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Thread: chances of problems with liver after colon cancer?

  1. #1
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    chances of problems with liver after colon cancer?

    I'm due to finish my chemo after stage 2 colon cancer in 6wks. I was told yesterday that 2wks after chemo I would have a scan, to check things like my liver etc. I didn't think much if this til same day my wife told me if her friends husband who had colon cancer then had liver problems and further chemo.

    Are there common problems?

  2. #2
    Moderator Top User esk2poo's Avatar
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    Sorry to see you here but from my understanding, because of the blood supply, if, and a big if, it spreads, one of the first places it goes to is the liver. I have had extensive scans on my liver since finishing chemo just to make sure there is nothing there. Standard protocol. If they do find something, they use chemo to shrink it so resection is possible. I am now at every 6 months for scans and lung x rays to make sure there is no spread. So easier said than done but try not to worry too much about it.
    Good luck,
    Allen
    Stage 3B Colon cancer 8/23/2011
    Resection 9/15/11
    Folfox starts 10/31/11
    Dehydration,blood clots, numerous hospitalization due to complications
    Gall bladder/ hernia repair, 4/2013
    Melanoma sole of right foot 2010
    Clean scans so far.

  3. #3
    Senior User jman111111's Avatar
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    Hi,
    From what ive heard colon cancer has a tendency to metastisis to the liver first and lungs second. Not to say that is what happens all the time but, that is what happened to me however, it was all found on my initial pet scan which is what moved me from 1 to 4 (stage). If there were a problem I would have thought you already had a pet scan and it would have been found prior to treatment.My doc sends me every 4 or so treatments for a pet scan. I had one prior to diag 1 after 4 scans and they are scheduling 1 now after 10 scans.
    j

  4. #4
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    Welcome,

    Colon cancer has a pretty consistant spread pattern depending on where it is located in the colon. For Men It is either liver, lungs brain or lungs, liver then brain, generally depending on the locaton of the tumor in colon. As I am Stage 4 with Mets in the liver, my lungs and brain get checked every scan. Unfortunately Women have a slightly differant transmission pattern as their reproductive organs provide a very tempting target early.

    You will see occassional variations with mets popping up in other locales, but that is the general rule. It is a good thing that they are watching your liver.

    Good thoughts and prayers to you.
    Age 47 Male
    5/18/12 - Family Dr ordered emergancy CT and colonsopy
    5/23/12 - Diagnosed with Stage 4 Rectal Cancer w/mets in Liver
    6/28/12 - Combined lower bowel resection and liver resection.
    9/7/12 - Last day of Chemo. Folfox Blood Clot in Leg.
    1/25/13 - Last day of Second Round of Chemo Folfox
    4/25/13 - Ostamy Reversal
    9/9/13 - Clear Scan-High CEA
    9/16/13 - Pet Scan shows 4 new spots in Liver
    10/3/13 - Second Liver Resection removes tumor #6,7,8,9.
    11/1/13 - Started FolFiri
    2/7/14 - Pet scan shows several areas of concern. Now we wait and see.
    5/13/14 - Pet scan shows 3 large tumors in the Liver. Time to see Surgeon again.
    6/12/14 - Third Liver Resection removes Tumor #10,11,12.
    7/16/14 - Started Xeloda and Avastin
    9/22/14 - Fistula goes septic. 2 Major Surgeries later Permanent Ostomy.
    10/8/14 - Blood clot in Leg. Allergic reaction to Blood Thinner.

  5. #5
    Quote Originally Posted by DaveG View Post
    I'm due to finish my chemo after stage 2 colon cancer in 6wks. I was told yesterday that 2wks after chemo I would have a scan, to check things like my liver etc. I didn't think much if this til same day my wife told me if her friends husband who had colon cancer then had liver problems and further chemo.

    Are there common problems?
    Yes.

    To elaborate upon UglyStrike's explanation, cancer can spread four ways:
    surgical contamination,
    through the bloodstream,
    through the lymphatic system, and
    by growing into surrounding tissues.
    When CRC spreads through the bloodstream, the next exits on that "interstate" are the liver, then the lungs, then the brain. That's how the abnormal cells "travel" to (and then take up residence in) those locations.

    When CRC spreads through the lymphatic system, the lymph nodes in your neck are the next stop on that "highway".

    For most people, it's an "or"...it spreads through the bloodstream or the lymphatic system or by growing into the surrounding tissues.

    My SO's spread through both his bloodstream and lymphatic system, to his liver and the lymph nodes in his neck, armpit and upper abdomen. He did his chemo and is now in remission, but remains on a moderately aggressive chemotherapy regimen until he's been in remission long enough for them to get an idea of how his body (and the disease) is going to react to remission.

    MM
    Caregiver to my significant other.
    May 2008: transrectal procedure for Stage I CRC. Age 59
    April 2013: Finally "sick enough" to go to the Dr. CAT scan.
    May 2013: PET scan, surgical biopsy. DX'd terminal, inoperable, recurrent, metastatic, hypermetabolic StageIV CRC w/mets to liver & lymph node in neck
    June 2013: Port placement. Oxaliplatin, Erbitux, Xeloda
    August 2013: PET scan; NED
    September 2013: surgical repair of inguinal hernia
    November 2013: PET scan; NED
    January 2014: Changed out oxi for Irinotecan; continue Erbitux, Xeloda
    March 2014: PET scan; NED

 
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