Doctor insights on:
Hepatic Flexure Colon Cancer
Mother 61Yold, diagnosis:splenic flexure colon cancer stage 2b, no other history, dr ordered MSI. So expensive, but oncologist thinks not necessary. Is it?
Surgical decision: Ask your surgical consult, not the oncologist. You have on good shot at surgical eradication. ...Read more
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
Biopsy of hepatic mass segment 7 and 8 with final diagnosis of Invasive Adenocarcinoma, what does this mean? Colon Cancer?
Possibly: A number of different adenoCa's can spread to liver. Colonoscopy followed by PET/CAT may be needed to determine origin of the metastatic lesion. Once primary is addressed, the liver can be handled since lesions of liver do not spread out of liver but primary's can spread to other sites. Liver then approached by resection, microwave ablation or chemoembolization. ...Read more
Colon cancer '09 & hepatic resection 2 yrs ago. No chemo for 5 yrs. What type doc should I see for 6 mo. Follow ups? Internist? Primary care? Onc?
Oncologist /surgeon: You are now 5 years since your colon cancer but only 2 years since your liver resection which I presume was done for at least one metastasis (spread). You still have significant risk of especially liver recurrence and should be followed at least every 3 to 6 months with a CEA blood test at each visit to find a recurrence as early as possible. Any of your docs is fine for follow up. ...Read more
Usually not: Early stages of colon cancer often have no symptoms. Colon cancer has long developmental stages starting out as polyps and can take yrs to develop, hence screening colonoscopy is done every 10 yrs for normal folks. Polyps can be removed during colonoscopy. Advanced cancer can cause pain by obstructing bowel, spread to liver, bone, brain, lung etc. See doc regulalry. Good luck. ...Read more
Polyps.: Polyps (adenomas) are small, benign masses that can form within the colon. The life cycle of the mucus membranes of the colon becomes disrupted, either from genetic or environmental reasons, causing growth of polyps. If polyp growth continues abnormally, they have the potential to develop into an invasive lesion and become cancerous. ...Read more
Lymph nodes: Lymph nodes are the way colon cancer cells usually escape the colon. It can grow through the colon into the surroundings. Finally it can move from lymph nodes into the blood stream that flows to the liver. When the colon is examined, and if lymph nodes are involved, chemotherapy is recommended. ...Read more
Let's talk about it: Either you do or you don't. You can find out by getting colonoscoped. You're old enough that this should be available. Grit your teeth and resolve you'[l accept whatever finding the test gives. ...Read more
Can be: Most colon cancers relate more to lifestyle than inheritance but some patients do have an inherited predisposition, be it in the setting of multiple polyps (like fap or myh) or not (lynch syndrome). Families with this have early onset colon cancer and other cancers as well. Talk to your doc about this to see if you need to visit a specialist in inherited malignancies. Remember to live healthy. ...Read more
From polyps usually: Almost all colon cancers start off as a polyp, hence the push for colonoscopy screening looking for polyps. Only 20% of colon cancers are hereditary, meaning the rest are environmentally related to foods we eat and chemicals we are exposed too. If you are over 50 or have risl factors get regular colonoscopies. ...Read more
It depends: Hi yv3tt3. Colon cancer is often diagnosed when a person has symptoms such as bleeding from the rectum or a significant change in bowel habits. Sometimes people will experience abdominal pain as well. If you have any of these symptoms, your doctor may want to order a ct scan or a colonoscopy. Thanks for using health tap! ...Read more
No effect: A small growing lesion can be present in bowel for several years and be asymptomatic. As a tumor grows and invades blood stream, it does elaborate an inhibitory molecule paralyzing the host immune system, that is mutated mitochondrial DNA. Should the lesion metastasize to liver it can obstruct bile ducts eventually compromising liver function. Colon Ca screening important. ...Read more
IBD, viruses: Colon cancer probably begins from the effect of exogenous factors on the bowel, considering that the patient does not have hereditary causes. A virus such as polyoma is probably a contributing factor along with carcinogens in the food. In addition patients with inflammatory bowel disease release, over a long period of time cytokines that can induce malignant transformation. ...Read more
Q 5yrs: If asymptomatic most people should have colorectal screening every 5 yrs starting at age 40. If symptomatic such as with losing wt., change in bowel habit, developing a new inguinal hernia over age 40 (increased intra abdominal pressure) and evidence of blood in stool one should get checked for colon cancer which is on the increase especially in younger people. ...Read more
Depends on location: If right sided may present with anemia (common). If large, some patients present with obstructive symptoms that require a bowel diversion. If metastatic can present with weight loss if extensive. One of the most common is detection of blood in the stool when a physician performs a rectal exam. Many variations of presentation. Hope this helps. ...Read more
Red meats and: Avoid redmeats, processed and smoked foods and consume a diet with 2-25 grams of fiber per day and plenty of non caffeinated, non alcoholic fluids. If you have risk factors such as over 50 years of age aor family history or personal history get regularly scheduled colonoscopies. ...Read more
If you have: Bleeding, or a family history, colonoscopy might be indicated. If you are just worried, a stool test can detect secret blood (guaiac), and that would be an indicator to get colonoscopy if positive. These stool tests are cheap and helpful, but endoscopy is expensive and not a casual test. ...Read more
Theories: Theories on colon cancer prevention are primarily based on healthy diet and lifestyle. Exercise more. Do not smoke. Avoid obesity, fatty foods, excess red meats, processed meats. Increase fruits, vegetables, high fiber foods. Yearly check up with your doctor. Have colonoscopy after age 50. ...Read more