It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Colon Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 08-11-2011, 08:40 AM   #1
Junior Member
(female)
 
Join Date: Dec 2008
Location: St. Louis, MO, USA
Posts: 21
Chris042 HB User
Question about recurrence

Back in December of 2008 my husband was diagnosed with colon cancer. It was a fairly early stage, but did have lymphovascular invasion. Tumor was removed completely, and he had surgery to remove that part of his colon just to be sure they got it all (I think this was done due to the LVI). He had his 1year followup in January 2010, and then was told to come back in 2 years, which would make him due for colonoscopy in Janurary of 2012. For the last 3 weeks he has been having pain on the lower left side of his abdomen and back, foul smelling (worse than normal) gas and stool, and then last night he had stomach cramps, constipation and bright red blood in his stool (of course we know the blood could be due to the extreme constipation). Anyway he is going to call the doctor today, but should he push for an earlier colonoscopy or wait until January. I know that I hope it is unlikely his cancer would have come back so quickly, and the doctor who did the colonoscopy said they did not believe it would ever come back, but the repeat colonoscopies were just routine. I am scared a bit. He is only 47. I guess what I am asking is do these symptoms sound like he may have a recurrence, or are we just paranoid due to the word cancer having already been part of our lives? Last time he had a little blood in his stool, but they said that it probably wasn't even from the cancer, but more likely from hemorrhoids.

 
Sponsors Lightbulb
   
Old 08-11-2011, 01:05 PM   #2
Senior Member
(female)
 
Join Date: Oct 2004
Posts: 194
LESLIETOO HB UserLESLIETOO HB User
Re: Question about recurrence

Has your husband been under the care of an oncologist? What stage colon cancer was he originally diagnosed with? Did he have any chemo after surgery? Where was the tumor located? What was his CEA before surgery and has it been repeated every 3 mos. as is standard for colon cancer? At the time of original diagnosis were CAT scans of chest/abd/pelvis performed to see if there was a problem anywhere else?

It is most unusual to not be followed on an at least semi-annual basis by the oncologist, since colon cancer is most likely to recur during the first three years after diagnosis. January is way too long to wait for the colonoscopy!!!! Since your husband is symptomatic he should insist on a colonoscopy and CEA level as soon as possible, as well as a CAT scan to determine what is going on.

You are definitely not being paranoid to worry about a recurrence. They do happen and the sooner treatment begins, the more successful the outcome.

Good Luck,
Leslie
Lynch Syndrome PMS2 mutation
2003 Colon Cancer Stage III 2+nodes 6 mos bolus 5FU & Leucovorin after right hemicolectomy.
1995 Endometrial Cancer Stage I TAH BSO

Last edited by LESLIETOO; 08-11-2011 at 01:11 PM.

 
Old 08-11-2011, 01:27 PM   #3
Junior Member
(female)
 
Join Date: Dec 2008
Location: St. Louis, MO, USA
Posts: 21
Chris042 HB User
Re: Question about recurrence

No he was never under the care of an oncologist. He had no chemo. It was stage I. The pathology report said well-differentiated adenocarcinoma, arising in a tubular adenoma. The tumor is characterized by well-formed glands, having mildly pleomorphic nuclei. There is focal high grade cytologic atypia. Focal areas of intraluminal "dirty" necrosis are seen. The tumor invades the submucosa, and comes to approximately 2 mm of the resection margin. The cauterized margin is free of malignancy or adenomatous change. Lymphovascular invasion is present. Deeper levels show similar histologic findings.

They said we just needed to get a colonoscopy in a year, he went in for that and it was clear. From there he said in 2 years and that is what we are approaching now. I do not believe he ever had a CEA level done at all, and no CAT scans.

He has an appointment for a colonoscopy on the 23. I guess we just wait and see.

Thanks for your response.
Christina

 
Old 08-11-2011, 03:23 PM   #4
Junior Member
(female)
 
Join Date: Dec 2008
Location: St. Louis, MO, USA
Posts: 21
Chris042 HB User
Re: Question about recurrence

No he has never been under the care of an oncologist. I guess they did not believe it was far enough along to warrant that. It was stage I, the concerning factor being the lymphovascular invasion. I do not believe he has ever had CEA testing done, and I know he has never had CAT scans of other parts of his body. Also, no chemo. He does have a colonoscopy scheduled for 8/23 now.

Thanks for your reply.
Christina

 
Old 08-11-2011, 04:20 PM   #5
Senior Member
(female)
 
Join Date: Oct 2004
Posts: 194
LESLIETOO HB UserLESLIETOO HB User
Re: Question about recurrence

Age 47 is quite young for colon cancer. Is there a history of colon cancer in his family? Also to have lymphovascular invasion with stage I indicates an aggressive cancer. Did you get a copy of the pathology report? Was it considered well differentiated, moderately differentiated or poorly differentiated with well being closest to normal cells and poorly differentiated being the most distorted cells that also tend to be the most aggressive?

After his colonoscopy, even if it is negative for cancer, he should:
1) Have a consultation with an oncologist for continued follow up and monitoring; and,
2) Have a CAT of chest/abdomen/pelvis to see if his Stage I cancer from 2008 had spread anywhere that might be the cause of his pain.

My Stage I endometrial cancer was considered cured by the hysterectomy and "no need for an oncologist" said the surgeon. However, had I consulted an oncologist I would have been informed that I was at risk for colon cancer and urged to have a colonoscopy then and not wait until I was past 50 and possibly avoided developing the Stage III colon cancer.

Leslie

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
cea level question gwb123 Cancer: Colon 8 10-09-2010 06:08 PM
What is CEA? Signs of recurrence? chuckles1357 Cancer: Colon 1 12-11-2006 10:42 AM
Sigmoidoscopy Results And A Question. bossan Cancer: Colon 8 09-06-2006 11:44 PM
delicate question Jeni61 Cancer: Colon 15 09-04-2006 03:10 PM
question about CEA counts toTheAtom Cancer: Colon 1 12-30-2005 07:08 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Aspirin
Ativan
Coumadin
Demerol
Lomotil
  Morphine
Nexium Potassium
Tylenol
Xeloda




TOP THANKED CONTRIBUTORS



WhistleDixie (7), Nassau one (4), LESLIETOO (4), gwb123 (4), solofelix (4), Daisy65 (4), JJSMITH (3), kjmiller (3), Misssty (3), ladybud (3)

Site Wide Totals

teteri66 (1180), MSJayhawk (1006), Apollo123 (906), Titchou (850), janewhite1 (823), Gabriel (759), ladybud (755), midwest1 (669), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 08:29 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!