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Thread: lump on top of shoulder

  1. #1
    Newbie New User
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    lump on top of shoulder

    My mother(78 years old ) has stage 4 colon cancer. ( below is the finds after surgery )
    Her treatment plan is Chemo (oxaliplatin) by port once every two weeks and xeloda for two weeks. She has been doing this November.
    Her first PET scan ( Sept. 2016) showed lymph nodes that was involved also with the addition of the para-aortic being involved on the opposite of the colon cancer find.
    The second Pet Scan ( early Feb 2017) showed no new places and a big decrease in size of all Lymph nodes involved.
    Fast forward to last week. We have a lump on top of shoulder. Its about a inch from the base of her neck. Lump is soft and zero pain or tenderness .
    We are seeing her Dr. this week. Just wondering if anyone had a lump show up out of the blue like this .







    Right colon

    Gross Description
    The specimen is received in formalin in one container labeled with the
    patient's (Name ) and "right
    colon". The specimen consists of a portion of bowel measuring 15.0 x 11.0
    x 6.8 cm in greatest dimensions. Two staple margins are identified. The
    proximal staple margin is identified, and there is an appendix present.
    The ileocecal valve is identified. The serosal surface is pink-tan, and a
    darker area is appreciated that is tan-brown to black measuring 2.8 cm.
    The specimen is opened along its length revealing white-tan-pink colonic
    mucosa and an area of ulceration with an exophytic mass that measures 6.1 x
    4.3 x 2.2 cm in greatest dimensions. This mass is within 0.6 cm of the
    ileocecal valve, within 3.5 cm of the proximal margin, within 6.7 cm of the
    distal margin, and within 1.3 cm of the radial margin. The staple margins
    are shaved and submitted. The mass is sampled and submitted. Normal
    mucosa is sampled and submitted. The appendix present measures 3.4 x 0.6 x
    0.4 cm in greatest dimensions. The serosal surface is pink-tan and
    otherwise unremarkable. The appendix is cross sectioned revealing pink-tan
    cut surfaces that are otherwise unremarkable. No fecalith is identified.
    Representative sections are submitted as per the summary of sections.

    SUMMARY OF SECTIONS:
    A Proximal margin
    B Distal margin
    C-G Representative sections of the tumor
    H-I Presumed normal colonic mucosa
    J-K Representative sections of the appendix
    L-V Lymph nodes, 11c
    (Cassettes L and M contain one bisected lymph node
    each,
    cassettes N-V contain multiple single lymph
    nodes).

    DOS/ab

    DIAGNOSIS
    Right colon:

    Procedure - Right hemicolectomy.
    Tumor site - Right colon.
    Tumor size - 6.1 cm in greatest dimension.
    Macroscopic tumor perforation is not identified.
    Histologic type - Adenocarcinoma with mucinous component.
    Histologic grade - Low grade.
    Microscopic tumor extension - Tumor invades through the muscularis
    propria into the subserosal adipose tissue.
    All margins uninvolved by invasive carcinoma.






    Distance of invasive carcinoma from closest margin - 1.3 cm from
    radial
    margin.
    No history of prior treatment.
    Lymph-vascular invasion is present.
    Perineural invasion is not identified.
    Tumor deposits are present (2) - The largest measuring 0.6 cm.
    Seven of twenty-four lymph nodes are positive for metastatic neoplasm
    (7/24).
    Immunostains on the neoplasm are pending.
    Appendix - No pathologic changes

    Pathologic staging - pT3 pN2

  2. #2
    Top User mojo's Avatar
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    Hi rcreese. My husband never had anything show up like that. It could be anything, hopefully the doctor can let you know what it is very soon.

  3. #3
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    Guessing no one has ever had this. We seen the oncologist today. It is a Lymph node. . Size 3 cm x 3 cm . She is having a cat scan late this afternoon. ( Just had a PET scan in Feb and this did not show up

  4. #4
    Super Moderator Top User Baz10's Avatar
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    Sorry to read of your mothers situation.

    Certainly I haven't heard of metastised ?, manifesting in this location.
    Most definitely a question that should be put to your mothers doctors, more so quickly IF it starts causing any distress.
    Barry
    Diagnosed stage 3 March 011
    Radical resection April 011
    Restaged 2b April 011.
    12/09 Colonoscopy clear but picked up hospital infection.
    Aorta & femoral arteries occluded.
    Clot buster drugs put me in ICU with internal bleeding. 9 blood units later they got it under control.
    Aortobifemoral surgery 5th May. yughh.
    PET scan indicates clear
    DEXA bone scan clear
    13/5 CT showed "unknown" but no concern from docs.
    Inguinal lymph nodes and severe groin pain.
    Ultrasound and MRI show no nasties. Pheww
    Groin pain and enlarged lymph nodes still there.
    October -still the same pains but under semi control.
    Additional chest CT scan ordered for 11th November prior to surgery.
    Sinus surgery done and dusted.
    July 2014 PSA at 5.10. 2months of antibiotics in case of UTI, jan 2015 PSA at 7.20.
    Prostate Cancer confirmed Gleason 3+3.
    Active surveillance for time being.
    Just a little recurrence and another 20 cm of colon vanished under the knife.

    Not all's rosy in the garden, but see following.
    Stop grumbling Baz, your still alive and kicking so far.
    Age and illness doesn't define who we are, but more what we are able to do.
    Motto
    Do what I love doing, when I can until I can't.
    and dodging bullets in the meanwhile.

  5. #5
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    Actually, in the 8 years since I was dx'd, I've seen 2 who presented with lymph nodes in the neck region that turned out to be colon cancer. One used the name Butterfly42 and I don't remember the other. Butterfly was quite young and a new bride. She never had a colon tumor! I don't remember the details of the other except it was a man.

    Diane

 

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