Question 1

is it possible to have big polyps in the colon or rectal that cause symptoms and are big but no pre cancerous? 19 year old.

Accepted Answer

See details: If there are adenomatous polyps, those larger than 0.5 cm in diameter have an increased risk of becoming cancer.

Question 2

my fathers colon cancer spread to the liver with several lesions on the liver. he now has larger lesions with one measuring  9.6 cm x8.5 cm.  prognosi?

Accepted Answer

Options..: If colon cancer spreads only to the liver, it can still potentially be treated successfully.  There are multiple liver treatment options (surgery, radiofrequency ablation, sbrt, endovascular chemo/y90, etc.).  He should be seen at a cancer center with a large liver surgery/treatment volume.

Question 3

person is 91yrs old has colon cancer, took 6wks of chemo and dr said no more.  what do we expect and what symptoms will she have she has colon cancer and lesions on her liver as well as having cancer in the uretha 
when she finished her 6wks of chemo she

Accepted Answer

This : This patient has a very difficult problem to address and her age does not make things easier. You are describing metastatic cancer, and typically patients will stay on chemotherapy indefinitely as long as they can  tolerate it and as long as the patient wishes to pursue this treatment. If she "went down hill" as you describe, i take that to mean she is not tolerating the chemotherapy. The hard truth is that very few patients will find a "cure" with chemo alone. The life expectancy varies depending on the nature of the tumor and the tolerance of the patient on chemotherapy. A patient not tolerating chemotherapy may need to consider other options such as hospice. Doctors do not like discussing end of life issues, but you need to corral this doctor and get the straight talk from him. Talk to the patient and see what she wants. The important issue is that the patient must maintain autonomy in her decision and some dignity in life as well. The local cancer society may have some literature describing your situation and there may be some help groups available for emotional support. If she belongs to a church, now is the time to circle her with friends and family who will support her emotionally and spiritually as well.

Question 4

if a patient has a tumor in the transverse colon, and a pre-cancerous polyp in the ascending colon, would both colon sections need to be resected?

Accepted Answer

It depends.: If the gastroenterologist is fairly certain that the precancerous polyp was removed completely, and the pathology results confirm that, then the ascending  colon would not need to be resected.  Depending on the results of the local lymph nodes, the surgeon might be able to get by with resecting just the transverse colon. Good luck.

Question 5

what % of colon polyps removed come back as being pre-cancerous?  my brother has colon cancer, my moms polyps were pre-cancerous.  my odds of having?

Accepted Answer

Polyps: Most colon polyps are adenomas-these are all precabcerous to a degree. That is determined by size, number, and cell type of polyp. Risk of colon cancer increased if parent, sib, child has/had it. Increased more with more family members who have ca or polyps. Start screening with colonoscopy now; follow up to be determined by findings. Colon cancer is often preventable with screening, lifestyle.

Question 6

a doctor at the emergency room found 3 applecore lesions on my colon and said i may have cancer. they have done 2 colonoscopies since but have still not found the cause. i'm in so much pain i haven't been able to work and can barely take care of my daught

Accepted Answer

Look elsewhere: Hi. No matter what the ER doc saw (they're NOT gastroenterology specialists), if TWO colonoscopies were negative, you're barking up the wrong tree. Time to look elsewhere. Good luck!

Question 7

my mum, 67 , was diagnosed with colon cancer with liver metastases, lesions in lungs and kidneys. starting folfox tomorrow?? life expectancy?

Accepted Answer

Not enough: Need to assess for Kras and Nras mutation IF she is wild type she should receive FOLFIRI  and Erbitux

If she has mutation the treatment of choice FOLFOX and Avastin

Life expex 22 - 26 months... If responsive disease can be extended with other agents and survival can extend several years.

New agents add to OS   sequencing of therapy is important to extend Overal survival

Question 8

is dull pain in colon cancerous?

Accepted Answer

Maybe, maybe not...: Lots of things give dull pain in abdomen. Harder to tell which organ, e.g. Colon, as opposed to gyn, stomach, gallbladder, etc. Yes, cancer of colon can be assoc with dull pain, but also no pain at all, sharp pain, visible blood, occult blood, no blood, change in bowel habit, weight loss,  etc. See your doc, get examined.

Question 9

are colon polyps cancerous?

Accepted Answer

Some: There are different types of colon polyps.  Some will not turn into cancer.  But many (adenomatous polyps in particular) have a high likelihood of turning into cancer if not removed.  We think that most colon cancers start as polyps. That is why we recommend colonoscopy at age 50. If you have a precancerous polyp, it can be removed before you get cancer.

Question 10

are longer colons more likely to become cancerous?

Accepted Answer

Maybe: "longer colons" are usually the result of chronic constipation which can increase your risk for colon polyps and cancer.

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Doctor answers about:

Pre cancerous lesions in colon

A member asked:

Is it possible to have big polyps in the colon or rectal that cause symptoms and are big but no pre cancerous? 19 year old.

A member asked:

My fathers colon cancer spread to the liver with several lesions on the liver. he now has larger lesions with one measuring 9.6 cm x8.5 cm. prognosi?

A member asked:

Person is 91yrs old has colon cancer, took 6wks of chemo and dr said no more. what do we expect and what symptoms will she have she has colon cancer and lesions on her liver as well as having cancer in the uretha when she finished her 6wks of chemo she

A member asked:

If a patient has a tumor in the transverse colon, and a pre-cancerous polyp in the ascending colon, would both colon sections need to be resected?

A member asked:

What % of colon polyps removed come back as being pre-cancerous? my brother has colon cancer, my moms polyps were pre-cancerous. my odds of having?

A member asked:

A doctor at the emergency room found 3 applecore lesions on my colon and said i may have cancer. they have done 2 colonoscopies since but have still not found the cause. i'm in so much pain i haven't been able to work and can barely take care of my daught

A member asked:

My mum, 67 , was diagnosed with colon cancer with liver metastases, lesions in lungs and kidneys. starting folfox tomorrow?? life expectancy?

A member asked:

Is dull pain in colon cancerous?

A member asked:

Are colon polyps cancerous?

A member asked:

Are longer colons more likely to become cancerous?

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