 12:56am

Male, 58 years old, good physical condition, hypertension under control with meds, no heart problems; Invasive grade 2 adenocarcinoma of the colon with invasion of pericolonic adipose tissue and venous involvement of the mesenteric margin of resection. Metastatic adenocarcinoma invoiving 1 to 8 pericolonic lymph. sigmoidectomy length 15cm; tumor site sigmoid colon; tumor configuaration ulcerating; tumor size 5 cm; histologic type adenocarcinoma; histologic grade low grade (well to moderately differentiated). Gross description: Adhesions involving the surface of the mesentery that slightly distort the segment of bowel. Slicing these reveals a serosal surface of the colon to be generally smooth with an area of whitish-tan discoloration and retraction located appx 4 cm from the nearest stapled end. The segment is opened revealing a circumferential ulcerated sessile mass lying 4 cm from the nearest margin. It measures appx 5 cm in curcumference, 5 cm in length and .7 cm in maximum thickness. Within the mesentery beneath the colon & seperated from the colonic wall by appx 1 cm of grossly unremarkable appearing adipose tissue is a moss of what apppears to be a necrotic tumor possibly involving lymph nodes. It measures 1.5 cm in diameter. Can you provide me with a more clear picture with this new information?

Actions: | Forward |
Answer


Name 

Email 

Security code
Enter the text as shown above


E-Mail me when someone replies to this post
Answer by Dr Heinrik M, MD  on Fri 21, Mar 2008 01:40am:

Hi, In terms of 5 year recurrence rates, the estimate would be 84% without any treatment after surgery. Since he received chemotherapy, the rate is improved to 49%. In terms of 5 year survival, the estimate without any treatment after surgery would be about 21%. Since he received chemotherapy the survival improves to 45%. It is advisable to keep a schedule for surveillance. As was mentioned in the previous query, metastatic disease is not always incurable. Stay positive.

Detailed answer for your question: Available in paid version. - Click to pay.
Second opinion from another doctor: Available in paid version. - Click to pay.
               
Our doctors provide free answers to your questions. If you are happy with our services, please consider making a donation.
Click the button below to donate.


Please rate my answer (select the stars, no need to log in.)  

Comments:

Comment by admin on Tue 06, May 2008 11:39pm: Visitors to this page have searched for the following: grade 2 adenocarcinoma , colon cancer / grade 2 adenocarcinoma, colon / photo of invasive sessile colon adenocarcinomas
Comment by tcbryant on Wed 07, May 2008 09:40am: Thank you very much. You have given me a clearer picture of what to expect. It was wonderful to find a knowledgable site that could help me understand things better.

This question is open for comments.  Please share your opinion.

Comments


Name 

Email 

Security code
Enter the text as shown above


E-Mail me when someone replies to this post
Other cancer questions you might be interested in.
  1. ovarian cancer - Severe gas and bloating and also abdominal swelling.  (Answered) - Viewed 2622 times   I have severe gas and bloating, also abdominal swelling. I have pain in my left side which radiates down my leg. I have difficul...
  2. Lung adenocarcinoma of a scar left by a past asymptomatic histoplasmosis infection in a nonsmoker 79yr female  (Answered) - Viewed 801 times   What is the time line and occurrence of lung scarring and calicification of lymph nodes from a previous Histoplasmosis infection...
  3. colon cancer - Does CEA test as high reflect great possible of colon cancer?  (Answered) - Viewed 1412 times   I am scheduled for a colonoscopy on the 5th of March as the result of a cea blood test with results of 24. Does the cea test as...
  4. Breast cancer - Puckering and dimpling of skin on both breasts  (Answered) - Viewed 9827 times   What is meant by 'puckering and/or dimpling' of the skin? I have just done a breast self-exam and when I sit down, put my arms a...
  5. Bladder cancer - rusty colored slough, pressure in low abdomen and unable to start stream sometimes  (Answered) - Viewed 983 times   I was diagnosed a week ago with bladder cancer. Occasional bright red blood in urine over the last 3 months Over the last seve...
  6. carcinoid syndrome  (Answered) - Viewed 1246 times   i have got carcinoid syndrome,i am 54 years old,it is all over my abdome,in my eyes,in my liver,and i am awaiting results of a ...
  7. life after surgery without chemo but using natural products and diet  (Answered) - Viewed 1053 times   I refused chemo for stage111C colon cancer.I had the surgery to remove the tumor of which they got it all.My Ct scan after surge...
  8. what if i don't follow up with an abnormal pap smear?  (Answered) - Viewed 857 times   I had an abnormal pap smear eight years ago, i ended up having to have a cone biopsy "leep procedure" done. i had normal pap's f...
  9. Enlarged spleen after colon caner - Liver problem or cancer?  (Answered) - Viewed 5950 times    my wife 43 had colon cancer stage 3 with 1 node surgery in july 2007 after 12 chemos folfox 4 in january ct showed enlarged s...
  10. Toxicity due to chemotherapy - What does Grade 1 constipation and Grade 1 PPE mean?  (Answered) - Viewed 1084 times   I have undergone 18 weeks chemo for recurrent disease of cancer of the oesophagus. Toxicity from my chemotherapy includes gr...
  11. cancerous breast tissue? - Cancerous tissue in breast:: Is it Stage I breast cancer   (Answered) - Viewed 977 times   my mom has just found out that she has cancerous tissue in her breast but no lump is cancerous tissue the first stage in cancer ...

