CSN Login
Members Online: 16

You are here

Thread gone

Posts: 1428
Joined: Feb 2011

Yesterday I think it was someone had posted that their friend had stage ii colon cancer and there was cancer in her lungs too, I can't really recall the rest of how the post went or what they were asking. I replied something to the effect that with mets in the lung it probably wasn't stage ii disease but stage 1V. I asked for input from you guys, I'm not a Dr. nor any type of expert....so I was also kinda fishing for an answer or clarification...but once you have any kind of distant mets showing up anywhere, liver, lungs,distant lymph nodes etc. are you Stage 1V now?? I've heard people say before they are stage 11 or stage 111 but they have lung or liver mets.....and they stick to saying they are stage 11. I went back today to see if anyone replied, but the whole post seems to be gone.

Sundanceh's picture
Posts: 4408
Joined: Jun 2009


My old onc had said, once it spreads, it was automatically considered a stage IV, because of the progression.

I talked with Blake about this before he passed...and he told me that we are really only stage IV's if were diagnosed as a stage 4.

Otherwise, we would be what we were originally dx'd...with the added caveat of "mCRC" added.

So, as an example if one were say a Stage IIb and it metastasized.....one would be...
"Stage IIb mCRC."

He had gotten that information from the ACS I believe, or another trusted source.

Posts: 158
Joined: Jan 2012

My understanding is that it is Stage II only if there are no lymph nodes and no other organs involved. However, if they have a recurrance or it mestastasis to the lymph nodes or another organ than they have Stage II with a recurrance or mestatasis say to the lungs or to the liver. The stage never changes but the new occurances are added to the stage. The treatments can be different if they are treating a recurrance/mestatais than if they are treating Stage IV. Plus I think they keep the original staging for statistical purposes.

Although I think a person can have a primary colorectal cancer and a primary lung cancer that are not related.

But this is only my understanding. This is the way my oncologist explained it and this is the way it is explained by ACS.

Vickilg's picture
Posts: 281
Joined: Jan 2011

Its my understanding that you stay classified at your original diagnosis for stat purposes. However once it spreads you are Stage IV but still classified for stats as the original stage.

dmj101's picture
Posts: 527
Joined: Nov 2011

I asked this yesterday of a doc at the cancer center.
I have mets but not lymph nodes infected so I am still a stag 2/3 and not a stage4.

Posts: 271
Joined: Nov 2011

I read a heated debate about a year ago regarding staging and whether or not staging changes with mets. I was Stage IIIB at the time.

My onc said that's wishful thinking. He said once cancer spreads to a distant site, you are Stage IV. He does use sub staging tho. I'm now a Stage IVa. I didn't bother to ask the difference between IVa and IV.

John23's picture
Posts: 2141
Joined: Jan 2007

"An important point some people have trouble understanding is that
the stage of a cancer does not change over time, even if the
cancer progresses. A cancer that comes back or spreads is still
referred to by the stage it was given when it was first found and
diagnosed—information about the current extent of the cancer is
added to it."

American Cancer Socety

"The stage is based on the location(s) of the tumors at the time
the cancer is first discovered. The stage stays the same
throughout your course of treatment."

Memorial Sloan-Kettering

"If you are diagnosed with colon cancer, your doctor will
determine the stage of the disease. Staging is a way of
classifying cancer by how much disease is in the body and where
it has spread when it is diagnosed. This helps the doctor plan
the best way to treat the cancer. Once the staging classification
is determined, it stays the same even if treatment works or the
cancer spreads."

MD Anderson

All of that said......

If your condition worsens and you need to be re-staged for
insurance purposes, or to be eligible for a disability, your physician
can provide documentation to that effect.

It should be kept in mind however, that re-staging to what represents
an immediate deadly situation, can make you ineligible for other
means of treatments.

Just sayin'...

Wishes for everyone's healthier times,


Posts: 835
Joined: Apr 2004

I have had a recent confusing conversation with people here. Talked to my team and seems the confusions arises from two different approaches-

Stats- for stats you stay at your original stage and they see what happens from there eg the idea of stage 2 with subsequent mets.

Clinical- they restage you accoding to where you are NOW. You can therefore move up stages (not down unless they admit they made a mistake). Therefore your clinicl treatment is for where you are now.

The clinical one is the one that decides your fate really.


Posts: 1428
Joined: Feb 2011

Is it dependent on lymph nodes, I thought cancer spread either through your blood or your lymph nodes. I think there has been several people with little or no lymph node involvement but they've been stage 1V. I agree with Steves last line though.

Posts: 835
Joined: Apr 2004

At a basic level any lymph node involvement makes you stage 3 and any spread that suggests blood spread is stage 4 (so you can be 4 with no lymph node involvement technically- it 'trumps' lymph node involvement).


Helen321's picture
Posts: 1346
Joined: May 2012

Apparently I will always be a stage I since I presented that way and have a whole bunch of numbers and letters attached to it. I find it stupid so I just say I'm stage III which is what I technically am. My doctor will say stage I 1234abcd when talking to other doctors so they know that it is progressing since they found it which is important and determines how they treat you. That can get a bit long.

Subscribe to Comments for "Thread gone"