Top
40
Doctor insights on: Ajcc Colorectal Cancer Staging

Share
1

1
Colon cancer chemo necessary?

Colon cancer chemo necessary?

Depends on stage: Chemotherapy is never used for stage 1 cancers (early). It is sometimes used in stage 2 cancers (early but more advanced than stage 1). Chemotherapy is definitely beneficial in stage 3 cancers (locally advanced) and in stage 4 cancers (distant spread). ...Read more

See 2 more doctor answers
Dr. Herbert Hoover
239 doctors shared insights

Colorectal Cancer (Definition)

Colorectal cancer is cancer of the colon or rectum. The cells lining the colon or rectum become abnormal and grow uncontrollably. They start as polyps. Symptoms include blood in the stool, constipation, loss of appetite, and weight loss. This cancer can be prevented through early screening, if a polyp is detected during a colonoscopy and excised. Additionally, a high fiber diet with plenty of water and a ...Read more


2

2
Is metastatic colon cancer curable?

Is metastatic colon cancer curable?

Possible: But less than 20% survive 5 years. Depends on where the metastases are and how numerous and size. Solitary liver mets without evidence elsewhere in the body can be cured with a liver resection. Diffuse mets to numerous body parts rarelyare curable. ...Read more

3

3
Is stage 4 colorectal cancer curable?

Is stage 4 colorectal cancer curable?

Majority will be No: When the cancer has spread to other organ beyond the primary organ-metastatic disease- or stage 4- , majority , it is an incurable disease. In a very selected case, when the metastatic disease is very limited - 1 or 2- only in the liver or only in the lung- and no other disease anywhere else and if surgery can be done to remove completely, attemp to cure the cancer can be done with chemo & surgery. ...Read more

See 1 more doctor answer
5

5
Describe breast cancer staging according tnm?

Describe breast cancer staging according tnm?

Tumor,Nodes,Mets: The t, n, m system classifies breast cancers based upon tumor size(t), lymph node status(n), and presence of cancer elsewhere in the body(m). Stage i is limited to small cancers +/- microscopic ln disease. Stage ii describes tumors 2-5cm +/- ln disease. Stage iii is for more advanced tumors (>5cm, skin/chest wall involvement) +/- multiple/distant ln. Stage IV describes metastatic disease. ...Read more

See 1 more doctor answer
Dr. Liawaty Ho Dr. Ho
3 doctors agreed:
6

6
Breast cancer staging according TNM means what?

Dr. Liawaty Ho Dr. Ho
3 doctors agreed:
Breast cancer staging according TNM means what?

TNM breast cancer: Tnm is one of the staging system commonly used for cancer. It stands for t-tumor ( the size of the tumor- the bigger is the tumor the higher is the stage) ; n- nodal status ( involvement to the lymph glands) - and m- presence of metastatic disease to the distant organ. See more here: http://cancer.Gov/cancertopics/wyntk/breast/page7. ...Read more

See 1 more doctor answer
7

7
Prostate cancer treatment?

Prostate cancer treatment?

First question: Is whether treatment is necessary, depends on gleason score and psa. Treatment may not add value to you. Watchful waiting follows your psa #, rate of rise. If your gl >/= 7, psa > 10ng/ml, best option is radiotherapy, +/- anti-hormone. Get a few opinions. Do not act in haste. ...Read more

See 2 more doctor answers
8

8
Is metastatic anal cancer terminal?

Is metastatic anal cancer terminal?

Unfortunately: Metastatic disease (also known as stage 4) is usually not curable by todays treatments. Although use of chemotherapy may improve survival and may rarely put someone into a temporary remission the disease usually returns or more often does not go away and eventually progresses and the patient will eventually succumb to it. ...Read more

9

9
Prognosis stage 3 breast cancer?

Prognosis stage 3 breast cancer?

Curable!: Stage 3 means the tumor is large and/or the cancer has spread to many lymph nodes. It can still be cured with a combination of surgery, chemotherapy and radiation therapy. The risk of cancer returning depends on many factors-- age, # of involved lymph nodes, and whether the cancer has hormone receptors or her2. About 50% of stage 3 breast cancer patients are cured. Have hope! ...Read more

See 1 more doctor answer
10

10
Is colon cancer curable?

Yes: Yes. Many people are cured with colon cancer. If found early surgery alone may be curable. If more advanced (eg, lymph node involvement or metastatic = spread to areas outside of colon), then chemotherapy may be needed. While less likely, even a few % of people with metastatic colon ca may be cured. ...Read more

See 1 more doctor answer
11

11
Is advanced stage colon cancer treatable?

Is advanced stage colon cancer treatable?