 
What users are searching right now on Ask an oncologist now:
low     low     low     liver     liver     liver     liver     low     low     low     low     Bladder     Bladder     Bladder     Bladder     Bladder     immunoglobulins     who is the first person to get lung cancer     tumor20markers20breast20cancer20recurrance     Triple negative     is20ild20cancer     secrete     lymph     immataray wrist     does taking altase cause bladder cancer     Ihavewhatseemstobeasmallstaph     low     low     elevated     elevated     elevated     elevated     elevated     low     low     low     low     liver     liver     liver     liver     low     low     low     low     Bladder     Bladder     Bladder     Bladder     Bladder     topamax     IgG20gamma20monoclonal20protein     Tongue cancer stage 1     what should i do     mcq20for20lung20cancer     CBC tests     duct20epithelial20hyperplasiaapocrine20metplastic20changes     colorectal20cancer     atypical20carcinoid20in20lung     gamma     ijustnoticedasmallsoftmovablelumponleftsideof     liepoma     Thyroid20Cancer     10 yr old son with blood 1125     clearcell     any cancer with cold like symptoms     what does blood in the semen indicate     immataray wrist     what20is20lytic20bone20disease     small cluster microcalcifications     lump20in20abdomen20that20burns     invasive mamory carsonoma with ductal and focal features     abnormal20pap20after20leep     what is chronic presentation     throat20cancer     what is chronic presentation     what is chronic presentation     Tattoo     wwwaskanocologistnowcom     would20high20creatine20kinase20and20immunoglobuline20E20leavels20be20atrributed20to20having20B20cell20lymphoma     where20is20your20liver20located     what20is20the20name20or20type20of20lung20cancer20that20spreads20the20fastest20out20of20all20cancer     what20is20meant20by20having20an20abnormal20protein20band     what20is20immunoglobulin20A     what20is20a20igg20lambda20monoclonal20band     what20does20free20lambda20light20chain20mean     what20does20dimpling20in20the20brest20look20like     what20does20IgG20Kappa20monoclonal20protein20mean     what20is20mortality20rate20for20lung20cancer     what20is20a20right20iliac20chain20lymph20node     undetermined20ground20rt20upper20lobe20of20lung203020yr20smoker20bad20cough20and20sob     travel20restrictions20high20elevation     trace20monoclonal20protein     they20found20a20blood20vessel20about20120centimeter20in20my20left20lung20I20have20CT20scan20procedure20tomorrow20can20what20could20it20be     synovial     swollen20collar20bone     survival     staging20for20multiple20myeloma     spine20cancer     show20video20of20radical20mastectomy     

©2011 - Ask an oncologist now  |  All Rights Reserved
The site is not a replacement for professional medical opinion, examination, diagnosis or treatment. Always seek the advice of your medical doctor or other qualified health professional before starting any new treatment or making any changes to existing treatment. Do not delay seeking or disregard medical advice based on information written by any author on this site. No health questions and information on askanoncologistnow is regulated or evaluated by the Food and Drug Administration and therefore the information should not be used to diagnose, treat, cure or prevent any disease without the supervision of a medical doctor. Posts made to these forums express the views and opinions of the author, and not the administrators, moderators, or editorial staff and hence askanoncologistnow and its principals will accept no liabilities or responsibilities for the statements made.

Home | Terms & Conditions | Contact Us | Frequently Asked Questions | Disclaimer | Privacy Policy | Advertise with us
Stats