A 44-year-old male asked:
Chemotherapy for bowel cancer yes or no: stage 2a pt3 n0 mx, 1-2 mm margin of fat to serosa, moderately differentiated @ splenic flexure. thankyou?
2 doctor answers • 9 doctors weighed in
Hematology and Oncology 23 years experience
Stage IIA colon ca: Routine use of chemo for stage ii colon cancer is not recommended.For stage ii, chemo was associated with a small improvement in disease free survival that ranged from 4 to 7% but no overall survival benefit. In high risk stage ii ( lymph node taken <13; margin +/close, poorly diff, perforation, T4 etc) chemo either using 5-FU or 5fu+oxaliplatin can be considered. Please discuss with your doctor.
6k viewsReviewed >2 years ago
A Verified Doctoranswered
No: The majority of oncologists would not administer chemotherapy in this situation. Large trials have failed to show a consistent benefit for patients with these tumor characteristics. Chemotherapy is usually reserved for node-positive colon cancer. That being said, every patient is different and deserves a personalized conversation regarding the risks and benefits of chemotherapy.
6k viewsAnswered >2 years ago
Last updated Jun 23, 2017
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $39!
50% off with $15/month membership
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.