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Doctor insights on: Nccn Guidelines Colon Cancer

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Best nci national cancer institute breast cancer risk assessment tool?

Best nci national cancer institute breast cancer risk assessment tool?

Gail Risk Assessment: Gail breast cancer risk assessment tool. See: http://www.Cancer.Gov/bcrisktool/. ...Read more

Dr. Barry Rosen
4,357 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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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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Current recommendations for breast cancer screening?

Current recommendations for breast cancer screening?

Awareness: For you few years from now regular breast examination by the physician, monthly self examination, annual mammography , if needed sonography, some times mri, core needle biopsy of suspicious dencities. Genetic study ( braca i & ii ) if there is strong family history. ...Read more

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Do colonoscopies screen for colon cancer?

Do colonoscopies screen for colon cancer?

Yes.: That is one of the main reasons for colonoscopy. The gastroenterologist usually can see every part of the colon wall and biopsy suspicious lesions. Often this is curative if found early. While not completely true, consider all polyps to be future cancers and most cancers come from polyps. Screening should begin at age 50 unless there is a history to suggest beginning earlier. ...Read more

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Dysphagia and chemotherapy for colon cancer?

Dysphagia and chemotherapy for colon cancer?

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 more

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Describe breast cancer staging according tnm?

Describe breast cancer staging according tnm?

Tumor,Nodes,Mets: The t, n, m system classifies breast cancers based upon tumor size(t), lymph node status(n), and presence of cancer elsewhere in the body(m). Stage i is limited to small cancers +/- microscopic ln disease. Stage ii describes tumors 2-5cm +/- ln disease. Stage iii is for more advanced tumors (>5cm, skin/chest wall involvement) +/- multiple/distant ln. Stage IV describes metastatic disease. ...Read more

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Is metastatic colon cancer curable?

Is metastatic colon cancer curable?

Possible: But less than 20% survive 5 years. Depends on where the metastases are and how numerous and size. Solitary liver mets without evidence elsewhere in the body can be cured with a liver resection. Diffuse mets to numerous body parts rarelyare curable. ...Read more

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Are breast cancer and colon cancer linked?

Are breast cancer and colon cancer linked?

Not directly usually: There is debate about how closely these 2 cancers are related. Both have hereditary natures and are more common generally in obese patients. Both often begin with more benign precursor lesions like dcis for breast cancer and benign polyps for colon cancer. Both are very common but there is little evidence that having either predisposes to having the other. ...Read more

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Does breast cancer increase colon cancer risk?

Does breast cancer increase colon cancer risk?

Rarely.: Some hereditary mutations may increase the risk of both breast and colon cancer. Nevertheless, the majority of all breast and colon cancers are not hereditary. ...Read more

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Prostate cancer treatment?

Prostate cancer treatment?

First question: Is whether treatment is necessary, depends on gleason score and psa. Treatment may not add value to you. Watchful waiting follows your psa #, rate of rise. If your gl >/= 7, psa > 10ng/ml, best option is radiotherapy, +/- anti-hormone. Get a few opinions. Do not act in haste. ...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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Is colon cancer fast-growing?

Is colon cancer fast-growing?

Can be: The fastest-growers are the ones that follow genetic pathways associated with the lynch loci. They may not even be preceded by a polyp -- colonoscopy can be clean one year, and a year later, there's a cancer. That's actually quite fast as cancers go. Hope this helps. ...Read more

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Breast cancer prevention?

Breast cancer prevention?

5 steps: 1. Maintain a healthy weight. Obesity increases your risk of breast cancer 2. Have babies and breast feed. These decrease your risk 3. Limit hormone therapy after menopause. 4. Decrease alcohol intake 5. Exercise - women who have regular physical exercise have a decreased risk of breast cancer. ...Read more

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Are cea markers reliable for metastic colon cancer ?

Are cea markers reliable for metastic colon cancer ?

Depending how used: CEA first identified in 1965 by Phil Gold and Samuel O. Freedman in human colon cancer extracts. Thought to be valuable for dx colorectal Ca but the glycoprotein is also expressed in inflamed tissue so that smoking and enema can cause rise. Best used for monitoring so that if present in primary and rises it represents treatment failure and if diminishes during treatment it represents a response. ...Read more

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Colon cancer or colorectal cancer, what's the difference?

Colon cancer or colorectal cancer, what's the difference?

Location: Cancers that arise from the epithelium of the large intestine are similar in most ways whether they are in the colon or rectum. Discussions of "colon cancer" unspecified usually mean "colorectal" unless stated otherwise. Usage, including by me, is often sloppy. ...Read more

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Is colon cancer curable?

Yes: Yes. Many people are cured with colon cancer. If found early surgery alone may be curable. If more advanced (eg, lymph node involvement or metastatic = spread to areas outside of colon), then chemotherapy may be needed. While less likely, even a few % of people with metastatic colon ca may be cured. ...Read more

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Is colon cancer genetic?

Is colon cancer genetic?

Sometimes: Some colon cancers are related to specific genetic mutations but the majority are not. ...Read more

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Dr. Liawaty Ho Dr. Ho
3 doctors agreed:
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Breast cancer staging according TNM means what?

Dr. Liawaty Ho Dr. Ho
3 doctors agreed:
Breast cancer staging according TNM means what?

