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What Are The Staging Systems In Colon Cancer?
Question: Really confussed. In march my dad folloeing surgery got told he had dukes c1 colon cancer.
What stage is this in terms of the TNM classification ?
They say had 10 nodes affected but im confussed how with 10 nodes hed be a c1??
What stage is this in terms of the TNM classification ?
They say had 10 nodes affected but im confussed how with 10 nodes hed be a c1??
Brief Answer:
What has been told is correct
Detailed Answer:
There are many staging systems in colon cancer. Commonly practiced are Dukes, Modified Astler Coller and the TNM staging.
Probably what is used in your case is the Modified Astler Coller (Modified form of original Dukes) classification. The presence of metastatic nodes indicates 'C'. The number of nodes do not matter. Hence even with 10 metastatic nodes the staging would be C.
In TNM, this would be one of the sub stages of III. That would depend on the T status. In any case this would classify as stage III.
The 'N' in TNM is subclassified based on number of nodes.
Do not get confused. They are different staging systems. In one the number of nodes are important for subclassification and they are not in the other.
What has been told is correct
Detailed Answer:
There are many staging systems in colon cancer. Commonly practiced are Dukes, Modified Astler Coller and the TNM staging.
Probably what is used in your case is the Modified Astler Coller (Modified form of original Dukes) classification. The presence of metastatic nodes indicates 'C'. The number of nodes do not matter. Hence even with 10 metastatic nodes the staging would be C.
In TNM, this would be one of the sub stages of III. That would depend on the T status. In any case this would classify as stage III.
The 'N' in TNM is subclassified based on number of nodes.
Do not get confused. They are different staging systems. In one the number of nodes are important for subclassification and they are not in the other.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
So even with 10 lymp nodes he can be a c1 and
Not c2?
I thought he would be a c2?
Not c2?
I thought he would be a c2?
Brief Answer:
Yes he can still be C1
Detailed Answer:
C2 is not related to number of nodes but muscle invasion
Yes he can still be C1
Detailed Answer:
C2 is not related to number of nodes but muscle invasion
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thx . Wat is survival like? Problem is he had surgery march and did not want chemo. Only just now he has agreed to try it- the oral form.
Plus his cea in may was 3 and in XXXXXXX went to 4. Is this of concern?
Plus his cea in may was 3 and in XXXXXXX went to 4. Is this of concern?
Brief Answer:
Reasonably OK
Detailed Answer:
Survival would be in the range of 30-70% at 5 years.
Chemotherapy is recommended for node +ve colon cancers. It is better that he is administered chemotherapy.
CEA increase from 3 to 4 is not an indicator of progress of disease. Small variations do happen.
Reasonably OK
Detailed Answer:
Survival would be in the range of 30-70% at 5 years.
Chemotherapy is recommended for node +ve colon cancers. It is better that he is administered chemotherapy.
CEA increase from 3 to 4 is not an indicator of progress of disease. Small variations do happen.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
He had surgery in march , has he left it too late to have chemo?
Brief Answer:
Check with your doctor
Detailed Answer:
Hi,
Generally chemo should be started within 6-8 weeks post surgery. Please check with your medical oncologist on feasibility, efficacy and usefulness.
Regards,
Check with your doctor
Detailed Answer:
Hi,
Generally chemo should be started within 6-8 weeks post surgery. Please check with your medical oncologist on feasibility, efficacy and usefulness.
Regards,
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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