New here and scared to death. Would appreciate input?

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roxie46
roxie46 Member Posts: 1
edited March 2014 in Colorectal Cancer #1
Hi, just found this site. I had a colonoscopy on Friday after some blood in stool the week before (no other symptoms) and a malignant polyp was discovered (what's the difference between a polyp and a tumor?). Doctor said it was the size of the tip of his thumb?? ANYWAY, going back to doctor tomorrow for more details and surgery is tentatively scheduled for Wednesday. In the meantime, I'm going crazy. I'm not sure what to expect so of course, I am expecting the worst! Would appreciate input from anyone who can relate. Thanks and have a glorious day!

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  • chynabear
    chynabear Member Posts: 481 Member
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    Hi Roxie,

    I am sorry you have to be here but glad you found us so quickly. You have found a great wealth of information and folks who understand what you are going through. I am sorry for the long novel that is about to follow, but I tried to include most everything you should expect.

    To my knowledge (I've been wrong before) a polyp is a tumor. I think the term polyp just refers to the type of tumor. Anyway, my oncologist, gastro, and surgeon all referred to my polyp as a tumor.

    You did the right thing in getting the bleeding checked out right away. That is how I discovered my cancer. Mine also started from a polyp.

    First, you need to take a deep breath. I know it is hard right after being diagnosed, but important. I know you are expecting the worst. We all do. You will likely expect the worst with every new symptom. Just know that most everyone on this site has expected the worst and turned out fine. Cancer is no longer the death sentence it used to be. It is no fun, but you can make it through a winner.

    Next, you are your own best advocate. Ask questions until you are satisfied with your answers. Even if this means getting a second or even third opinion. It is very important to trust and agree with your treating team. Remember, they work for you; not the other way around.

    Knowledge is power. Learn what you can about what exactly cancer is and how it can be prevented and cured (i.e. nutrition, excercise, lifestyle changes, etc). Please try your best to ignore statistics. They are outdated and generalized. There are many new drugs and approaches to treating cancer now and people are living stable (no progress of disease) or NED (no evidence of disease). I am a 2 year 3 month survivor of stage III (had one lymph node involved). You can make it through this.

    For surgery, you need to get up walking around as soon as possible as much as possible. Depending on what type of pain management is given to you, this might mean the very next day. This is important to your healing and to getting your bowels back in order after the HUGE shock of surgery. You will likely be on an NG tube until your bowels are working and you are passing gas to remove waste that is naturally generated even without food or water. After a couple of days and your bowels are starting to wake up, you will be put on a liquid diet and progress from there to solid food. I think the average hospital stay is roughly one week.

    Your oncologist will probably have you rest and heal as much as possible before chemo, if chemo is required. I think the general time is 4-6 weeks for most colon cancer treatments.

    When you find out what type of treatment you will be on, ask again what people went through. Just remember that everyone is different and each treatment may leave you feeling different as well. However, there are some pretty typical side effects that most have dealt with.

    My prayers are with you.

    Tricia

    PS Post as often as you need or want. We have all been there and done that. No question is too gross or too dumb. If you need to vent, we are good listeners.

    Take care!
  • ron50
    ron50 Member Posts: 1,723 Member
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    Hi Roxie,
    Polyps are growths that grow from the colon wall .Some are flat and some like mushrooms,sort of like internal warts. Unfortunately some have a predisposition to change. I recently had two small 2mm polps removed during a scope One was benign (non cancerous) the other was showing signs of pre-cancerous changes. My original tumor was as a result of a polyp going rogue. It circled my colon and then broke out into the supporting colon flange and into six of the regional lymph nodes . They removed the tumour with clear margins at each side and also the connecting flange with all the regional lymph nodes 13 in my case. I had a year of follow up chemo therapy and start my tenth year ca free in 5 days ,good luck with your treatment , Ron.
  • spongebob
    spongebob Member Posts: 2,565 Member
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    Ahoy, Roxie -

    Welcome to the SemiColons - of course you aren't and "official" semicolon until after surgery, but I'm sure folks willcut you some slack!

    Anyway, Tricia and Ron gave you a lot of great info. You'd never find that sort of good scoop distilled into one page in ANY medical pamphlet!

    The one thing I would add is that it sounds as though they caught your cancer very early and that's a very good thing!

    Hang tough and know you are among friends here.

