You have been very helpful and I cannot believe how quick ypu were to respond. I will take your advice about the antacids, etc before my next chemo. Thank you so much. Marie
Hi,
Adenocarcinoma arising from colon or the ovary may sometimes be difficult to distinguish if the patient presents with a pelvic mass, peritoneal (or infra-diaphragmatic) nodules, or lymph node involvement.
Immunohistochemistry (IHC) with markers such as CEA, CA125, CA19-9, vimentin, CK7, and CK20 may help distinguish between the two. There are also several candidate markers undergoing evaluation in this setting.
It is common for patients to complain of some GI symptoms after getting 5FU, but a short-lived severe pain is somewhat uncommon. You may like to rule out any angina pain (which may sometimes cause abdominal rather than chest pain) as 5FU and Avastin both have some cardiac side effects. However, since your tumor is behind your liver, and pain too was on that side, the pain is more likely to be related to cancer or cancer therapy rather than heart related. For your next chemo, you may like to be on proton pump inhibitors, antacids, or oral zylocaine gel for preventing reoccurance of these symptoms.
All the best, and God bless!