Hi, and thank you for coming here with your question.
The aortocaval node is in the chest, while the peritonium is in the abdomen,
Thus, they are not near each other.
Confussed as my dad had stage 3 colon can but recent San shows few mets ,
The ct report does note mention peritoneal disease but the oncologist in letter statea possible peritonial disease . Confussed . Would a rafiologist miss such a thing ?
Mets are--1 liver met, 1 sub pleural met , 1 aortocaval node met
I'm sorry to hear about your father. I hope they are able to cure him.
The size of the mets can be smaller than can be seen on CT.
The fact that there is a liver met means that it has spread in the abdomen and that would lead to a possibility of peritoneal disease.
The sub-pleural and aortocaval mets may be near each other.
Does this help?
i see. Is it advisable to have chemo? My father is having nano knife done for thses mets ?
Chemo is often used for patients with stage three.
Some of the decisions are made based on the genetic markers of the particular tumor.
His I stage 4 as he has mets right. ?
I'm not sure what you mean?
What is an "I stage"?
Are you asking what stage he has? I answered about 3 because that was what you started your question with, but having remote mets does make it stage 4
For stage 4 there is a debate as to the best treatment, but chemotherapy is used instead of surgery.
What is survival like ?
This is a question that I don't think doctors ever have a right to answer, as it puts extra pressure on the patients and even more so on the family members. It becomes a matter of waiting to die instead of continuing to live.
Generally the 5 year survival rate is under 25%, BUT, that means that there ARE MANY people who DO live beyond 5 years.
One other thing that has been studied repeatedly and proved over and over is that attitude is everything, and if a patient expects to live s/he usually lives longer than one who doesn't.
Hi. I see you've returned to the chat.
Do you have further questions?
U are so right . First dr I've com across that made sense . That's exactly what I'm doing thinking of death ! Thanks so much for the advice.
Please let me know if there is anything else I can help with.
I'll have your family in my prayers for sure!
So far there are. 3 small mets , he's hsving ablation done. And prob chemo after . Would this give him long survival with ablation ?
Ablation is done to try and get control of the disease. Get rid of these mets and treat so no more will come.
Treating them and follow up with chemo certainly can have a positive affect on his outcome.