    Be well.

    - SpongeBob
  • Betsydoglover
    Betsydoglover Member Posts: 1,248 Member
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    Hi Roxie -

    I am sorry you have to be here, but glad you found us so soon. I know how scared and overwhelmed you are, but there is much hope.

    It sounds like you found your cancer early and that is a very good thing. I think the diff between a malignant polyp and a tumor is simply the size - yours is very small and that is good news in and of itself. Less chance it has invaded the colon wall and reached the lymph nodes (though you won't know for sure until you have your surgery.)

    Do you know where in the colon your polyp is and what kind of surgery you are having? I had laparoscopic colectomy in the sigmoid colon for a very large tumor. My surgery was on Tuesday and I was home Saturday afternoon. The first couple of days were tough, but the epidural Fentanyl pump I had helped a lot. Ask your surgeon if that is a possibility - from what I gathered the surgeon needs to ask for it, otherwise the anesthesiologist may not place one. I was on a liquid diet until Saturday morning. Walking is very important. I really could not do it until they took out the epidural, but once that happened I walked up and down the halls many times a day.

    Prepare to be very tired after your surgery and possibly have a suppressed appetite. Just give in to your body, sleep when you need to, do a bit of exercise (as in walking down the block and back) and eat whatever seems appealing.

    Take this one step at a time. I am a Stage IV / liver met survivor. You may well be a much lower Stage and may not even have to have chemo. But if you do - come back here as we have much advice / experience to share.

    Meanwhile, even though you are scared, you should be congratulating yourself that you got tested early on - that can make all the difference.

    Take care and come back to us.

    Betsy
  • HowardJ
    HowardJ Member Posts: 474
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    Hi and Welcome,

    To try to answer your question, not all polyps are or even become malignant tumors, but colon/rectal cancer arises from some polyps in some people. Since you've already been told it's malignant your doctors will run additional tests to determine if the cancer has spread. After surgery they will "stage" the tumor to determine the extent of the depth of the cancer into the wall of the colon, and also if it's spread to any lymph nodes or other parts of the body. The Stage (1-4) will give an indication of the type of follow-up treatment needed (if any), and the prognosis.

    There are folks here with experience in every stage and who've gone through it all. They will be a good resource for you going forward if you need it. Don't forget to ask your doctors (oncologist, surgeon) any questions you have. Always bring someone with you to any oncologist/surgeon visits. Once we hear we have the "C" word, we tend to miss important information being said.

    Good luck!

    Howard
  • CAMaura
    CAMaura Member Posts: 719 Member
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    Hey Roxie -
    It sounds as if you are in good hands with your doc...Hang in there and DON'T think the worst!!! Take care and post often.
    Allt he best - Maura
  • scouty
    scouty Member Posts: 1,965 Member
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    Hi Roxie46,

    I'm with the others, you are so FINE (other then hearing the big c word, that scares the **** out of all of us) catching it early. After the surgery, they will be able to appropriately tell you what stage which then tells you how serious it is. Has your doc talked about CT or PET scans? I am guessing they discovered the cancerous polyp after they removed it, is that right? I'm asking because that means your surgery is preventative, which is great. You'll understand more later as it all sinks in, the first few months are really tough.

    Ask questions here, these people are very smart, helpful and pretty awesome.

    Lisa P.
  • newenglandguy
    newenglandguy Member Posts: 66
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    HowardJ said:

    Hi and Welcome,

    To try to answer your question, not all polyps are or even become malignant tumors, but colon/rectal cancer arises from some polyps in some people. Since you've already been told it's malignant your doctors will run additional tests to determine if the cancer has spread. After surgery they will "stage" the tumor to determine the extent of the depth of the cancer into the wall of the colon, and also if it's spread to any lymph nodes or other parts of the body. The Stage (1-4) will give an indication of the type of follow-up treatment needed (if any), and the prognosis.

    There are folks here with experience in every stage and who've gone through it all. They will be a good resource for you going forward if you need it. Don't forget to ask your doctors (oncologist, surgeon) any questions you have. Always bring someone with you to any oncologist/surgeon visits. Once we hear we have the "C" word, we tend to miss important information being said.

    Good luck!

    Howard

    HowardJ - how do they stage
    HowardJ - how do they stage colorectal cancer? Is it only after surgery or is it done using CT scans or some other method?