Doctor insights on:
Bag For Colon Cancer Surgery
Depends: Believe it or not, it can sometimes still be cured. It depends on the disease burden in the liver. After resection, they can do adjuvant therapy and follow up with hepatic resections if it is limited. Also for palliative reasons - if it is causing an obstruction, then the obstruction needs to be relieved to allow for simple gut function. ...Read moreSee 1 more doctor answer
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
What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon ?
High risk of cancer: Recurrence risk given cancer is a function of the stage of cancer when diagnosed, independent of uc. However, uc patients have an approximately 1% per year risk of new cancer appearing. Because of this high risk, total colectomy has been the standard of care for uc. If you have any colon left, it should be examined and biopsied periodically looking for dysplasia, the precursor of cancerous change. ...Read moreSee 2 more doctor answers
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more
Hi.Ovarian cancer, spread to bowel.Was considered for HIPEC but spread to small bowel means surgery not possible.Any alternatives to palliative chemo?
Here are my suggesti: Ovarian Cancer often involved multiple organs in the abdomen including the small bowel. In fact the bowel involvement is very common. Because of the above reasoning, surgery(often called Debulking surgery) is commonly done first treatment for optimum results. Chemotherapy is often done following surgery(with a few exceptions where Neoadjuvant chemotherapy (done first, before surgery) is preferred. ...Read more
Possibly: Removal of liver metastases can sometimes be helpful for patients with colon cancer. A remarkable amount of cancer can be removed usually after there has been some response to chemotherapy. If surgery is not recommended alternatives such as radioembolization, chemoembolization, radiosurgery, or rfa or cryoablation may be considered. Get with an experienced team to determine the best course! ...Read moreSee 5 more doctor answers
Best treatment: All primary colon tumors must be resected. If localized, cure is very high. If mets already present it is still essential to remove primary since latter is polyclonal while mets to liver or lung are monoclonal and wont spread. If primary left to treat mets then new clones develop in primary and will continue spreading to new sites. Always resect the primary colon tumor with margins. ...Read more
Outside of being screened often for colon cancer (colonoscopies), what can I do to lower my colon cancer risk as an ulcerative colitis patient?
Most important: is polyp removal through recommended colonoscopy screenings. The longer you have had UC/inflammatory bowel disease, and if more than 1/3 to 1/2 of your colon is involved, the greater your risk of developing colorectal cancer. Controlling bowel inflammation by complying with your medication regimen is likely to be preventive. Avoid alcohol, tobacco, obesity. Low fat/high fiber diet, NSAIDs +/- ...Read more
How long to wait for safe colonoscopy after colon resection? Polyp in rectum, blood in stool, no stoma.
Depends: Laparoscopic surgery is highly effective for removing all or portions of the colon. Treatment of the cancer is dependent on how early/advanced the disease process is. It is a good idea to be in a location where a multidisciplinary approach to the cancer can be done - experienced laparoscopic surgeons, oncologists, radiation oncologists, and diagnostic radiologists can all help. Hope this helps! ...Read more
Possibly: We believe most colon cancers progress through a polyp stage. Polyp simply means growth and can be any size or configuration but can be small. Early on a cancer can still be partly a polyp and be removed during colonoscopy. They still need to be evaluated and treated as a cancer however, and it does not necessarily mean the cancer is cured by just removing it as a cancerous polyp. ...Read moreSee 2 more doctor answers
If SIRT is done for liver mets , can this significantly prolong survival in metastic colon cancer pt?
It all depends: It all depends on where the cancer is now , the symptoms of the patient and in how many different places it is. Chemotherapy, radiation and surgery could all be a possibility but it all depends on the characteristics of the patient. A medical oncologist should be involved to make help the decisions. All the best, ariel. ...Read moreSee 1 more doctor answer
Hi. Cancer in bowel, ovaries and peritoneal. Krukenberg tumour. What are the best chemo drugs? Need to clear spread from small bowel before surgery
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