Community Member
3 days agoWould like this explanation? RADIATION ONCOLOGY ON-TREATMENT CLINICAL VISIT NOTE Patient Name: Don O Vanvoltenberg MRN: 000988628 DOB: 1/15/1968 Age: 58 y.o. PCP: Jeffery S Jacobs, MD Colorectal Surgery: Dr. Gokul Subhas Referring / Medical Oncology: Dr. Abe Mathews DIAGNOSIS: Adenocarcinoma of the Colon AJCC STAGE: cT4b cN1b cM0, ypT4b ypN0 cM0; Group IIIC, Adenocarcinoma of the Colon. S/p biopsy 1/3/25 with well differentiated adenocarcinoma, MMR intact. CT C/A/P 1/2/25 with descending colon mass invading left abdominal wall. S/p diverting loop ileostomy on 1/8/2025. Initiated FOLFOX on 1/29/2025. S/p Laparoscopic Subtotal Colectomy with Abdominal Wall Resection on 10/28/25 with Grade 2 adenocarcinoma, 7.3 x 5.5 x 1.2 cm, directly invades abdominal wall, no LVSI, no perforation identified, 0/21 nodes involved, positive margin at abdominal wall, all other margins negative. Treatment originally initiated 12/22/25- 1/6/25 (held due to abscess requiring drainage) PLAN OF TREATMENT: Adjuvant Radiation Therapy PLANNED TREATMENT DOSE: 50.4Gy in 28 fractions (45Gy in 25 fractions followed by three fraction boost). Date of Clinic Visit: 02/25/2026 SUBJECTIVE: Don O Vanvoltenberg is seen and examined in clinic today having completed a dose of 2520 cGy in 14 fractions. He re-initiated therapy this week following a break due to fluid collection / abscess requiring drain placement. He now resumes therapy to the lower abdominal wall. He is receiving supplemental iron and feels that his energy level has improved. No acute bowel complaints or other discomfort reported today. We reviewed expectations from treatment and answered all current questions. PHYSICAL EXAM: Vital signs: BP 123/76 | Pulse 92 | Temp 36.5 °C (97.7 °F) | SpO2 95% General: Resting comfortably. No signs of acute distress. ASSESSMENT AND PLAN: Don O Vanvoltenberg is tolerating radiation treatment course as anticipated. I plan to continue current course of treatment as initially planned. All current questions answered. On-board imaging has been reviewed for RT localization.
Community Member
3 days agoTreatment breaks during radiation therapy are sometimes medically necessary, as your care team has determined in your situation. Your radiation oncologist has reviewed your case and plans to continue with the originally planned treatment course, which is a positive sign that the break won't compromise your overall treatment goals. Many patients in the colorectal cancer community have experienced similar treatment adjustments and have gone on to complete their therapy successfully - you're not alone in having these concerns about interruptions to your care plan.
New to the community?
Create an account to connect with others navigating cancer.
© 2026 Outcomes4Me Inc. All rights reserved.