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T3N1 Adenocarcinoma

No. of entries: 12 | Posted on 11 Mar 2012 08:32

T3N1 Adenocarcinoma

  • Hi there,

    I have recently been diagnosed with Rectal cancer. After asking the consultant what stage am I, was informed that it's T3N1. I was initially told I was at early stages of cancer but now believe otherwise.

    Has anyone else been told that they're at T3N1?

    I have been offered an extensive course of Radiotheraphy.  Consultant was reluctant to give me a prognosis. Said it could go either way at this stage.

    Just need to be reassured it's going to be okay!

    Please help!

    Julie

  • Hi Julie,

    Help is here. I was diagnosed with rectal cancer in Aug 2010 and my final status was T4N1. I say final as when I was scanned they saw no lymph nodes involved, but after the op and they removed 11 nodes and found 1 was affected.

    It sounds as if you and I are fairly similar in the diagnosis, so I hope that you can take heart from my experience. I had chemo and RT for 6 weeks, then 3 months later I had the op to remove the little bugger. I had a very low down tumour but the surgeon managed to do an ultra low resection and I woke with a ileostomy. I am booked in for a reversal op on the 22nd March.

    The consultants never said to me what the outlook was, and to be honest I assumed that I had chance because they never said we can't do anything. It took me a long time to get over my op, but after 3 months I was back to work part time and have been on holiday, done business abroad, and played football and go fishing.

    Please feel free to read about me on my profile, and ask any questions you want to as I know somethings can be unclear or worrying.

    Well done for coming onto this site and sharing, you've taken a brave step and you'll get loads of support on here.

    Tight lines

    Tim xxx

  • I was originally graded at T3N1, when they operated they downgraded slightly to T2N1a (1/25). The important part of these stagings is the "N1", which makes you, like me, a Stage III and in most cases will determine your treatment, Stage IIIs usually have neo-adjuvant radio/chemo, an op and then adjuvant chemo.

    As far as prognosis goes, important is that you are "M0", ie, no distant metastases and ideally G1 or G2 (well or moderately differentiated). Given that, your prognosis, like mine, should be, to quote one of my surgeons, "rosy". Not 100%, but certainly significantly more people are cured at stage III than not. The danger with rectal cancer is recurrences, but modern radio/chemo treatment has reduced those by something like 50% and a good OP by an experienced surgeon improves your chances even more.

    Are they suggesting radio (how many shots?) then chemo, or a combined course? Lots of studies show that combined is better, as the chemo makes the cancer more susceptible to the radio and vice versa, particularly if you can get them to give you the tablet form, Xeloda.  I had that and my tumor shrank from 3cmx1cm to 6mm dia by the time they operated.

    Stage III of IV doesnt sound early at first glance, but if you realise they just recently subdivided all these stages into IIa/b, IIIa/b/c and IVa/b to reflect improved treatment and survivability, you can see that stage III (at T3N1 youre IIIb) is pretty early, with a bit of luck early enough.

     

  • Hi Tim,

    It's good to know there is hope out there. I'm really glad you posted on here and you are over the worst, getting your life back.

    You start to imagine the worst and think those dark thoughts.

    I can't wait for the treatment to start as I feel I'll be on the road to recovery.

    Will keep you posted.

    Kind regards

    Julie x x

  • Really glad your treatment went well. It makes you more optomistic when you hear the survivors on here.

    My consultant was very cagey about telling me my prognosis. But like you said "rosy" sounds pretty positive. I'm really hoping the radiotheraphy works and then I can have the surgery.

    Apparently I am having 5 days of 5 weeks of radiotherapy. Then 5-6 weeks rest. Meeting my Oncologist on Tuesday to discuss the Radiotheraphy with him.

    Will keep you posted on how I get on.

    Stay well and keep healthy.

    Julie xxx

  • Julie - hello

     

    I had same treatment - 5 weeks of 5 days radio and chemo - was fine though laterally backside was in tatters !

     

    They aim to operate in 6 weeks after radio ends and mins was spot on - 3 months on im in 5 sessions of i/v  and tabular chemo sadly with permanet clostomy bag hich i have managed easily

     

    Feeling ever so weary now got i/v friday the 14 days tabs week off do it all agian - scan shows im clear but i get all sorts pains which i never knw if normal or related - try not to worry !

     

    Wish you well - my surgery was a breeze on reflection but can be daunting - keep chin up !

