Peripancreatic lymph nodes?

I undergone a total gastrectomy because of gastric cancer and the pathology report said that surgical margins are free and lymph nodes are free except 2 peripancreatic lymph nodes were infected and showed metastasis...... is that mean that I could have other infected lymph nodes and need chemo or radiotherapy?

If you were told that you had two lymph nodes that were still cancerous or showed evidence of being cancerous then you still have cancer present. These lymph nodes are not infected but are metastasis from your previous gastric cancer. You may have other metastasis elsewhere that are too small to show up yet and are not causing you any symptoms. Your liver would be the most likely location for metastasis but your pancreas is another potential area of concern.

If you want to be proactive in your treatment of these lymph nodes then you should push your oncologist for an immediate PET scan to let you and him know if and where the original cancer has spread. A PET scan should show any cancer larger than about one quarter inch in size. If you are still tired from your previous fight with cancer and you are not having any symptoms right now then you can do nothing and wait until you are having significant symptoms.

If I were you I'd get evaluated very soon and also get a second opinion at a major cancer center so you will know all your various treatment options. good luck to you

maybe. what ever the next course of therapy, stay positive. i have family that has made it through 2 different types of cancer. just stay positive.

Hi, I recommend you find out about NCD. If you check out the trial done by a Dr Gabriel cousins on terminal cancer patients you will understand why. I saw a presentation on it by a guy called David Johnston and was impressed enough to film the presentation (with permission) on his next tour through our city. Im hear to at least begin to make people aware of NCD. And of course I would fwd you (or anyone else in your condition) a copy of this presentation or you can just find out about it elsewhere- it is not difficult to find if you have the net.

Good luck and wish you the best. If you have success with NCD I would be extremely greatful if you could keep me posted because I do not know anyone personally who has been on NCD and been suffering from something as serious as cancer and I would be very keen too see the results for myself