I have colon cancer stage 3b, I have abdomen pain, MRI of Omentum and lesions of concern?

I was diagnosed Jan 2016 with colon cancer Stage 3b due to tumor deposit with negative lymphnodes. I had a right hemicolectomy and started FOLFOX chemo which ended in late July or early August. I had a CT scan in May due to having pain in my abdomen. It was negative except for the same liver lesion that’s has been on all my scans. I had another scan at the end of Oct and it show thickening in my omentum and more liver lesions but it said some could be seen on other scans but are tiny. So my oncologist sent me for an MRI. He wasn’t concerned with my omentum because my surgeon said he thought it was from my surgery. My MRI did not say anything about my omentum and said the liver lesions are benign. I’m still having my abdomen pain and they keep telling my CEA is normally to follow with scan in February. Can you give me your opinion? Should I be concerned? I’m trying not to worry.


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Dr. Ayman Darrag
Member
Dr. Ayman Darrag

Abdominal pain has a thousand cause … İt depends on it exact site ..manner and severity ..referral..please describe it so i can help you..
Thanks

Dr Ahmed Fawzy
Member
Dr Ahmed Fawzy

Omentum is normaly thickened in grade 3b colon cancer , it indicates spread to lymphnodes
It is usually associated with abdominal pain due to lack of normal bowel movement from omental thickening

Sorry i can not answer the liver lesions part without seeing the MRI

CEA is expected to be high in colon cancer grade 3b (even after colonectomy)

Good Luck

Dr Mahaveer
Member
Dr Mahaveer

hi
if only abdominal pain is the cause of concern,then i would like to tell you that there are many other causes other than metastasis of a cancer.Be optimistic.
Stage 3b usually can have metastatic lesions elsewhere in the abdomen.
if the lesions in liver are fresh ones,that were not detected prior to surgery,then these need special attention.
A CT / USG guided biopsy of the liver lesion should be done to confirm the etiology of the lesion.
thanks

shw12
Member
shw12

HI
I DO NOT SEE ANY REASON FOR WORRYING AS THE LESIONS ARE CONFIRMED TO BE BENIGN.
GET YEARLY SCANS DONE TO BE ON SAFER SIDE.

mrsshalini14
Member
mrsshalini14

hello there
i dont think there is anything to worry.
there are many other reasons of abdominal pain,and this alone should not be considered so significant.
keep a watch on tumor markers

Dr Masr
Member
Dr Masr

Would you please descibe your abdominal pain,
Site
Course
Duration
Character
Severity
What increases and decreases it
Any Association
Relation to food
Actions taken to stop it and was it relieving the pain or not

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