     

    david

  • Hi, this is my first post! It's my husband who's got rectal cancer. After going for various tests including a colonoscopy, he was diagnosed last November. The doctor performing it gave us the news there and then (no waiting thank goodness). He believed it had been there for quite a while. My husband didn't have RT prior to his op which took place just before Christmas. That all went well via keyhole surgery when 'Bertie' was removed. He was only in hospital 3 days on enhanced recovery programme and looked really well. Results came back less than 2 weeks later. Staging etc was given as T3N2M0 (IIIc) and he was offered chemo which began 3 Feb.

    Will be having his 4th cycle of chemo (Folfox) this coming Friday with another 8 left. Treatment is every other week. Roll on July!!

  • Hi,

     I had a left colonecmectomy 2009, recovered well but they have been watching things on my lungs since and now been told they are lung mets from my bowel. I am on Folfox and Oxyplatin , have just had 4th one 8 to go like your hubby. 4th and 5th day after chemo are the worst feel very spaced out and tired.

    Have got tingling in hands and feet but not too bad otherwise, as you say roll on July. Am keeping positive but do have some down days.

    Good luck to your hubby,

    Take care,

    Pam x 

  • Thanks Pam! He's finding the tiredness and horrible flatulence the worse. Had quite a bit of tingling in hands and feet last week after 3rd session. He had to have his steroids adjusted the first time round as he was completely knocked off his feet. Trying not to fight it and go with the flow and listen to his body. Folfox via PICC was his choice of the 3 options offered and I sometime think he wishes he'd just gone down the oral route but then I couldn't play 'nurses'!! Getting used to removing his infusor bottle and changing the dressing. At least I don't feel helpless like I did in the beginning.

    Keep feeling positive and keep in touch.

    Fran x

  • Hi Jules,

    There was a post recently with a link to a story about someone who only had radiotherapy for rectal cancer, and the cancer cleared without surgery.  It's not for everyone; there is only a small percentage of cases where it happens, but sometimes patients do respond so well to radiotherapy that the initial tumour actually disappears.

    There is still the risk of recurrence, and of secondary tumours, so I don't want to pretend that radiotherapy is enough; it's very experimental (there are current clinical trials).

    The reason for mentioning it at all, is that your consultant is reluctant to give you a prognosis because s/he really doesn't know what will happen next, and can't predict the response you will have.

    Hope all goes well for you :)

    Jazz C

  • Hello Julie -

    My husband was just diagnosed the the same T3N1 Rectal Cancer with node involvement last week. As scary as this all is all the doctors involved are saying they are very optimistic this is curable. We met with the doctor this morning who will oversee the radiation part of his treatment and see the Oncologist this afternoon with the Chemo part of the plan. My head spins daily as we have been running in circles with all the testing and appointments the last few days. I tell myself daily this is all for a good reason as I never want to loose my husband so we will fight extra hard but still keep life as normal as possible for us. The plan right now is 6 weeks of radiation and chemo then a 6-8 week break for my husband to recover and get back on his feet then he will have his first surgery mid February 8 week re-coop period then they will do his second surgery another re-coop period and then 6 more months of chemo. I find myself rambling and I hope part of this helps put you at ease somewhat. As hard as it is try as hard as it maybe to stay positive some days will be worse than others and your entitled to that. Please keep me posted and I wish you the very best of luck and feel things will turn out fine. Best of luck! :)

    Lisa

  • Hi Lisa, So sorry you find yourselves in this position. You must all be reeling with the news. I remember my first few months being the worst. I have been through the same regime as your husband. Having chemo and radiotherapy for 6 weeks the a break and scan to see if the tumour had shrunk. Followed by surgery, I had a AP Resection, which resulted in a permanent colostomy and no rectum. After about 6 weeks of recovery I started on i.v chemo and chemo pills, which I was on for 6 months. Just to mop up cancer cells in the blood. Again had a break and was given a scan, only to discovery the cancer was back, this time in my lungs! However, this might never happen to your husband. My friend had the same cancer, same staging too, and wasn't offered chemo after surgery and he is fine. No two people react the same, with this disease. I am lucky that my cancer is currently stable, means not grown or shrunk but is staying the same. In many ways I think it's harder to be a carer than the person with the disease. I deal with it far better than my husband but I know if the tables were turned, I'd react the same way as he is. Radiotherapy makes you tired and towards the very end of your treatment can cause burn soreness. As for chemo, it's not pleasant but is manageable. All the side effects are managed very well by the chemo team. I still manage to do things but plan things on my good weeks, perhaps not the first few days after chemo. Stay strong and there is definitely light at the end of the tunnel. Good things do come out of this awful disease. I've found that I've changed for the better, both sides of the family are much closer. I've found inner strength, that I didn't realise I had. In bad situations, good things can happen. Keep that in mind. Your family will be in my prayers. Much love and hugs Jules xxx