Doctor insights on:
Colon Cancer Palliative Surgery
Bag is rarely needed: Colostomy( external bag ) is rarely needed for elective cancer surgery. It is more frequently used if the cancer is located very close to the anus, Also, a temporary colostomy may be used for emergency surgery when cancer is obstructing colon completely and the bowel cannot be cleaned prior to the surgery. ...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
Surgery: Colon cancer surgery would be done under full general anesthesia. Open or laparoscopic surgery can be 2 options. The offending part of the colon and nearby lymph nodes are removed. Most often the colon is then connected back together. Less often a colostomy is needed. Discuss with the operating surgeon to get more specific details. ...Read more
Tumor markers: Cea is a tumor marker it does not occur with all colon cancers but the fact that it dropped so abruptly is a positive sign. The marker has the ability to be used to monitor for recurrence. This does by no means indicates you are done. There are a number of treatments for colon cancer and you should recruit the serviceces of a board certified medical oncologist for an opinion on tx options. ...Read moreSee 2 more doctor answers
Be family: This might be a great time for a family get-together. What does Grand Dad want? As he is recovering and may need help, the family can work together to make his life better. You'll know in a few days whether a cure is likely. If so, celebrate. Of course you all know to get colon cancer surveillance. You know the illness isn't catching and Grand Dad may enjoy a few hugs. ...Read more
Long time: Colon cancer that is treated with out surgery, example colon cancer removed by colonscopy usually will have very good results. If a colon cancer is not treated it can obviously lead to spread and metastasis. You can calculate life span based on the stage of the cancer and how it is or is not treated. ...Read moreSee 1 more doctor answer
Grandmother has to go into surgery because colon cancer.. What will the outcome be like. She's over 75years old& is very ill...
Colon cancer: Sorry to hear about your grandmother's woes. The outcome of colon cancer depends on many factors, related to the extent and type of tumor and also to the underlying medical status of the patient who has the tumor. The best person to ask about this is usually the patient's oncologist. Good luck to your grandmother and to you! ...Read more
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
Depends: Your surgery depends on the location of the cancer. If the tumor is low in the rectum or involves the anal sphincters you may need the area removed resulting in a permanent colostomy (bag). There are options that can decrease the likelihood of a colostomy in this case. This certainly depends on what you have. Ask your doctor. A colon and rectal surgeon specializes in this surgery. ...Read moreSee 2 more doctor answers
Surgery cost: The hospital bill depend on the type of colon cancer surgery. There is very little transparency in these fees. Most hospitals will give you an estimate if they know the surgeons procedure code. Open surgery is likely less expensive than laparoscopic or robotic surgery because the equipment charges are less. The most imporant thing is the quality of the surgeon, see if they can help. ...Read moreSee 1 more doctor answer
Can colon cancer spread to a aortocaval node ? This was note few months after surgery by a pet scan .
Age 79, male, colon cancer Pt3n1b, surgery finished. Chemotherapy or radiotherapy recommended ? or both?
More info: The molecular and some of the subtle microscopic features must also be considered. Then the odds with and without different modalities can be reviewed. It will be your choice. ...Read more
How many months/ years does it take for mets to be visible with colon cancer ? My dad had all clear scans until after surgery.
6 mo to one year: Many feel that if a lesion is localized, Dukes A that mets wont occur. If a C2 lesion with 4 or more nodes present and preop scans are neg while there is a high incidence of recurrent or metastatic tumor it will take somewhere around one year for cells that have broken free prior to surgery to implant and grow to present with scan visibility. That's why in such cases adjuvanct chemo employed . ...Read more
Colon cancer pt. surgery done . Aortocaval node contains a met. Is this dangerous ? Can it cause issues ? What best treatment for it ?
If + is stage 4: With nodal disease a PET scan essential to RO other lesions. If solitary and hasnt responded to chemo then surgical reesection is important because of growth and invasion of aorta. We have resected portions of aora for such lesions. Newer therapy after chemo include mAbs like Neo 102 on FDA study.for chemo failure colon CA ...Read moreSee 1 more doctor answer
My friend has had surgery for colon cancer but has been told she possibly has another 5cm tumour attached to the aorta.... can this be removed too?
Probably not: If this is "adenocarcinoma of the colon", then the tumor next to the aorta represents growth outside the wall of the colon, which means it isn't possible to cure this with surgery. However, it is important to confirm that the mass is a recurrence or extension of the primary colon cancer. If so, then radiation and chemotherapy can help, but are not likely to cure the cancer. ...Read more
Colostomy : A colostomy is the end of the colon brought through the abdominal wall and attached to the skin. A "bag" is placed over this to collect the stool. It is a possibility for rectal cancer, not typically needed for colon cancer. It is not really that common but is needed it the cancer involves the anal sphincters. ...Read moreSee 1 more doctor answer
What laboratory exams are typically ordered to follow a year(s) after a successful colon cancer surgery?
Generally: Depending on a patient's overall health, once or twice yearly physical examination, basic blood tests, maybe yearly colonoscopy. Blood cea testing sometimes. Also depends on the stage & grade of the cancer at the time of diagnosis. X- ray or ct scan not a routine usually unless there are clinical concerns. ...Read more
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