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Medical Forum / Diseases and Disorders / Cancer / April 2004Baz's MRI & APR update (colon)
Dear group, For those who are interested, we saw the MRI results today. It appears that at least one lymph gland may be involved. It looks as though an APR is definitely on the cards. The tumor is sitting at the very top of the sphincter muscles. The surgeon encouraged us to get a second opinion, but he says that a treatment plan needs to set up and adhered to, so if Baz gets a second opinion, it will have to be asap. He'll have 4 weeks of radio/chemo, surgery, then an additional 3-4 weeks of chemo. I asked the questions that J suggested (thanks J). Baz took the impotency issue very well (whereas he was really upset with the perm. colostomy). He is pragmatic and optimistic. Thanks to all. Best, Morgs > Dear group, > For those who are interested, we saw the MRI results today. It appears that [quoted text clipped - 14 lines] > Best, > Morgs Hi Morgs, Try to stay positive and hopeful, you'll get thru this difficult time. My mom had another colonoscopy last week to check for any other cancers past her mid sigmoid, all clear. However they moved up surgery about a week for fear that she might block. My mom goes in this Wednesday morning for her colon cancer surgery. I've decided on minimally evasive laparoscopic surgery since I've got her one of best surgeons who has done hundreds of these. I'll say a prayer for BAZ and you. BTW, J (if you read this)can a CAT scan show enlarged lymph nodes like an MRI did for BAZ? The CAT scan report said no metastasis identified. Does this mean the lymph nodes look okay? Regards, MAC > > Dear group, > > For those who are interested, we saw the MRI results today. It appears [quoted text clipped - 28 lines] > one of best surgeons who has done hundreds of these. I'll say a prayer for > BAZ and you. Thanks, MAC, and we will say prayers for you and your mum. I wish her the best of luck and a smooth surgery and that you maintain that optimism--the pair of you need it. I am so glad she was cleared past the mid sigmoid. > BTW, J (if you read this)can a CAT scan show enlarged lymph nodes like an > MRI did for BAZ? > The CAT scan report said no metastasis identified. Does this mean the lymph > nodes look okay? > Regards, > MAC An interesting question, because the CAT scan didn't report anything but Baz's tumor--it was only after looking at the MRI that the radiologist noted the lymphs. Best, Morgs > BTW, J (if you read this) can a CAT scan show enlarged lymph nodes like an > MRI did for BAZ? > The CAT scan report said no metastasis identified. Does this mean the lymph > nodes look okay? Here's my non-expert understanding.... "no identifiable mets" does not mean there's no "micro mets" (hence why the chemo and/or radiation) CAT (or MRI or PET) scans can show enlarged lymph nodes, but enlarged lymph nodes are not necessarily cancerous. The reverse is probably true. Hence, a surgeon removes the tumor along with part of the healthy colon or rectum and nearby lymph nodes. I don't know how many they remove and/or it may vary. The scans may tell them how many they "must" remove. I think the scans show them identifiable distant mets (of the imaged area). So the scans help them to know what possibly might be but the pathology report is the 99.9% (again my non-expert understanding) so check with your doctors or see if Steph or Peter Moran reply. J > > BTW, J (if you read this) can a CAT scan show enlarged lymph nodes like an > > MRI did for BAZ? [quoted text clipped - 19 lines] > or Peter Moran reply. > J Thanks J. I just got the phone call, surgery is tomorrow at 7:00am Wednesday morning , must be there by 5:45am. They will also be doing an MRI on her liver right before surgery as a precaution to look deeper into the tissue even though the CAT scan showed all is normal. I also spoke with her Doctor today and the chest x-rays from last week show all is normal. Hooray!!!! |
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