Appendix cancer - Page 3 - Talk About Marriage
Physical & Mental Health Issues Marriage and relationships are difficult by themselves, but coping with physical or mental health problems can make things even more difficult.

User Tag List

 28Likes
Reply
 
LinkBack Thread Tools Search this Thread
post #31 of 36 (permalink) Old 03-12-2016, 02:51 PM
Forum Supporter
 
Hope Shimmers's Avatar
 
Join Date: Jul 2015
Location: US
Posts: 456
Re: Appendix cancer

Quote:
Originally Posted by Pluto2 View Post
I had no idea it was that rare.
I mentioned this in a response to Ikaika, but would a cat-scan/MRI be of any value in determining whether the cancer has already spread? I have no idea if he removed any lymph nodes during the original surgery.

I am very appreciating of your input. Thanks.
Tumor size (either less than or more than 2 cm) is a primary determinant for whether or not the cancer has spread. It almost never spreads to the liver, and only in a minority of cases has it spread at all. Even for tumors bigger than 3 cm only 1/3 or so have spread. For tumors less than 2 cm, virtually none have spread. If a person has certain symptoms (of something called carcinoid syndrome - flushing, wheezing, etc) the chance is much greater that it has spread.

CT and MRI are used in some cases for diagnosing whether the cancer has spread. However, because tumor size has prognostic significance most don't use it in this way. If there is spread, it usually is to local lymph nodes. If the tumor is very large, it may be used to determine is there is spread to the liver, but again that is the rare case. The decision of whether to subject the person to a right colectomy is controversial. If it is questionable that this is the case, or in the case of being cautious, they will do a right colectomy which is an additional step past the initial appendectomy and includes removal of the draining lymph nodes of the appendix and any residual disease.

I can't speak for your case of course but in general prognosis is pretty good. It's primarily determined by tumor size. Hope this helps.

Disclaimer, disclaimer.... just my opinion

PS Most (about 80-90%) of cancers of the appendix are carcinoid tumors; there are other more rare types as well.


Last edited by Hope Shimmers; 03-12-2016 at 03:00 PM.
Hope Shimmers is offline  
Sponsored Links
Advertisement
 
post #32 of 36 (permalink) Old 03-12-2016, 03:20 PM Thread Starter
Member
 
Pluto2's Avatar
 
Join Date: Aug 2011
Posts: 4,608
Re: Appendix cancer

Quote:
Originally Posted by Hope Shimmers View Post
Tumor size (either less than or more than 2 cm) is a primary determinant for whether or not the cancer has spread. It almost never spreads to the liver, and only in a minority of cases has it spread at all. Even for tumors bigger than 3 cm only 1/3 or so have spread. For tumors less than 2 cm, virtually none have spread. If a person has certain symptoms (of something called carcinoid syndrome - flushing, wheezing, etc) the chance is much greater that it has spread.

CT and MRI are used in some cases for diagnosing whether the cancer has spread. However, because tumor size has prognostic significance most don't use it in this way. If there is spread, it usually is to local lymph nodes. If the tumor is very large, it may be used to determine is there is spread to the liver, but again that is the rare case. The decision of whether to subject the person to a right colectomy is controversial. If it is questionable that this is the case, or in the case of being cautious, they will do a right colectomy which is an additional step past the initial appendectomy and includes removal of the draining lymph nodes of the appendix and any residual disease.

I can't speak for your case of course but in general prognosis is pretty good. It's primarily determined by tumor size. Hope this helps.

Disclaimer, disclaimer.... just my opinion

PS Most (about 80-90%) of cancers of the appendix are carcinoid tumors; there are other more rare types as well.
thank you. So much.

In youth it was a way I had, to do my best to please, And change, with every passing lad to suit his theories.
But now I know the things I know, and do the things I do; And if you do not like me so, To hell, my love, with you! --Dorothy Parker
Pluto2 is offline  
post #33 of 36 (permalink) Old 03-12-2016, 04:01 PM
Member
 
Anon Pink's Avatar
 
Join Date: Jan 2013
Posts: 10,064
Re: Appendix cancer

You don't know the point of origin of this cancer so Google is useless right now. No treatment plan or further procedures can be discussed until they know the point of origin and hopefully the tissue samples that found the cancer cells can be further evaluated to discern they type of cancer she has. Those cancer cells found in could have migrated from anywhere in her body.

My sister had kidney cancer that was discovered from a tumor in her spine. So it wasn't bone cancer. The tumors in her lungs weren't lung cancer. The tumors in her thyroid weren't thyroid cancer. They were all renal carcinoma that had matasitasized.

