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請問這是大腸癌第幾期?

1.Intestine,lage,recto-sigmoid colon,low anterior resection,adenocarcinoma,well to moderately differentiated,forming a polypoid tumor measuring 8x7.0x5.5 cm,penetrating through the muscular layer and invading thepericolic fat tissue,no angiolymphatic permeation,with no evidence of adenoarcinoma involvement of the outermost serosal surface and bilateral cut ends (TNM staging:T3NOMX)

2.Lymph node,pericolic fat tissue of rectosigmoid colon,low,anterior resection,none made(0/22)

3.Lymph node,IMA,dissection,none made(0/5)

The bilateral cut ends and the outermost serosal surface arenot involved by the carcinoma.

All of the twenty-two lymph nodes dissected out from the pericolic fat tissue reveal no evidence of metastic adenocarcinoma.

All of the five lymph nodes dissected out from the IMA reveal no evidence of metastatic adenocarcinoma.

腹水報告:positive carcinoma

您好, 這是我一位朋友母親病理報告,可否請教這是大腸癌第幾期?

因為告訴我們這是第4期轉移(依腹水報告判斷),可是開刀前一天CT未看見腹水,為何開刀有腹水,我們查一些資料,依照病理報告應該是未轉移,因為這關係我們後續治療及費用問題,醫師一直健議我們做標靶治療,很感謝您為我們解答,謝謝您!

5 Answers

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  • 1 decade ago
    Favorite Answer

    Stage I: T1 N0 M0; T2 N0 M0

    Cancer has begun to spread, but is still in the inner lining.

    Stage II: T3 N0 M0; T4 N0 M0

    Cancer has spread to other organs near the colon or rectum. It has not reached lymph nodes.

    Stage III: any T, N1-2, M0

    Cancer has spread to lymph nodes, but has not been carried to distant parts of the body.

    Stage IV: any T, any N, M1

    Cancer has been carried through the lymph system to distant parts of the body. This is known as metastasis. The most likely organs to experience metastasis from colorectal cancer are the lungs and liver.

    初步判定為 stage II

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  • 1 decade ago

    抗癌聖品!!海藻Fucoidan「褐藻糖膠」就是海藻的黏滑成份,能殺滅癌細胞「誘導凋亡(Apoptosis)作用」。這些就是海藻Fucoidan「褐藻糖膠」與其他保健食品截然不同的最大特點。 許多人飲用後都齊聲讚嘆【真的有效】可說是佳評如潮............安本富士雄先生、境岡縣、境岡市、58歲 開始接受抗癌藥劑治療時,被毛髮脫落等嚴重副作用折磨好一陣子,不過後來服用了朋友介紹的海藻Fucoidan『褐藻糖膠』後,毛髮開始長出來,白血球數量也回升到正常值,其後總算能禁的住抗癌藥劑的治療,最近診斷結果醫生說胃癌消失了。抗癌部落格:http://agel777.ugo.com.tw

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  • 1 decade ago

    的確...依病理報告是屬第二期(lla)

    但因為病理組織切片只是某區的判讀不是全身性

    他們對於遠處轉移(M)這部分無法確定,所以會打上Mx...是這樣來的,因為無法替妳背書沒有遠處轉移!!!

    但是若針對腹水報告來說...這已經是第四期沒錯了!

    上一位00大師說的沒錯,可以自費抽血(大概2千多)再去驗EGFR因子,若為陽性,打Erbitux效果會比較好,另外也還有此一說,施打過程若出現(嚴重)青春痘(臉或背部)表示有好的療效!

    另一種avastin也是不錯的選擇,重點是都要自費且不便宜!

    不過剛開完刀...Erbitux就不建議選擇!起碼要間隔一個月以上,因為會有出血的危險!

    祝您那位朋友母親療程成功!病情獲得控制!!!

    Source(s): 本身為腫瘤科病房護士級臨床醫師經驗
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  • cnc
    Lv 7
    1 decade ago

    一切病痛先到可信醫院確認病因(所有治療都必須搭配改善體質.提高自體細胞修護力及免疫力才是根治之道)

    http://www.youtube.com/watch?gl=TW&hl=zh-TW&v=UOFR... 醫師抗癌實例

    http://tw.myblog.yahoo.com/0933427667-0918116005/a... 權威醫學期刊(1999諾貝爾醫學獎)糖尿病實例.過敏.腸病毒

    http://tw.youtube.com/watch?v=pS-cRBR67TU 醫生也推薦的

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  • 1 decade ago

    :T3NOM1因為腹水報告:positive carcinoma即有轉移到腹腔, 所以是第四期

    病理報告有一個重要的特殊標靶染色EGFR(表皮生長因子受體)並沒有做

    EGFR陽性, 最好是+++三個PLUS標靶治療藥Erbitux效果才好

    應該先問醫師EGFR(表皮生長因子受體)幾個PLUS再決定要不要做標靶治療

    Source(s): 肝癌の絕地大師http://www.wretch.cc/blog/maestroyoda
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