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Doctor insights on: Colon Cancer Surgery Procedures

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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

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Dr. Barry Rosen
4,451 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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Any advancements for stage 4 colon cancer treatment?

Any advancements for stage 4 colon cancer treatment?

Immunochemotherapy: When FOLFOX therapy (chemotherapy) has failed Immune reactive agents i.e. Avastin for blood vessel growth and Erbitux for epidermal growth factor have been applied as well as agents affecting tyrosine kinase. The Immunogenic protein that acts as a vaccine isolated, a is a byproduct of oncofetal protein MUC5ac in its post translational form. In stage IV used to produce mAbs for strong ADCC. ...Read more

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

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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Can surgery repair melanoma?

Can surgery repair melanoma?

Hopefully: If the lesion is superficial, only excision of the skin site is needed. If it is deeper then removal of one or more of the lymph nodes in the area is usually recommended. If there is lymph node involvement, chemotherapyay help improve survival. Seek treatment at a center with experience in melanoma. ...Read more

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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Can colon cancer patients get a colon transplant?

Can colon cancer patients get  a colon transplant?

No, not needed: The good news is that you don't absolutely need your colon. For most colon cancers, the amount of colon that needs to be removed will not be missed. ...Read more

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Dr. James Lin Dr. Lin
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Is prostate removal surgery considered major surgery?

Dr. James Lin Dr. Lin
1 doctor agreed:
Is prostate removal surgery considered major surgery?

Yes, but...: Yes, it's major; the one for prostate cancer is definitely big and that for obstructive urination, less but still takes 3-6 months to completely heal ; resurface the large internal raw surface. But, with the refined professional skills and advanced technology, the expected surgery-related suffering ; pain as well as its outcome has been better accepted than ever. More detail? Ask doc timely. ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

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

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Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Pancreatic cancer, ampullary tumor. Whipple procedure.  Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more

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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

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What are procedures used for colorectal cancer screening?

What are procedures used for colorectal cancer screening?

Several possible: You can check your stool for hidden blood, get colonoscopies (checks whole colon), or get a combination of flexible sigmoidoscopies (checks part of colon) and stool checks. Screening should be done between age 50 and 74 unless there is another reason to start earlier or go later. All of these methods work! a good proven prevention guide by age is an iphone app called my health checklist 2012. ...Read more

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Endoscopy done, multiple sessile polyps 3-6cm in size in entire stomach. Does this require surgery? Sessile mean cancer?

Endoscopy done, multiple sessile polyps 3-6cm in size in entire stomach. Does this require surgery? Sessile mean cancer?

Do U mean mm not cm?: Multiple diminutive to small sessile polyps of the stomach, as may often be seen with prolonged use of acid suppression therapy, are typically glandular & therefore of little clinical concern. However, if your multiple polyps are 3-6 centimeters in size, then they R very concerning--please check with your diagnosing physician as to the histology of these sizable lesions & his/her recommendations. ...Read more

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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

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

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What are the survival statistics for breast cancer invasive ductal carcinoma?

What are the survival statistics for breast cancer invasive ductal carcinoma?

It depends on many f: Most women with localized breast cancer do very well and there is high cure rate. Overall 75%-80% of breast cancers are curable. But you need to know what stage of cancer it is? You should also know what subtype(there are 3 different types) of breast cancer it is. Further there is the matter of what type of adjuvant therapy(post surgery treatment) was used. I'am sure your oncologist can answeryr. ...Read more

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What are the current breast reconstruction techniques after breast cancer surgery?

What are the current breast reconstruction techniques after breast cancer surgery?

Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read more

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What is the risk of gastric bypass surgery leading to colon cancer?

What is the risk of gastric bypass surgery leading to colon cancer?

Risk factors: Risk factors for colon cancer include smoking, obesity, high fat diet, high red meat diet, low fiber diet, history of polyps, family history of colon cancer. I am not aware of gastric bypass surgery increasing the risk of colon cancer, but the need for gastric bypass surgery suggests that some risk factors mentioned above are likely present. ...Read more

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How successful is surgery in curing malignant glioblastoma surgery?

How successful is surgery in curing malignant glioblastoma surgery?

Not good alone: The standard management for glioblastoma includes surgery followed by radiation and chemotherapy. Radiation and chemotherapy following surgery is well established to improve the overall survival of patients compared to radiation alone. ...Read more

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What to expect after a colon cancer surgery stage 1?

Prognosis is good: Generally, after proper cancer surgery for stage i colon cancer, the prognosis is good and no adjuvant therapies are needed. ...Read more

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Dr. Barry Rosen
13 doctors shared insights

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


Dr. John Berryman
56 doctors shared insights

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