Tuesday, May 25, 2010

What does "no evidence of invasive carcinoma mean" on a biopsy of a colon tumor?

I still need surgery to remove a part of my colon so I am very nervous they may find cancer.
Answer:
You definitely have colon cancer - otherwise you will not be scheduled for a surgery
Colon cancer has several stages of progress
I its only inside the inner lining of your colon
II it invaded to the outer lining of the colon
III it invaded outside and spread to local lymphatic nodes
IV it invaded and metastasized in other organs.
Your biopsy indicates that it is probably a stage I disease, however, after the surgery they will check again the removed part of your colon and its lymphatic nodes.
If your cancer is indeed only in stage I, then you are quite lucky, chemotherapy will not be needed, and your chances to be cured are above 90%.
For instance, stage III people need chemotherapy, and have only about 60% to be cured.
Why didn't you ask the doctor?You don't give enough information. But it does say "no evidence of invasive carcinoma." But if they are taking part of your colon, they found something. For the correct information on YOUR results, you need to contact your doctor.
It means there's no evidence that any carcinoma is present. Basically they couldn't find anything.
I *think* it means that they found no evidence of cancer spreading from your colon to any other part/system of your body. But ask your doctor to explain. Since they're removing part of your colon, they obviously found something serious going on.
CARCINOMA-- means: Cancer.
INVASIVE-- means: Something that invades or spreads further into the body.
NO EVIDENCE --means: That based upon the tests they took, there is no evidence that the cancer has spread any further beyond what they can see and remove. They will remove the part of your colon that has cancer, and you will be fine. My Grandmother had a colon cancer tumor removed that was the size of a grapefruit. She was 72 when this took place. She lived to be 97, and died from something else! Try to relax my child. I will pray for you, and you will be fine. God Bless, mend quickly, and get back to life---starting now. You are loved.
It means they could not find any signs that there was
- an aggressive carcinoma
- that the tumour is invasive (getting into other organs)Unless you have been told otherwise, the tumour could be benign, or be a non invasive carcinoma (meaning it's keeping to itself, not wandering off to explore other organs).Medics are cautious. Even if they are 99.999% sure they won't say "NO invasive carcinoma"Even if the tumour is benign, they will remove it. It's not a good plan to have your colon blocked, and there is a suspicion that benign tumours turn nasty later (like polyps in the lower bowel that are routinely removed under suspicion that they could evolve to cancer)If the biopsy had shown invasive carcinoma, they would possibly do chemo pre-surgery or take a different surgical option.But you should talk to your doctor and make sure you fully understand the lab report and what it means for you.Good luck
Invasive carcinoma is the aggressive cancer that can spread to other parts of your body and metastisize. Be grateful they didn't find any. But there are other kinds of cancer. In situ cancer is still cancer, just not invasive, meaning it doesn't spread outside the immediate area it is in.So no evidence of invasive carcinoma is good news. But there are other issues to determine. Talk to your doctor.

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