Colon Resection, cancer found in one lymph node: Treatment options?

Posted by sos2000 @sos2000, Dec 11, 2023

Colon resection surgery with a robot. Cancer was found in one of lymph nodes. What are the options other than chemotherapy?
Colorectal surgeon is referring me to an oncologist at cancer center. Looking for options.

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@sos2000

Thank you for sharing your experience. I am looking for some alternate options other than chemotherapy. I should know more options when I see an oncologist with more testings. They took 17 lymph nodes and one was positive so far.

I’m glad that chemo therapy worked for you and stabilized it.

Thank you again!

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I had my right colon removed and 12 lymph nodes.
Two were malignant.
I had a round of chemo. 4 infusions and pills.
I tolerated it well.
All scans look good. I have a one year follow up colonoscopy in March.

I am 72 years old.

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This time last year I was recovering from a resection op done on 4 November and just starting on a 3 month chemo course, taking Oxaliplatin and Capecitabine (Xeloda). I was diagnosed Stage 2 N1 - one cancerous lymph node being found out of 23 removed. Since April I've been leading a normal active life but walked as much as possible during the recovery period. This week I received the best possible Christmas present that the colon has healed well (a non-cancerous polyp was removed during the examination) and a CT scan shows no sign of cancer anywhere. I feel incredibly lucky and very appreciative of an excellent surgical and oncological team whose advice I have always followed. Best of luck with your follow up examinations.

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@mcohan

I had my right colon removed and 12 lymph nodes.
Two were malignant.
I had a round of chemo. 4 infusions and pills.
I tolerated it well.
All scans look good. I have a one year follow up colonoscopy in March.

I am 72 years old.

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That’s wonderful.
Thank you for sharing your experience. Appreciate it very much.

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@martin77

This time last year I was recovering from a resection op done on 4 November and just starting on a 3 month chemo course, taking Oxaliplatin and Capecitabine (Xeloda). I was diagnosed Stage 2 N1 - one cancerous lymph node being found out of 23 removed. Since April I've been leading a normal active life but walked as much as possible during the recovery period. This week I received the best possible Christmas present that the colon has healed well (a non-cancerous polyp was removed during the examination) and a CT scan shows no sign of cancer anywhere. I feel incredibly lucky and very appreciative of an excellent surgical and oncological team whose advice I have always followed. Best of luck with your follow up examinations.

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That’s excellent.
You also had one cancerous lymph node and went ahead for 3 month chemo. Was it tolerable? I’m very reluctant to have chemotherapy and looking for some alternatives.

Thank you for sharing your story!

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@sos2000

That’s excellent.
You also had one cancerous lymph node and went ahead for 3 month chemo. Was it tolerable? I’m very reluctant to have chemotherapy and looking for some alternatives.

Thank you for sharing your story!

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Chemo wasn't fun but certainly tolerable - not painful, just de-energising with some side effects such as tingling fingers. The third week of each session (4 sessions) was free of pills and enabled my wife and I to get away for a few days somewhere and do some walking. The first week of each session was the most difficult - an infusion on day 1 followed by lots of pills - but bearable. I would do it again if necessary. I'm aged 78.

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@martin77

Chemo wasn't fun but certainly tolerable - not painful, just de-energising with some side effects such as tingling fingers. The third week of each session (4 sessions) was free of pills and enabled my wife and I to get away for a few days somewhere and do some walking. The first week of each session was the most difficult - an infusion on day 1 followed by lots of pills - but bearable. I would do it again if necessary. I'm aged 78.

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Same here.
I’m 72 and found the chemo tolerable.
I did not have a port.
Four infusions plus pills.
I have lingering neuropathy in my finger tips and toes.
I’m glad I did it!

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@mcohan

Same here.
I’m 72 and found the chemo tolerable.
I did not have a port.
Four infusions plus pills.
I have lingering neuropathy in my finger tips and toes.
I’m glad I did it!

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Thank you for sharing your experience! Happy to hear a positive comment “I’m glad I did it”. Gave me an enormous encouragement. I’m 60. I’ve been so reluctant about a chemotherapy …

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Hi! Honestly… once in the lymph nodes its a game of chance without chemo. I had a large bleeding mass on the right side of my colon after finding a completely different cancer in my uterus which was taken out as a precaution to a precancer in my cervix… was very anemic and we did a colonoscopy/endoscopy and bam. Off to surgery and oncology. They took 43 nodes and 8 were cancerous. I was told that once its in the nodes its like having an easy pass for the thruway… and it can go anywhere from there… so chemo is the best option to avoid it becoming metastatic. I tolerate the chemo and do have a port which is annoying but very useful saves my veins. I am 47 and have 5 of my treatments left before they do a follow up CT scan. They did stop part of the chemo called Oxaliplatin due to an allergic reaction of sorts. But it is not the norm for that. I only made it 2 rounds of that. I was willing to keep trying but my doctors would not risk it. I would definitely listen to your doctors. There is a pill form you could take ofthe chemo. Good luck!!! You got this!!! God has been a huge help to me. I go on emotional roller coasters. That is normal. Just stay positive overall. This does not need to be a death sentence.

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Thank you for your comment. I really appreciate it. This group has been such a blessing for me and keeping me to look at the positive side.
I wasn’t even considering the surgery, but after joining this group I realized it’s the best option. Now after surgery one cancerous lymph node out of 17. New treatment. I’m seeing an oncologist soon and will update! Thank you again for taking time to share your story.

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@martin77

This time last year I was recovering from a resection op done on 4 November and just starting on a 3 month chemo course, taking Oxaliplatin and Capecitabine (Xeloda). I was diagnosed Stage 2 N1 - one cancerous lymph node being found out of 23 removed. Since April I've been leading a normal active life but walked as much as possible during the recovery period. This week I received the best possible Christmas present that the colon has healed well (a non-cancerous polyp was removed during the examination) and a CT scan shows no sign of cancer anywhere. I feel incredibly lucky and very appreciative of an excellent surgical and oncological team whose advice I have always followed. Best of luck with your follow up examinations.

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That is great news!
I had the same thing. Colon cancer and same chemo.
I have a 1 year follow up colonoscopy and CT in March. Recovery was not difficult. I am 72 years old.

I have since had a lower right lobectomy. When scanning colon cancer they discovered 2 typical carcinoids in my lung.
I had surgery on Nov. 21.
This recovery is rough..
Still having pain. Doc says the muscles and nerves are repairing themselves… hence the pain.Has anyone out there had lobectomy?
How long does pain last?

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