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Medical Forum / Diseases and Disorders / Cancer / September 2006

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CAT scan results puzzling

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J W - 26 Sep 2006 22:22 GMT
Got the CT scan report today and sounds to me like the monster is back
at the resection site. My CEA has been slowly rising ever since they
reduced my chemo dosage due to liver & blood count issues.

report says, Relative to the prior study at  the proximal transverse
colon, the appearance is somewhat changed raising the question as to
mucosal abnormality in the colon stump at or near the colon small bowel
anastomosis or abnormality of the antrum of the stomach.

Everything else was listed as all clear unremarkable which was suprising
as I expected something in the peritonial area as that is where the
signet ring cells were found and I've been told they are agressive.

I had an upper GI & small bowel study done on aug.10 and a colonoscopy
done  7-13, shouldn't thiis have shown then or could it be that fast a
growing thing? I don't know for sure but it doesn't sound good. Hopefuly
the onc will explain it.  My dad had colon cancer (colon burst) and
spread to his stomach which was partialy removed  30 years ago and
somehow survived, guess I'm following his footsteps. He's in end stage
lung cancer now at 73.

I always read Matti's posts and pay attention to him and Steph though I
don't always like what I hear because they speak truthfully. anyone who
has survived stage IV cancer for 18 years gets my attention. I'm stage
IV colon cancer with signet ring cell mets to the peritonium and
omentum. They were both surgically removed 12/05 as best as was possible
along with a large chunk of right colon. I pray that I will be here 18
years from now still reading and posting despite the oncologist telling
me only 18-20 months.
I have a freind who had similar cancer and was treated with
interperitonial chemo as well as standard IV chemo and is now NED after
only 8 months of treatment. My onc says IP chemo is only allowed for
ovarian cancer but my freind says her onc is currently treating men with
colon cancer with IP chemo so who is right and does IP chemo work any
better?
Steph - 27 Sep 2006 03:01 GMT
> Got the CT scan report today and sounds to me like the monster is back
> at the resection site. My CEA has been slowly rising ever since they
[quoted text clipped - 31 lines]
> colon cancer with IP chemo so who is right and does IP chemo work any
> better?

IP chemo is no good for a recurrence at the resection site.
J - 27 Sep 2006 16:57 GMT
> I always read Matti's posts and pay attention to him and Steph though I
> don't always like what I hear because they speak truthfully. anyone who
[quoted text clipped - 4 lines]
> years from now still reading and posting despite the oncologist telling
> me only 18-20 months.

Best believe the oncologist and quit comparing yourself to others.
Matti's was a lymphoepithelial cancer of the base of the tongue/tonsil area.
(a radiosensitive tumor)
Responds well to radiation therapy. Part of the reason he's a long time
survivor and I think Steph said that most head and neck cancers , if caught
early enough, have a very good prognosis.
I'm not saying Matti didn't have a hard time, but from his newsgroup
postings, it was caught early.
In ~1988, he had a lump they thought was a cyst or enlarged saliva gland. It
grew, so they did surgery and found that it was a lymph node. He was
diagnosed squamous, unknown primary.  I think he had RT.

Some years later, they found the primary, at the base of the tongue/tonsil
area and had surgery and some of the treatments he's already mentioned.

Then he had a recurrence, apparently and "the chemoradiation was a complete
success despite regionally very advanced disease".

So he's had a different type of cancer, caught early, affecting a different
area of his body and different prognosis.  No comparison to your cancer at
all.  Sorry to say yours carries a poor prognosis.
J
 
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