What other signs and symptoms may expect to experience if the tumor returns?

Common signs of active cancer include: Unexplained weight loss. Fatigue. Fever. Pain. Skin changes. Change in bowl habits or bladder function. Sores that do not heal. Hoarseness or trouble swallowing. More items...

piedmont.org - The Common Signs Of A Cancer Recurrence | Piedmont Healthcare

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Signs of a cancer recurrence

For many cancer patients, the possibility of recurrence is a fear they may face for the rest of their lives. Most doctors consider cancer to be a recurrence if you have had no signs of cancer for at least one year, but then the cancer returns. “It is extremely important for cancer survivors to be aware of patterns of progression for their specific cancer,” says Erin Dunbar, M.D., a neuro-oncologist at Piedmont. “For example, survivors of systemic cancers need to take neck pain, back pain and headaches seriously, whether it’s two months, two years or ten years after treatment.” “Other common locations for systemic cancers to recur are the lymph nodes, liver, lungs, adrenal glands, bone marrow and bones,” says Howard “Nick” Chandler, M.D., a neurosurgical oncologist at Piedmont. Many of these symptoms are very non-specific, thus Drs. Dunbar and Chandler advise cancer survivors to continue actively working with their oncologist, primary care physician, and/or other specialists indefinitely post-treatment.

Common signs of active cancer include:

Unexplained weight loss

Fatigue

Fever

Pain

Skin changes

Change in bowl habits or bladder function

Sores that do not heal

Hoarseness or trouble swallowing

Unusual lump in the breast or other parts of the body

Unusual bleeding or discharge

Rate of recurrence of systemic cancers (cancers that spread or affect the entire body): 20 to 40 percent of systemic cancers go to the brain and produce symptoms before end of life. 20 to 30 percent of systemic cancers go to the spine and produce symptoms before end of life.

Risk of cancer recurrence different for each patient

It is important to keep in mind that each person is unique. There may be factors that make your case different from the norm, therefore the risk of recurrence is different for every person. If you find yourself distressed by questions about recurrence, ask your doctor to talk realistically about the chances of the cancer coming back. The Piedmont Cancer Center has navigators and social workers ready to assist you, your family and your doctor to pursue next steps. Need to make an appointment with a Piedmont physician? Save time, book online.

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What is the most common site of distant metastasis?

Common sites of distant metastases are liver, lung, brain, and bones. These organs receive rich blood flow from all parts of the body and thus are a target for distant metastases.

training.seer.cancer.gov - Code 7: Distant - SEER Training

Code 7: Distant

Tumor cells have broken away from the primary tumor, traveled to other part of the body, and started to grow at the new location.

Also referred to as remote, diffuse, disseminated, metastatic, or secondary disease.

No continuous trail of tumors cells between primary site and distant site (discontinuous). Common sites of distant metastases are liver, lung, brain, and bones. These organs receive rich blood flow from all parts of the body and thus are a target for distant metastases.

Types of distant routes of metastasis

Hematogenous spread (via the blood).

Lymphatic spread (via lymphatic system, including to distant lymph nodes).

Implantation via fluids in bodily cavities.

Extension from the primary organ beyond adjacent tissue into the next organ.

Invasion of blood vessels within the primary tumor allows escape of tumor cells or tumor emboli which are transported through the blood stream to another part of the body where it lodges in a capillary or arteriole. At that point the tumor penetrates the vessel wall and grows into the: Lymph channels beyond the first (regional) drainage area to lymph nodes are identified as being remote (distant) from the primary site. Tumor cells can be filtered, trapped and begin to grow in any lymph nodes in the body. Spread through fluids in a body cavity Example: malignant cells rupture the surface of the primary tumor and are released into the thoracic or peritoneal cavity. They float in the fluid and begin to grow on any tissue reached by the fluid Implantation or seeding metastases. Some tumors form large quantities of fluid called ascites that can be removed, but the fluid rapidly re-accumulates. However, the presence of fluid or ascites does not automatically indicate dissemination. There must be cytologic evidence of malignant cells.

Updated: September 18, 2018

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