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Pathology report

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July 20th, 2009
I am 30 years , i have ca sigmoid and i make surgery to remove tumor and ruslts of pathology report are :
1/ sigmoid colon & appendix
invasive adenocarcinoma grade 1
tumor maximal diameter : 2.5 cm on slide
free circumferential margins
free pericolic lymph nodes ( 0/10 )
no evidence of lymphovascular invasions
follicular lymphoid hyperplasia of appendix
2/ proximal &distal colonic margins ( donuts) : both free of malignancy

pt3b,pno1,pmx
astler coller classifiction : b1

the colonic segment received 18 cm , surgery & oncology doctors said no need chemical treatment but nedd to do analysis ( cea ,cbc, liver functions ) every 3 months and colonoscopy every 6 months , and take 2 times agiolax

the surgery was in 16/4/2009 , berfor surgery ( normal ct scan abdomen & pelvis ; liver functions is ok ; cea 2.2 ng/mi ; lung scan ok )
during surgery liver was free by preview ; after surgery by 8 weeks ( cea 1.5 ; ca19.9 17.3 ; liver functions is ok ; only i have anemia " after surgery haemoglobin 9 , now 10.5 so i take ferose " occult blood in stool : week positive )
q1/ what medical advice ?
q2/ is the stool out thin and long with constipation without blood normal in this period ?
q3/ what are symptoms that must be under observation now ?
q4/ what are signs of disease back ?
q5/ is constipation is normal after surgery because of the conection between 2 free parts of cancers ( difernt in diaimater )?
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replied January 1st, 2010
Your treatment has been appropriate, based upon the information that you have provided. Constipation is relatively common, especially if you are still taking narcotics for pain relief (a stool softener, such as docusate sodium, may be helpful). If your cancer does recur, the symptoms would depend upon where it recurred. For example, if it recurred in your colon, then this might cause bleeding or increased difficulty in passing stools. If cancer recurs in the liver or lungs, then there are usually no symptoms unless the tumor(s) become very advanced (which is why your doctors will continue to screen you with blood tests and colonoscopy.

Sincerely/ Robert A. Wascher, MD, FACS

www.doctorwascher.com

www.oncoguard.com



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