.. and just like that we were called to see the Doctors yesterday. We were unsuspecting as we'd been told the biopsy results were due on the 27 December.
Well, they've come in. I have the report here with me, but the Lead Doctor basically said he recommends that for a quality of life my Dad (post-colectomy & anastomosis, and liver met ablation, Surgery on 19 Dec) just goes home and enjoys life. i.e.: best NOT to consider further treatment as on balance it will affect the quality of life. I asked what progression will look like and he said the metastases will cover the liver, likely over the next 5 years, leading to jaundice, then a coma. Death was gentle.
Daddy and I both were prepared for the worst, but hoping for the best. I'm not sure the information has actually sunk in / been processed. As all I can think of is how we will break the news to Mummy, likely later today.
The Report says:
Specimen:...
1. 'Sigmoid colectomy.. of large ulceroproliferative growth ..in lumen... infiltrating pericolic fat
2. Liver Met deposit - single, friable whitish tan tissue 1.2 cms
Microscopic:
1. tumour.. moderately differntiated invassive adenocarcinoma. Dense lymphocytic inflammatory response to tumour is seen.
The tumour is seen infliltrating muscularis propia and pericolorectal fibrofatty tissue.
Lymphovascular invasion is seen.
Perineural invasion not seen.
Tumor budding - intermediate score = 5-6 tumour buds/hot spot.
No tumor deposits seen. Mild serositis is seen. Mesocolon shows congestion.
Proximal, distal, and radial margins of resection are free of tumor.
No polyps / additional features such as dysplasia / IBD / ulcertaion seen in the rest of colon.
Regional lymph nodes dissected show tumor metastases in 3 out of 6 nodes dissected.
2. Liver deposit biopsy - shows necrosed hepatic tissue infiltrated by metastatic moderately differentiated adenocarcinoma.
Impression:
1. Moderately Differentiated Invasive Adenocarcinoma
Pathological Stage Classificiation: pT3N1bL1V1
2. Liver Biopsy - Metastatic moderately differentiared adenocarcinoma, primary colon.
So, my question is has anyone been here? We're happy to NOT have further treatment (after all we all have to go some day) BUT we'd like to assess viable options that provide a quality of life and longevity of life.
(I'll share this on the diagnosis forum as well)
