I am brand new here and so scared and worried about my husband who was diagnosed with colon cancer on June 25th. He had surgery, a resection on July 6th. The oncologist has strongly recommended chemo, Folfox6. My husband was diagnosed with Stage 2a. The tumor was T3, but the surgeon said it was T4 clinically. The surgeon also said the tumor was sticky, ad kind of stuck in there..whatever that means!! My husband is 50/50 on chemo. He does not talk about it too much, (he is the quiet type anyway), but today he did say this:
I do not really want to do the chemo, and if it comes back then, I will do chemo and surgery or whatever it takes, but I wonder if at that point it's curable? I said I don't know and nobody knows, each cancer case is totally different. So I guess he was wondering like if it did come back in the liver or wherever and he did surgery and chemo, if it could possibly be gone for ever....or is there absolutely no possibility and it would come back for sure? He asked me (cuz he knows I am on the internet every night, all night if I know of any cases/people who had good outcome with this sort of decision) Anyway, here is the pathology report. I thought if anyone would like to read it and give their input, that would be great. I have been reading the posts here tonight and it seems like there are a lot of knowledgeable people here. And..by the way...I hope and pray you all get better QUICK. Thank you so much. Just a wife who is stresed and worried and scared. PS..I also know it's his decision and he has to live with it...just wondered if there is anyone here knowledgeable in these sorts of reports.
a. Adenocarcinolma, intermediate differentiation
b. 26 lymph nodes negative for tumor
Specimen: Right Colon
Other organs received : None
Procedure: Right hemcolectomy
Tumor site: cecum
Tumor size: 1.5 cm
Macroscopic tumor perforation: Present
Histologic type: Adenocarcinoma
Histologic grade: Low Grade (G2)
Microscopic tumor extension: Tumor penetrates to pericolonic adipose
Mesenteric: (radial for rectal cancers) Uninvolved
Treatment effect: No prior treatment
Lymph-vascular invastion: Absent
Perineural invasion: Not identified
Tumor deposits (discontinuous extramural extension): absent
Histologic Features Suggestive of Microsatellite Instability: None
The specimen in formalin in a container labeled with the patient’s name and portion right colon. The specimen consists of a 15 cm length of colon which has been opened longitudinally. 3 cm from one margin there is a retracted, somewhat crateriform lesion measuring 1.5 cm in greatest dimension. The remainder of the bowel mucosa appears unremarkable. The pericolonic fat is stripped. In the region subjacent to the craterform lesion there is retraction and degeneration of the serosal tissues with an area of gross perforation. The pericolonic fat is stripped and submitted for lymph node clearing. While doing this, three tan structures suspicious for lymph nodes are identified, averaging 0.5 cm. The crateriform lesion is seen to encircle the entire circumference of the bowel with thickening of the wall and muscular hypertrophy. Sections of adjacent margin are submitted in 1a, the opposite margin in 1b. Section of tumor with area of perforation is submitted in 1c with additional sections of tumor in 1d and 1e. Sections of grossly identified lymph nodes are submitted in 1f. Representative sections of the otherwise unremarkable colonic mucosa inn 1g. RS IN 1A through 1G with additional tissues for lymph node clearing.
(it then went on to tell which lymph nodes were submitted in which containers/labels)
The tumor is of glandular origin with features of intermediate differentiation and invades the colonic wall with involvement of the innermost serosal fat. All lymph nodes are negative for metastatic tumor. The proximal and distal margins are uninvolved.