Hi my brother is 46 and had a rectosigmoid tumour removed about 8 weeks ago. His Histopatholgy report states the Tumour as T4N2Mx. The report says moderately differentiated, extending into pericolic fat with serosal involvement, Tumour margin is infiltrative, Lymphocytic infiltration is negative, extramural venous invasion is positive, lymphatic space invasion is positive, perineural invasion is positive, lymph nodes: 4/11, local extranodal metastases = multiple, resection margin is negative.
He is starting oral chemo on Monday.
What sort of outlook does this report suggest? Thanks so much