How does one find cancerous lymph nodes?

My husband had an oesophagectomy in early October from which he is recovering quite well. During the operation the surgeon removed 17 lymph nodes, 3 of which proved to be cancerous. There is an "excitable" lymph node behind his aorta that they were aware of before the op, but knew they would be unable to reach. The surgeon today said that a scan of any type would not identify further cancerous nodes and that he needed to see an oncologist to discuss next steps which would include chemo but that it would be my husband's decision in the end. His chemo in the summer was pretty horrendous. If he has chemo, how would we know if it had worked? If the "excitable" node was present during scans in April and May, could they have spread? Was the surgeon just being matter of fact and expecting us to work out that his time is limited? Anything you can tell us would be appreciated whilst we await the appointment. Thank you.

  • Hello and thank you for posting.

    I am so sorry to hear about your husband, this must be a difficult time for you all. 

    Unfortunately, until you and your husband see the oncologist it won't be easy to give you specific answers. The surgeon gave as much information as they could, but the oncologist will be able to give more about the disease that is left behind and the treatment that may be used to help that.

    If your husband decides to have chemotherapy they will be able to tell how he is getting on by how his scans and blood results look after he has had it.

    Please write down these and any other questions you have so that you have them ready for when you see the oncologist. By asking them it will help you both understand the situation as much as possible.

    Take care and if you want to talk through with one of the nurses on our helpline the number is Freephone 0808 800 4040. The lines are open from 9 am till 5 pm, Monday to Friday.

    Sarah.

  • We saw the oncologist. She said just by looking at him he would not be fit for further "belt and braces" chemotherapy. She gave him three weeks to get fit, put on weight and get stronger. That will be two months after his op. Apparently the window closes then. Do you know about this?

  • Hello and thanks for posting,

    I can appreciate your question. I think the oncologist is referring to treatment guidelines. These are based on research from large scale clinical trials usually, about the optimum timeframe for receiving treatment. It is also always a balance between benefit and side effects from treatment. Treatments are taxing, and it is important that a patient is in the best physical shape they can be in order to have the treatment. Hopefully, you will get to find out more moving forward.

    Kind regards,

    Vanda