Extramural Vascular Invasion has anyone had this

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Hi everyone

I saw the surgeon last Monday where he said he had got all the tumor out with the surgery and I now have to see the oncologist about wether I need chemo and then it will be the  reversal of the illostomy , well this Monday I received the follow up sent to the Doctors and it said I had some extramural vascular invasion EMVI . I couldn't help but Google this and it mentions that it means it's going in the blood vessels has anybody else had this? I'm a bit worried now . Thanks in advance 

Lots of love

Peacock62 xxx 

  • Hi

    Quite a lot of people mention this but one thing I keep in mind firstly it’s completely removed with good margins , in my mind the most important one. Then they look at all the other factors to determine the clinical pathway . So someone with no lymph node , clear margins , no EMVI , favourable cell type probably does not need chemo . Someone with one or two indicators provides a picture that says to the oncologist chemo in a belts and braces situation would be of benefit and increase overall survival . Even people with one lymph node involved gain benefit. 

    Someone like my mum probably had most factors apart from her cell type was favourable. Yet another factor came into play , she is super responsive to chemo ! So it’s only one small piece of the jigsaw . 

    Just remember it’s all gone and this part is belts and braces .

    take care ,

    Court 

    Helpline Number 0808 808 0000

  • Excellent advice as always Court, well done Peacock62 on getting through this far, as always one day at a time is enough to do and take in.

    love and best wishes to you xxx

  • Thankyou @court as always you've put my mind at rest still apprehensive about the thought of more chemotherapy as I won't be able to have a reversal till after but if I have to have it I have to have it for my best chance 

    Lots of love 

    Peacock62 xxx 

  • Thank you always here to encourage everyone 

    big hugs 

    Peacock62 xxx Hugging

  • I had this ... read my profile ... almost 2 years clear now. Hope all goes well for you! Anna 

  • FormerMember
    FormerMember

    Hi peacock62

    i too have been told although they managed to get my tumour out they have found some cells in the blood vessels (my lymph nodes & organs clear) . I am V1 high risk apparently so they want to do preventative chemo. 
    I am waiting for a perennial wound to heal by vac pack before they can start this but I’m worried about the delay in starting chemo. 
    I would be interested to know also if anyone has had this situation crop up as well 

    love Glam Nan x

  • Thankyou it's great to hear that you have come through this gives me and I'm I'm sure others hope. 

    Lots of love

    Peacock62 xxx 

  • Hi sorry to hear your having to wait for your wound to heal before you start chemo I'm waiting to see my oncologist to see if I need chemotherapy keep me updated how you are getting on and hope your wound heals quickly

    Take care

    Lots of love

    Peacock62 xxx 

  • FormerMember
    FormerMember in reply to Peacock62

    Thanks Peacock62

    i will keep you posted , let me know what your oncologist says as well,  all we can do is take one day at a time .

    take care 

    Glam Nan xx

  • Hi

    Yes, I got this diagnosis after my left semi colectomy last May. The tumour was 5cm non hereditary, non aggressive. 19 Lymph nodes were removed...all clear. However, some emvi showed up in the origins of the tumor site.

    After talking to the oncologist a few weeks later, she was adamant that I did not need Chemo based on the biopsies. She went into the Stats.....85% chance of survival after 5 yrs. & only 5% extra, if I opted for Chemo. She also went into great detail about the cons. of Chemo for older people - which sounded not nice at all.....& so I opted for her supposed expertise. I thought that the statistics, ie, 5 in 100 people that might benefit from Chemo. were too low for me to consider. 6 months later, I am still unsure whether the decision I made was the right one. However, only time will tell I guess.