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All of this cancer's questions start ticked. Untick what does not apply; ticks are kept in this browser. .

Newly diagnosed: What is my exact diagnosis, stage, and grade, and which tests established them?

Newly diagnosed: Which biomarkers have been tested on my tumour (for example MLH1 and PMS2 loss, Cadherin-17 and SATB2 positive; CK7, CK20 and CDX2 usually negative, Tumour-infiltrating lymphocytes and IDO-1 expression, BRAF V600E), and what were the results?

Newly diagnosed: Which subtype is my cancer, and does that change the recommended treatment?

Newly diagnosed: Is germline (inherited) genetic testing recommended for me or my family?

All stages: For my situation (all stages), which of the standard options do you recommend and why?

All stages: Am I a candidate for Pembrolizumab, Nivolumab, and what side effects should I expect?

Any stage: Would a second opinion at a high-volume centre change anything, and can you help arrange it?

Any stage: What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?

Appointment sheet

Medullary carcinoma of the colon

Prepared with OnCo (onco.cc/prep/colorectal-medullary-carcinoma/). Orientation, not medical advice; your team knows your case.

My details

Name

Date of appointment

Hospital and clinician

Who is coming with me

What I know, what is unclear, changes to discuss

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What I know so far

What is unclear to me

Changes since last time

My questions

8 on the sheet

Newly diagnosed

1.What is my exact diagnosis, stage, and grade, and which tests established them?
2.Which biomarkers have been tested on my tumour (for example MLH1 and PMS2 loss, Cadherin-17 and SATB2 positive; CK7, CK20 and CDX2 usually negative, Tumour-infiltrating lymphocytes and IDO-1 expression, BRAF V600E), and what were the results?
3.Which subtype is my cancer, and does that change the recommended treatment?
4.Is germline (inherited) genetic testing recommended for me or my family?

All stages

5.For my situation (all stages), which of the standard options do you recommend and why?
6.Am I a candidate for Pembrolizumab, Nivolumab, and what side effects should I expect?

Any stage

7.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
8.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?

Tests and results to bring

Biomarker results to ask for: MLH1 and PMS2 loss (over 80 percent), Cadherin-17 and SATB2 positive; CK7, CK20 and CDX2 usually negative, Tumour-infiltrating lymphocytes and IDO-1 expression, BRAF V600E (sporadic MSI-high).

Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.

The treatments I may be offered

All stages: Treated as MSI-high colorectal cancer by stage, with checkpoint inhibitors for mismatch-repair deficient disease. (Mismatch-repair deficient (MSI-high) colorectal cancer, Colorectal cancer, Pembrolizumab, Nivolumab)

From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.

Answers and next steps

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What I was told

Agreed next steps, dates and who to call

Tick the questions to print