Yes and no: It is treatable but not curable. That is, you can treat it and may knock it down for a while ..t but it will always come back. But there are many factors that play into it. See cancer.org or cancer.gov for excellent information on the stage and what to expect. ...Read more

12

12
What is metastatic rectal cancer?

What is metastatic rectal cancer?

Tumor has spread: 'Metastatic' refers to a cancer that has spread to another site away from where it started. This happens when cancer invades blood vessels and lymphatics, allowing the cancer cells to spread and deposit in other organs. So ' metastatic rectal cancer ' means a tumor that started in the rectum is now outside the rectum, in other organs (liver is most common). ...Read more

13

13
Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Yes: Chemotherapy regimens based on the drug Fluorouracil (5-fu) have been part of the treatment for high-risk stage ii or stage iii colon cancer. Many clinical trials have shown that these regimens improve overall survival primarily by reducing the high risk of recurrence within the first two years after surgery. ...Read more

14

14
Chances of metastasis to lung of stage II colon cancer?

Chances of metastasis to lung of stage II colon cancer?

Low but not zero: Stage ii colon cancer means no lymph node involvement by definition, but inadequate lymph node sampling (surgical resection) may "understage" the cancer, so make sure enough ln were taken -minimum of 12! even with appropriate surgery, mets may still occur, although very unusual, so discuss with your treating docs. A pet/ct may give some reassurance so ask if this can be done. ...Read more

See 1 more doctor answer
15

15
Esophegeal cancer markers?

Esophegeal cancer markers?

Not for early CA: Unfortunately , non to detect very early stages ca 125 , ca 19.9 , cea will be elevated at later stages, used to monitor the disease. Ca 72.4 cyfra 21.1 being tested .Scca (also for ca of cervix other squamous ca ). ...Read more

16

16
Best nci national cancer institute breast cancer risk assessment tool?

Best nci national cancer institute breast cancer risk assessment tool?

Gail Risk Assessment: Gail breast cancer risk assessment tool. See: http://www.Cancer.Gov/bcrisktool/. ...Read more

17

17
Is colon cancer genetic?

Is colon cancer genetic?

Sometimes: Some colon cancers are related to specific genetic mutations but the majority are not. ...Read more

See 1 more doctor answer
18

18
Is stage IV pancreatic cancer terminal?

Is stage IV pancreatic cancer terminal?

Yes?: As a rule, stage 4 cancer of the pancreas is incurable. As to being terminal, it depends on the definition. If you mean it will kill the patient at some point, the vast majority of the times the answer is yes. If you mean it will kill the patient right away, it depends on the situation. Never say never, though, some patients have surprised me in the past. Sorry if it is about you or a loved one. ...Read more

19

19
Is rectal cancer curable?

Is rectal cancer curable?

Yes: If caught early, can be successfully treated with local excision or neoadjuvant chemotherapy and radiation followed by surgery. The key is early diagnosis! all bleeding should be thoroughly evaluated and appropriate screening with colonoscopies can prevent more advance and incurable colorectal cancers! ...Read more

See 1 more doctor answer
21

21
Colorectal cancer causes?

Colorectal cancer causes?

Heredity & diet: The cause is not known in most cases. In a small number the cause is clearly heredity, e.g., apc and hnpcc. In the garden variety colon cancer, a diet low in fiber and rich in fats may increase the risk of cancer. ...Read more

22

22
I think I have colorectal cancer?

I think I have colorectal cancer?

Reason?: Unless you have a family history or other predisposing factor you are probably too young for colorectal cancer. If you recently noticed a change in bowel habits or blood in stool get a GI checkup ...Read more

See 1 more doctor answer
23

23
How fast does colorectal cancer grow?

How fast does colorectal cancer grow?

Depends: Growth rate can depend on several factors. Here is a good review on colorectal cancer http://www.Cancer.Net/cancer-types/colorectal-cancer. ...Read more

24

24
Can young person get colorectal cancer?

Can young person get colorectal cancer?

Yes, but uncommon: About 150000 new cases of colon/rectal ca in us/yr. 90% are age 50 and up. + family history, especially of early ca increases risk. Longstanding ibd increases risk. Certain (rare to uncommon) genetic syndromes increase risk. Check your family's history, see your doc. ...Read more

See 3 more doctor answers
25

25
What ages does colorectal cancer affect?

It varies: Colon cancer can strike from the 20s and beyond, but is much more common in people in their 50s to 70s hence the recommendations to not routinely do colonoscopies in people before the age of 50. Colon cancer that presents before 60 is often genetic whereas after 60 is more likely due to environmental factors like smoking and red meat. ...Read more

See 1 more doctor answer
Dr. Hung Khong Dr. Khong
14 doctors agreed:
27

27
What sort of disease is colorectal cancer?

Dr. Hung Khong Dr. Khong
14 doctors agreed:
What sort of disease is colorectal cancer?