The good news is that if the point of origin is indeed her appendix, it has a greater chance of being caught early.

When the doctor mentions the word cancer, the patient stops hearing. It's not uncommon for the patient to have no information simply because they were in shock and didn't hear what the doctor said. But as others have said here, someone should always be present with your sister, preferably someone who can think to ask the tough questions. Take notes.

Lastly, keep in mind your sister maybe doesn't know the answers because she doesn't want to know. If that is how she feels everyone should honor her wishes. However, you as the caregiver will need to be able to plan and that means your sister has to sign a form granting you access to her medical information. And this is different from medical power of attorney. Just ask to be put on her face sheet.

I know it's way easier said than done, but don't jump to alarming conclusions until you have to.

"Some women are blessed with multi-orgasmic ability for a reason and I'm damn sure not going to waste a blessing" ~FrenchFry


"Vaginas are tricky creatures." ~Lucy999
Anon Pink is offline  
 
post #34 of 36 (permalink) Old 03-12-2016, 04:12 PM
Member
 
Anon Pink's Avatar
 
Join Date: Jan 2013
Posts: 10,064
Re: Appendix cancer

Also, you absolutely can sit in via phone and you should ensure your sister, and whoever will be with her, can advocate for doing this.

Who will be attending this upcoming appointment with your sister?

It might be prudent to talk with you sister about how much she wants to know. I asked my sister right after she was diagnosed and she said she didn't need to know everything. The next 4 years consisted of her having a great deal of hope because she felt okay, and had no idea how bad it was. I am convinced she wouldn't have lasted as long had she been made privy to the reality.

"Some women are blessed with multi-orgasmic ability for a reason and I'm damn sure not going to waste a blessing" ~FrenchFry


"Vaginas are tricky creatures." ~Lucy999
Anon Pink is offline  
post #35 of 36 (permalink) Old 03-12-2016, 04:20 PM
Forum Supporter
 
Hope Shimmers's Avatar
 
Join Date: Jul 2015
Location: US
Posts: 456
Re: Appendix cancer

Well, except they have a treatment plan. A right colectomy. Which means they have already biopsied the tumor cells and have determined that they are (probably) carcinoid cancer of the appendix.

Most tumors of the appendix are found basically by accident, usually because of appendicitis (like in this case). These are usually asymptomatic so there are no signs of symptoms that the cancer is there.
Hope Shimmers is offline  
post #36 of 36 (permalink) Old 03-15-2016, 10:23 AM Thread Starter
Member
 
Pluto2's Avatar
 
Join Date: Aug 2011
Posts: 4,608
Re: Appendix cancer

Update:

Sis didn't want me on a phone, she's older than i and thought she could handle the appointment (family....)

No lymph nodes were taken during the appendectomy, since it still presented as a simple appendicitis. He told her no visible tumor was seen. 15 of 16 sections of the appendix had goblet cell carcinoids. The surgeon told her the standard recommended treatment was the right hemicolectomy and lymph nodes. He has never treated appendix cancer, but has done this surgery for colon cancer 4 or 5 times a month. She has to go to her PCP to get a referral to an oncologist, and her PCP (very accommodating) will see her tomorrow for that. She was told that if the lymph nodes test clear, she should be ok. If the lymph nodes show goblet cells, then she's a candidate for chemo.

In youth it was a way I had, to do my best to please, And change, with every passing lad to suit his theories.
But now I know the things I know, and do the things I do; And if you do not like me so, To hell, my love, with you! --Dorothy Parker
Pluto2 is offline  
Sponsored Links
Advertisement
 
Reply

Quick Reply
Message:
Options

Register Now



In order to be able to post messages on Talk About Marriage, you must first register. Please enter your desired user name, your email address and other required details in the form below.

Important! Your username will be visible to the public next to anything you post and could show up in search engines like Google. If you are concerned about anonymity, PLEASE choose a username that will not be recognizable to anyone you know.

User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.

Password:


Confirm Password:
Email Address
Please enter a valid email address for yourself.

Email Address:
OR

Log-in









Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Show Printable Version Show Printable Version
Email this Page Email this Page
Search this Thread:

Advanced Search



Similar Threads
Thread Thread Starter Forum Replies Last Post
Cancer is Back FormerSelf Physical & Mental Health Issues 48 02-21-2017 04:30 PM
David Bowie died Sunday after an 18-month battle with cancer Annie123 The Social Spot 20 01-14-2016 03:21 PM

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off

 
For the best viewing experience please update your browser to Google Chrome