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Rectal Cancer - Post Surgery Downstaging Effect on Prognosis What is this ?

 
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golfgirl10
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Joined: 29 Mar 2008
Posts: 9

PostPosted: Mon Jul 14, 2008 8:41 pm    Post subject: Rectal Cancer - Post Surgery Downstaging Effect on Prognosis Reply with quote

My husband was initially diagnosed with a T3, N1, M0 rectal tumor. He did chemoradiation and his tumor shrunk and was not visible on sonogram or sigmoidoscopy. Last week they did an LAR. Today the final pathology showed a few surface cancer cells where the tumor used to be but nowhere else. The surgeon said that this downstages his cancer to a T1, N0, M0 and improves his chances for survival. Does anyone know what this means exactly as far as prognosis? I understand rectal has a high rate of recurrence and this downstaging improves his odds. I was wondering what are the odds for recurrence?
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brainman
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Joined: 13 Oct 2005
Posts: 4291
Location: Tennessee

PostPosted: Wed Jul 16, 2008 6:56 pm    Post subject: Re: Rectal Cancer - Post Surgery Downstaging Effect on Prognosis Reply with quote

golfgirl10, I do not have any numbers for you but any cancer that can be downgraded (which is very rare) has a much better prognosis. I say that it is rare because it is usually assumed that once a cancer has spread to a lymph node there is a high probability of it metastasizing so they do not normally change the treatment. Your husband is a very lucky man indeed.

You and your husband are in my thoughts and prayers.
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golfgirl10
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Joined: 29 Mar 2008
Posts: 9

PostPosted: Sat Jul 19, 2008 6:39 pm    Post subject: Re: Rectal Cancer - Post Surgery Downstaging Effect on Prognosis Reply with quote

Thanks Brainman!
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