Stage 4 colon cancer spreading to liver. Lymph nodes in mensetary swelling. Should I be worried?
Patient: i have stage 4 colon cancer that spread to my liver the irenotecan avastin, ect.cocktail has shrunmken the tumors significantly i have been on this regement since march 2010 however lately two pota hepatic lymph nodes in my mensetary have been swelling . my cea,s are 6.8 i am 54 in good health otherwise and recover from my treatments well. i have my infustion every two weeks.should this be a great concern and if so why . thank-you T.S. Doctor: Hi,  Enlarged node at porta hehatis signifies distant metastasis. You have been doing well with your colon cancer treatment, that is a positive issue . Probably you may do well again with chemotherapy. In case of disease progression generally next line of chemo has to be selected. If ienotecan has already been used now possibilities are combination of oxaliplatin and irenotecan like FOLFOXIRI regime.