Hello everyone, I’m sending my warmest greetings to you all. I am quite new to this forum and, honestly, feeling a little lost. I wasn't entirely sure where to start, but I felt I needed to reach out here. My mother underwent surgery 13 days ago for Stage 3 colon cancer. She was actually discharged after just five days, but she developed a fever of 104°F, so I had to call 911. She’s back in the hospital now because they suspect an infection and some fluid buildup in her abdomen. They’ve already drawn blood three times in the last three days and have been cleaning her surgical wound twice daily.
We are currently waiting on the latest blood work results. To give you some context, the cancer spread to her bladder, so they had to remove part of the bladder along with two lymph nodes and about 20 cm of her colon. On a brighter note, when the surgeons performed the exploratory procedure, they found liver cysts rather than metastatic tumors, which feels like a small mercy. Since I have her discharge papers and tumor marker results—which I spent last night copying onto a notepad after asking the nurses for help—I would be incredibly grateful if anyone could help me make sense of these diagnoses and the medical jargon. I won't even begin to describe how hard this is for me personally; I've dropped down to 105 pounds and haven't slept a wink. Thank you all so much in advance for your kindness.
tumor mass measuring 4.15 x 3.09 cm
tumor markers
CEA - 12.2
CA125 - 15.6
CA19-9 - 34.5
Treatment Plan
Following appropriate preparation, the patient underwent surgery. Exploratory surgery confirmed a neoplastic process in the sigmoid colon involving infiltration of the bladder fundus. Regarding the liver lesions, exploration determined they are cysts, which were then fenestrated. An en bloc resection of the descending colon along with the bladder fundus was performed using a transverto-sigmoidal anastomosis via a 33mm circular stapler. Lymphadenectomy of the para-aortic, paracaval, and inter-aortocaval nodes was completed. The remainder of the bladder was sutured. Inguinal lymph nodes showed reactive enlargement. A drain was placed in the Douglas pouch.
Therapy.
Laparoscopic exploratory surgery. Left hemicolectomy
and partial resection of the urinary bladder en bloc.
Lymphadenectomy.
Fenestration of hepatic cysts, abdominal drainage.
Discharge Diagnosis
Adenocarcinoma of the colon, Dukes C, ASTLER COLLER C2, pTNM pT4b. pN1b pMx
with bladder infiltration
Hepatic cysts
Chronic gastritis
Urinary tract infection, acute
Smoker
Read more: http://rak-nije-mrak.proboards.com/t...#ixzz3PpHpFZru
We are currently waiting on the latest blood work results. To give you some context, the cancer spread to her bladder, so they had to remove part of the bladder along with two lymph nodes and about 20 cm of her colon. On a brighter note, when the surgeons performed the exploratory procedure, they found liver cysts rather than metastatic tumors, which feels like a small mercy. Since I have her discharge papers and tumor marker results—which I spent last night copying onto a notepad after asking the nurses for help—I would be incredibly grateful if anyone could help me make sense of these diagnoses and the medical jargon. I won't even begin to describe how hard this is for me personally; I've dropped down to 105 pounds and haven't slept a wink. Thank you all so much in advance for your kindness.
tumor mass measuring 4.15 x 3.09 cm
tumor markers
CEA - 12.2
CA125 - 15.6
CA19-9 - 34.5
Treatment Plan
Following appropriate preparation, the patient underwent surgery. Exploratory surgery confirmed a neoplastic process in the sigmoid colon involving infiltration of the bladder fundus. Regarding the liver lesions, exploration determined they are cysts, which were then fenestrated. An en bloc resection of the descending colon along with the bladder fundus was performed using a transverto-sigmoidal anastomosis via a 33mm circular stapler. Lymphadenectomy of the para-aortic, paracaval, and inter-aortocaval nodes was completed. The remainder of the bladder was sutured. Inguinal lymph nodes showed reactive enlargement. A drain was placed in the Douglas pouch.
Therapy.
Laparoscopic exploratory surgery. Left hemicolectomy
and partial resection of the urinary bladder en bloc.
Lymphadenectomy.
Fenestration of hepatic cysts, abdominal drainage.
Discharge Diagnosis
Adenocarcinoma of the colon, Dukes C, ASTLER COLLER C2, pTNM pT4b. pN1b pMx
with bladder infiltration
Hepatic cysts
Chronic gastritis
Urinary tract infection, acute
Smoker
Read more: http://rak-nije-mrak.proboards.com/t...#ixzz3PpHpFZru