Large bowel cancer: Colon and rectum form the large intestine (large bowel). Cancer of the large intestine is generally called colorectal cancer. Specifically, cancer of the colon is colon cancer. Cancer of the rectum is rectal cancer. People over 50 should have screening colonoscopy or occult blood test. Treatment for stages 1, 2, and 3 are mainly surgery. Chemo is for stages 3 and 4, and some stage 2. ...Read more

See 1 more doctor answer
28

28
Can you tell me what is colorectal cancer?

Can you tell me what is colorectal cancer?

CRC: It is cancer of the large intestine (which includes the colon and the rectum, the part labeled #5 in the illustration). It is the third most common cancer for both sexes and one of the few for which there is successful screening methods. Usually starts in a polyp and can be associated with several inherited traits. ...Read more

29

29
Colorectal cancer is really serious, right?

Colorectal cancer is really serious, right?

Serious, right!: Colorectal cancer is very serious. It can also be completely and relatively easily cured if detected early. Screening should be performed at around 50 years of age. Certain people are at higher risk and should be checked earlier. Colonoscopy is the most reliable test at this time. If you are having symptoms that concern you, you should ask your dr. ...Read more

See 2 more doctor answers
30

30
What are the symptoms of colorectal cancer?

What are the symptoms of colorectal cancer?

Varied: Lesions of the right colon hard to dx early since bowel content is liquified. On left side, content is solid and if lesion present, obstruction occurs if lesion circumferential or bleeding noted from irritation of hard stool against lesion. On rt. as well as left side ideal time to define is before symptoms by routine colonoscopy ...Read more

See 1 more doctor answer
31

31
How is colorectal cancer diagnosed usually?

How is colorectal cancer diagnosed usually?

Colonoscopy, imaging: And biopsy. A lesion may be detected on colonscopy or barium enema or the more recent ct scans. The lesion is biopsied and the tissue examined by a pathologist to make the diagnosis. Colon cancer may be suspected if there is blood in stool, either obvious or occult. ...Read more

See 1 more doctor answer
33

33
What are early symptoms of colorectal cancer?

What are early symptoms of colorectal cancer?

May be none: Many early cancers do not have any symptoms and that is why it is important to have screening tests done, e.g., colonoscopy at age 50 for prevention of colo-rectal cancer. Symptoms may be change in bowel habits, bleeding per rectum, anemia, bowel obstruction and the first symptoms may be from metastases to other organs such as liver. ...Read more

See 1 more doctor answer
34

34
What are common symptoms of colorectal cancer?

What are common symptoms of colorectal cancer?

Blockage, Bleeding: The most common symptoms associated with colon cancer include (cramping) abdominal pain, a change in bowel habits ("pencil-thin stools"), bloody bowel movements, weakness/fatigue, and/or weight loss. The goal, of course, is to diagnose colon cancers before symptoms develop; i advise colonoscopy at age 50, or earlier if there is a family history. ...Read more

See 3 more doctor answers
35

35
My son has colorectal cancer. Where do I start?

Surgical oncologist: Go to a surgeon who treats a lot of colorectal cancer - a surgical oncologist, colorectal surgeon, or an experienced general surgeon. Surgery is almost always a major part of the treatment process, but he will need tests (colonoscopy if not already done), ct scan, cea. The surgeon is the best expert to be the "captain of the ship". He/she can explain and consult with other oncologists if needed. ...Read more

See 2 more doctor answers
36

36
How many people get colorectal cancer after 65?

How many people get colorectal cancer after 65?

Enough/a great many.: The incidence of this cancer goes up greatly after age 50. This is why colonoscopy is recommended for anyone over age 50 as a guideline. Both men and women are affectedust about equally. Colonoscopy is recommended by the american cancer society “guidelines for the early detection of cancer” once every 10 years and flexible sigmoidoscopy, barium enema, and virtual colonoscopy every 5 years. ...Read more

39

39
What body systems could colorectal cancer affect?

What body systems could colorectal cancer affect?

It can spread: The common sites of metastases(spread of cancer) are to liver and lungs. Sometimes it recurs in the abdominal cavity causing bowel obstruction or ascites(fluid build up in the belly? Bone metastasis and brain metastases are much less common sites of spread. Growing tumors will cause compromise in the functions of the organs. ...Read more

Dr. Barry Rosen
4,450 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


Staging (Definition)

Many diseases have specific treatments based on their severity. A disease can have certain criteria to determine their severity and applying this criteria to determine how advanced the disease state is called staging. Most commonly this is applied to cancer, and be determining how far the cancer has spread locally and/or to distant sites a stage of cancer can be ...Read more