In situ cancer = Stage 0 tumor?
Two years ago, I had a small hard lump under my left chest that was surgically removed and diagnosed as a benign fibroma.
A year later, another lump developed in the same location (just below the scar).
This time, the surgical results indicated a "malignant tumor." The doctor said it was a low-grade fibrosarcoma.
I underwent another surgery two weeks later to excise the surrounding tissue, and there was no evidence of metastasis or infiltration.
I was issued a major illness card but was informed that I did not qualify for aggressive treatment and was dismissed...
My questions are: Does this mean I am "cured"? Is this malignant sarcoma considered carcinoma in situ? Should I schedule follow-up appointments in the future? How should I proceed from here? I see that many people who have had cancer live for 10 to 20 years...
I just turned 30 and am facing this illness...
I am unsure of what to do...
I kindly ask for your guidance, doctor.
A Yao, 30~39 year old female. Ask Date: 2010/02/25
Dr. Fan Sheng reply Oncology
A-Yao: Based on what you described, this is indeed a malignant soft tissue sarcoma, not a carcinoma in situ.
There is a possibility of recurrence and even distant metastasis.
After surgical intervention, it may be prudent to consider adjuvant radiation therapy for added safety.
Reply Date: 2010/02/25
More Info
Understanding low-grade sarcoma, particularly in the context of your recent diagnosis and treatment, can be quite complex and understandably concerning. Based on your description, it appears that you have undergone surgical removal of a subcutaneous mass that was initially identified as a benign fibroma, but later was diagnosed as a low-grade sarcoma.
Recovery and Prognosis
1. Current Status: The fact that your doctor has indicated that there is no evidence of metastasis or infiltration following the second surgery is a positive sign. Low-grade sarcomas are generally less aggressive than high-grade sarcomas, and they often have a better prognosis. The absence of spread is encouraging, and many patients with low-grade sarcomas can live long, healthy lives after appropriate treatment.
2. "Cured" vs. "In Remission": While you may feel a sense of relief, it is important to understand that the term "cured" is often used cautiously in oncology. Given that you had a malignant tumor, you may be considered to be in remission, but ongoing monitoring is typically recommended. This means that while there is currently no evidence of disease, there is a possibility of recurrence, and regular follow-ups are essential.
3. Is it "In Situ" Cancer?: Low-grade sarcoma is not classified as "in situ" cancer. In situ cancers are typically confined to the layer of tissue where they originated and have not invaded deeper tissues. Sarcomas, including low-grade types, are considered invasive by nature, even if they are low-grade.
Future Steps
1. Follow-Up Appointments: It is crucial to maintain regular follow-up appointments with your oncologist or surgeon. These visits will allow for monitoring any potential recurrence and managing any long-term effects of the surgery. The frequency of these visits will depend on your specific case, but typically, follow-ups may be scheduled every 3 to 6 months for the first few years after treatment.
2. Imaging and Monitoring: Depending on your doctor's recommendations, you may undergo periodic imaging studies (like MRI or CT scans) to monitor for any signs of recurrence. The specific schedule for these tests will be tailored to your individual risk factors and the characteristics of your tumor.
3. Lifestyle Adjustments: While it may be difficult to think about life after a cancer diagnosis, focusing on a healthy lifestyle can be beneficial. This includes a balanced diet, regular exercise, and avoiding tobacco and excessive alcohol consumption. These changes can improve your overall health and potentially reduce the risk of recurrence.
4. Support Systems: Engaging with support groups or counseling can be very helpful. Many people find it beneficial to talk with others who have gone through similar experiences. This can provide emotional support and practical advice on coping with the aftermath of a cancer diagnosis.
5. Education and Awareness: Educate yourself about low-grade sarcomas and stay informed about any new developments in treatment and management. This knowledge can empower you to make informed decisions about your health and treatment options.
Conclusion
While the diagnosis of a low-grade sarcoma can be daunting, many individuals lead fulfilling lives post-treatment. Your prognosis appears to be favorable given the absence of metastasis and the nature of the tumor. It is essential to stay proactive about your health, maintain regular follow-ups, and seek support when needed. Remember, you are not alone in this journey, and there are many resources available to help you navigate your recovery.
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