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343262 tn?1226543374

my mom has a colon cancer..pls help

I have received my mom's biopsy report:
The diagnosis is as follows:
Sigmoid colon resection:
  Adenocarcinoma, low grade (well-differentiated)
  Tumor extends up to the pericolic fat
  tumor size: 5.0 cm in greatest dimension
  Tumor present 6.5 cm from circumferential margin
No lymphovascular invasion identified
Proximal & distal margins, free of tumor
7 peritumoral & 2 pericolic lymphnodes, negative for metastasis
pT3NOMx

Can anyone please talk to me on these?
Thanks.
3 Responses
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Avatar universal
Hi.
The xray result showed bone metastasis in the left ischial bone.
This can be confirmed by doing bone scanning.
If there is indeed bone metastasis, the stage would be IV.
Please bring this result to your oncologist.
Helpful - 0
343262 tn?1226543374
Hello. Thanks.
we talked with our oncologist and she scheduled a chemotheraphy (12sessions) this coming monday. i'm worried because my mom also feels pain in her left leg though pain relivers are quite effective for some time. The pain has been evident for almost 8 mos already. When she was confined and had surgical operation in her colon, the also conducted an xray on her legs, i requested for a copy on the findings and stated are as follows:

LS and PELVIS APL:

Hypertrophic spurs are seen along the srticulating margins of the lumbar spine with mild subchrondal sclerosis.
The disc spaces are intact.
There is no spondylolisthesis seen.
The lumbosacral angle is normal. The line of weigthbearing falls on the sacrum.
There are lytic bony lesions of the left ischial bone of the pelvis, involving more of the inferior ramus. The hip joints are intact. The soft tissues are unremarkable.

Conclusion: HYPERTHROPHIC DEGENERATIVE OSTEOARTHROPATHY, LUMBOSACRAL SPINE
                  LYTIC BONY METASTASIS, LEFT ISCHIAL BONE.

I am about to show this result to the doctor tomorrow, i'm worried isn't this cancer spread also? If that's the case what will happen to my mom? What stage would it be?

I thank you so much for your help..


Helpful - 0
Avatar universal
Hi.
Your mother has sigmoid adenocarcinoma at least stage IIA.
A complete metastatic work-up is indicated to determine what the "x" status in pT3N0Mx is.  If there is no metastatic site found, the status would be M0 and this truly is a stage IIA disease.  If there is a metastasis, the status would be M1 and the stage would be IV.
The next question that you should ask your mother's oncologist is whether adjuvant chemotherapy is indicated or not.  There are subset of patients where chemotherapy is indicated, like perforation or spillage in the peritoneum, obstruction, etc.
It would be best to have a family conference with your medical oncologist and discuss the next step in the management of your mother's cancer.
Good luck.
Helpful - 0
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