I want to thank all those who have sent their good wishes, prayers and kind thoughts over the past couple of weeks.
It has been longer than I expected to fire up my computer again, and I am afraid that the news is not as good as I had hoped. Apparently I have cancer of the appendix that has spread sufficiently for me to need chemotherapy. The disease is not in my liver and the largest lymph nodes were removed
I returned from hospital today and I need some time of convalescence.
The histology came back as well differentiated adenocarcinoma that is CEA positive. There were some goblet cells, however, and it would still be compatible with goblet cell carcinoid, a very rare tumor with only 600 cases in the medical literature. but it will require special stains to distinguish (Chromogranin A). I will also need to know whether the k-ras gene is mutated in order to know whether the new EDGFR receptor monoclonal antibodies will be helpful.
I suppose the most optimistic factors and that I was really very well before the surgery, that the liver is not involved and that the CT in February was almost identical with the one in September.
This all suggests that the disease in very indolent (not another 'good' cancer!).
I have yet to be given a final diagnosis and the prognosis is still uncertain.
I will write later about various aspects of this experience, but I just want to say for now that the most comforting element of the whole episode was to recite to myself, "Thou wilt keep him in perfect peace, whose mind is stayed on thee: because he trusteth in thee" (Isaiah 26:3). Strange how the old King James version comes to me in times of need.