confused

hi,

around 3ish months ago my grandma began to feel pain in her stomach. went to dr (we were on vacation so he didnt have her full medical history) and she was diagnosed with colitis. she was given antibiotics and it seemed to respond but the pain never went away so she was given a higher dosage. again it seemed to respond for around a week until her stomach became super super distended and we drove her straight to the er. she was diagnosed with small bowel obstruction, & admitted to the hospital for monitoring.. surgery was recommended but grandma went her whole life (84 years) without having a surgery so she was hesitant. a week into the hospital stay the surgeon tells her it looks like a tumor on the ct and surgery was needed or else she'd be kicked out of hospital. she got a resection done and we learned she was a 4cm tumor of her ascending colon, as well as a few lymph nodes that had to be taken out but the surgeon said he checked the liver/pancreas/etc for any visible tumors and all looked good.. we were under the impression that it would be categorized stage 3a or around that, overall everyone was just happy that it hadn't metastasized (or so we thought).

3 weeks after she's discharged we meet with oncology who tells her that chemo will be likely & genetic testing to be done on the tumor to see if immunotherapy will work. 2 family members throw a fit because they think chemo is "poison" and all that general bs.. he tells us its stage 3c and schedules a followup in 3 weeks. followup rolls around (today!) and oncologist is STUMPED. i can't remember if he said 2 different primary tumors or 2 different genetic markings or what but he said 1 of them is treatable with immunotherapy and 1 isn't which leads me to think its 2 different primaries.. also it had spread to TWELVE different lymph nodes.

he scheduled another followup for 2 weeks from now and also bumped up the staging to stage 4 (unknown if 4a/b/c) and everyone is feeling defeated and confused.

if anyone has any tips for coping with this please let me know.. oncologist told us that time is not of the essence right now and she is NED right now but no one knows and he would prefer to not have her get a pet scan. ct is scheduled for the followup appointment but overall i dont know what to do and have been trouble dealing with this.

sorry for practically writing an essay but i am just very lost.

  • Welcome to the forum Squidink1 although I'm very sorry to hear what has happened with your grandma. This must be a very difficult and stressful time for you all.

    Hopefully some of our members will stop by soon to share their tips and advice but if you'd like to talk any of this through with one of our cancer nurses, they're available on 0808 800 4040, Monday - Friday between 9a.m - 5p.m. They're very easy to talk to and will do all they can to help you work through everything you've been told so far.

    The Cancer Chat community are here for you Squidink and we're wishing your grandma all the best with her follow up in 2 weeks time.

    Kind regards,

    Steph, Cancer Chat Moderator

  • hi everyone

    just a small update, we got the pet scan results & i took a look at the pathology report. peritoneum metastasis that i was unsure of was confirmed & is her2/lynch syndrome negative as is the biggest tumor found in her colon (5.5 cm). the second mass was a much smaller (t1 i believe) but is her2 positive and has some signs of a mutation seen in lynch syndrome so the whole family will likely be trying to get genetic testing as a result. pet scan also revealed that lymph nodes in chest were enlarged but no signs of anything in lungs or liver & something lit up in the rectum so she will be going for a colonoscopy too.. still totally lost & oncologist is practically stumped, told us her case "keeps him awake at night" which is not something you'd like to hear from a doctor! been trying to stay away from dr google as 4c has an average prognosis of 9 months and i really don't want to accept that that may be the truth, next appointment is in 2 weeks and hopefully we will have some form of closure as she is getting colonoscopy on the 25th or around that. if anyone has advice on coping or has had experience with metastatic colon cancer please let me know what we can expect from here..