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Doctor insights on: Brain Metastases From Colon Cancer

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Is liver metastases from colon cancer a death sentence?

Is liver metastases from colon cancer a death sentence?

It could be commuted: Until recently, colon cancer metastases in the liver were invariably fatal within a few years. However, there are some new biotechnology findings that suggest this may no longer always be the case. Your oncologist would be the person to ask. ...Read more

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Dr. Barry Rosen
4,298 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


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In metastic colon cancer do the size and number of metastases matter ?

In metastic colon cancer do the size and number of metastases matter ?

Yes: In colon cancer as with most malignancies as the lesion increases in size the greater the population of mutated cells with varying surface glycoproteins defining different sites of metastasis. With the metastasis alreadyu present each of these cells express a mutated form of mitochondrial DNA acting as immunogenic inhibitory molecules making treatment more difficult. ...Read more

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Is in case of colon cancer with liver metastases (and during chemoth) recommended a specific diet? Are there any anti cancer food? What about turmeric

Is in case of colon cancer with liver metastases (and during chemoth) recommended a specific diet? Are there any anti cancer food? What about turmeric

Not really.: It all depends on the symptoms. Chemo can affect the taste, alter your bowel habits, and decrease appetite. The goal is to stay well hydrated. High fiber diet may help with both constipation or diarrhea. There is no specific "anti cancer"diet that you can go on. No significant data available to support turmeric in the foods. ...Read more

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What's the percentage of having a liver metastase later in a stage 3b colon cancer?

What's the percentage of having a liver metastase later in a stage 3b colon cancer?

See below: People with stage 3b colon cancer, even after removal and chemotherapy, still have about a 30-40% chance of return of cancer. The liver is a common site. ...Read more

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What's survival like for colon cancer pt with a liver metastases and a aortocaval node? Years approximation plz

What's survival like for colon cancer pt with a liver metastases and a aortocaval node? Years approximation plz

1-2 yrs: If liver mets present then the aortocaval node should be considered to be part of overall treatment. First use of FOLFIERI chemo and then evaluation for resection should be contemplated. A single aortocarval node easily resected before chemo. If liver lesions treatable by resection or microwave ablation this should be tried. followed by chemoembolization if needed. ...Read more

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Can a aortocaval node be cured / treated which has metastases ? It's 10 mm in size in a colon cancer pt where primary is removed

Can a aortocaval node be cured / treated which has metastases 
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Yes: In removing what is considered a solitary metastatic focus and in particular a lymph node, one must make sure the lesion is solitary. A PET/CAT scan will resolve this issue and if solitary should be removed by surgical resection. If other sites noted then chemo followed by surgery should be performed. ...Read more

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

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

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 ...Read more

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Why is colon resection still done for colon cancer in cases with liver metastasis?

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 more

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What is the icd-9 code for metastasis colon cancer and the cpt code to?

What is the icd-9 code for metastasis colon cancer and the cpt code to?

Need more info: The code for colon cancers is 153._. 153.9 is for colon cancer of unspecified site. There is a separate group of codes for metastasis and the site. The number after 153 is for the site of the primary tumor. I can't answer the cpt code question, because there is not enough information. ...Read more

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For a stage III b colon cancer removed surgically, why the chemo should be systemic rather than regional although there are no metastasis?

For a stage III b colon cancer removed surgically, why the chemo should be systemic rather than regional although there are no metastasis?

Micrometastasis: The goal of adjuvant therapy is the eradication of occult micrometastatic tumor cells before metastatic disease becomes clinically evident. Undetected micrometastases can contribute to the failure of primary treatment. Adjuvant chemotherapy for stage iii colon cancer dramatically improves both relapse-free and overall survival. ...Read more

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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

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Can infestion cause brain damage my sister had colon cancer surgury she came out that okay but 3 day later she got real sick and the dr said she had a infestion the bowel was leaaking she was in the operating room 4/1/2 hours aftyer the surgury was over s

Can infestion cause brain damage my sister had colon cancer surgury she came out that okay but 3 day later she got real sick and the dr said she had a infestion the bowel was leaaking she was in the operating room 4/1/2 hours aftyer the surgury was over s

I : I am sorry to hear about how poorly your sister is doing. I want to make sure i understand your question. Your sister has bowel cancer. She developed a post - operative infection and has been extremely ill. Could the infection have led to brain damage? Of course I do not know very much about your sister's complications. Sometimes an infection in the gut, can travel into the blood. Infected blood travels to the brain, where it can cause harm. Also, when a person is very sick and they undergo surgery, they can have complications with anesthesia, a lot of things can happen. As the body gets sicker it can affect organs other than just the colon, and those organs can either stop working or work poorly. It can become like a snow ball effect. I suggest that you talk to your sister's doctor and ask him or her to explain what has happened. If the doctor uses too many big, medical words, ask him or her to use plain language. I hope this is helpful. ...Read more

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My mom's doctor says that colon cancer can not metasize to the brain without first affecting the liver. Is that true?

My mom's doctor says that colon cancer can not metasize to the brain without first affecting the liver.  Is that true?

False: My old professor taught me that cancer does what cancer wants. Although liver metastasis is the most common and the first site, sometimes the liver will be spared as the tumor spreads to the lung especially for left sided or rectal cancers. ...Read more

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Having persistent neck pain and headache for 6 months now. Negative results of brain & cervical mri and emg ncv. Possibility of colon cancer?

Having persistent neck pain and headache for 6 months now. Negative results of brain & cervical mri and emg ncv.  Possibility of colon cancer?

Unrelated : Metastasis from colon cancer would have shown up on the MRI. I would ask your doctor if you have muscular neck pain that is also felt in the muscles of the head or if you have a chronic headache that seems to radiate down into the neck. You cannot have both. The two are treated differently. ...Read more

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My dad, his sis, brother and dad died of cancers (brain,stomach,liver) my grandma had colon Cancer. They found polyps in my colon, bad sign at 18?

My dad, his sis, brother and dad died of cancers (brain,stomach,liver) my grandma had colon Cancer. They found polyps in my colon, bad sign at 18?

What type of polyp: That many cancers may prove to be associated with a familial disorder requiring genetic evaluation. Polyps of colon extremely rare unless there is an underlying hereditary disorder. Important to know whether the polyps were inflammatory or adenomatous lesions that could lead to malignant transformation. Should genetic disorder be found, colon surgery may eventually be needed. ...Read more

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Metastasis (Definition)

A cancer begins in an organ (say the breast). If it gets into the blood stream or the lymphatic stream the cells can travel to other parts of the body where, in the right environment, they may settle and grow. This development of tumor growth far away from the original site ...Read more


Dr. James Dukelow
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Colon (Definition)

The colon is another term for the large intestine. This is the final portion of the digestive system, responsible for absorbing water and storing stool before evacuation. It is divided into sections described as cecum; ascending, transverse, descending and ...Read more