Doctor insights on:
Lower Colon Resection Surgery For Cancer
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
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
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
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
Maybe: There are many nuances to this ? That can be only answered by you oncologist who has all your details. I'm sure this is a discouraging diagnosis, but the prognosis can be excellent. Yesterday met with an old patient 20 years out on this same diagnosis. ...Read more
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
If SIRT is done for liver mets , can this significantly prolong survival in metastic colon cancer pt?
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 moreSee 1 more doctor answer
Yes: Yes. In general surgery is not useful for metastatic (spread) cancer. However in oligo (few) metastatic cancer -- especially for breast, colon, melanoma cancers patients may be rendered stage 4 ned (no evidence of disease). This may improve local control and symptoms, survival, and in a few cases even lead to cure. Removing the primary tumor (kidney) in renal cell carcinoma is helpful in met rcc. ...Read moreSee 1 more doctor answer
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
Had chemo & debulk surgery for 4th stage ovarian cancer had 2 surgery for bowel obstruct now have hernia & bowel obstruction what's my life expectancy?
Variable: While the percentage of patients alive at five years from many stage 4 cancers is low, it is not zero, and you never know which group you are in as an individual. That doesn't mean to ignore the stats, but in the end, you are not a statistic, but an individual. It should be mostly about quality of life rather than quantity for most folks, so don't give up hope, and have an active say in your care. ...Read moreSee 1 more doctor answer
What reason behind infection(suppurative inflammation)or clots in the colon 1week after colon partial resection surgery(while taking anticoagulation)?
Surgical complicatio: This sounds like a complication of the surgery and you should be seen by the surgeon and managed appropriately. Good luck. ...Read more
It depends ... : Dysphagia is a common side effect with many chemo therapeutic regimens. Some treatments can decrease a patient's ability to fight off fungal and bacterial overgrowth in the mouth and digestive systems. The diagnosis of this isn't usually difficult and can in many cases be treated with medications. ...Read moreSee 1 more doctor answer
So many variables: Too many variables to give you a pertinent answer. Consult your oncologist to help you with clinical decisions ...Read more
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
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
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