TNM breast cancer: Tnm is one of the staging system commonly used for cancer. It stands for t-tumor ( the size of the tumor- the bigger is the tumor the higher is the stage) ; n- nodal status ( involvement to the lymph glands) - and m- presence of metastatic disease to the distant organ. See more here: http://cancer.Gov/cancertopics/wyntk/breast/page7. ...Read more

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If a colon needs to be removed because of colon cancer are their alternatives to a external bag?

If a colon needs to be removed because of colon cancer are their alternatives to a external bag?

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 more

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How rare would it be that a person in his 20's would have colon cancer?

How rare would it be that a person in his 20's would have colon cancer?

Quite rare; not zero: Colorectal cancers in young adults are most often due to a genetic problem like hnpcc (hereditary nonpolyposis colorectal cancer) or fap (familial polyposis coli). Cr cancers can also be seen in young adults with inflammatory bowel disease, although it is rare. Any young adult with symptoms that don't respond to treatment should seek further evaluation. ...Read more

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What are you chances of having colon cancer in your 30's compared to a younger age?

What are you chances of having colon cancer in your 30's compared to a younger age?

Depends: Depends on familial risks of colon cancer and any inherited disorders linked to the possibility of colon cancer such as polyposis conditions. Generally, risks of colon cancer are higher after age 50. A cleveland clinic site states that less than 2% of colon cancer occurs under age 40. Even less common to have colon cancer in age 30's or younger. ...Read more

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If a person in their mid 30's were to get colon cancer would it almost always be due to a hereditary form of cancer compared to sporadic?

If a person in their mid 30's were to get colon cancer would it almost always be due to a hereditary form of cancer compared to sporadic?

Maybe: Some hereditary factors increase colon cancer risks such as some types of colitis (ulcerative colitis, crohn's disease), familial polyposis, hnpcc, lynch syndrome, etc. But younger people can get spontaneous colon cancers too. Get a referral to a gastroenterologist as indicated. Most colon cancer occurs after age 50, and reported 8-10 people per 100, 000 get colon cancer under age 50. ...Read more

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Dr. Liawaty Ho Dr. Ho
6 doctors agreed:
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What is colon cancer?

Dr. Liawaty Ho Dr. Ho
6 doctors agreed:
What is colon cancer?

Cancer of the colon: Cancer that forms in the tissues of the colon (the longest part of the large intestine). Most colon cancers are adenocarcinomas (cancers that begin in cells that make and release mucus and other fluids). There are estimated 103, 170 (colon); 40, 290 (rectal) new cases and 51, 690 (colon and rectal combined) deaths from colon cancer in us in 2012. Screening with colonoscopy started at age of 50. ...Read more

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What is colon cancer?

Cancers: Cancers are abnormal, rapidly growing cells that do not know when to stop growing. These abnormal cells can damage local tissues, can attach to nearby organs or structures, can spread to lymph nodes, or can spread to other organs through the blood stream. Their growth damages what they are attached to, and often cancers encourage new blood flow to themselves. Cancer can grow in the colon. ...Read more

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Colon cancer any signs?

Colon cancer any signs?

Not always: Colon cancer tends to not have any signs or symptoms when it is early (when it is easiest to treat). That is why screening colonoscopies are so important, to remove any polyps that may become cancer, and to directly look for cancers. Colon cancer can cause bleeding from the rectum, tiredness from anemia, stool changes, or abdominal pain. Other things can cause this too. Best to be seen if ?S. ...Read more

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Does colon cancer hurt?

Does colon cancer hurt?

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

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What cures colon cancer ?

What cures colon cancer
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Early detection!: The best thing that improves the chances of curing colon cancer is early detection. So preventive health care and screening are key. All adults should have a colonoscopy at age 50 to look for cancers or early cancers, usually as polyps. If you have a strong family history or certain conditions it is recommended you get earlier screening.Once detected, colon ca usually is cured by surgery, or drugs. ...Read more

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What causes colon cancer?

Very complicated: Monoclonal theory says that just like we are a living thing, we are born, we have jobs to do and then we die, each cell has a similar cycle of birth, life, and death. Cancer occurs when a cell develops so many mutations that it does not follow that cycle and does not die but can still divide itself and hides from our immune system which is there to detect abnormal cells and destroy them. ...Read more

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Can this be colon cancer?

Can this be colon cancer?

Not enough info: Colon cancer can present with or without symptoms. Common symptoms include change in stool caliber/consistency, rectal bleeding or blood with bm, abdominal pain, anemia. If you have not been screened, you should consider the various screening options for colon cancer, includine a stool test to check for blood, colonoscopy, or sigmoidoscopy. If you are having bleeding, you need a colonoscopy. ...Read more

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How does colon cancer begin?

How does colon cancer begin?

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

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How does colon cancer spread?

How does colon cancer spread?

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

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How to know if colon cancer ?

Get tested: There are many tests that have been developed to test either a patient with concerning symptoms or just as a routine screening exam in an a symptomatic patient. Each individual situation is different. Testing stool for blood or now genetic abnormalities, rectal exam, X-rays such as barium enema or ct scan virtual colonoscopy are examples. Best is colonoscopy as you can both look and do. ...Read more

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Is colon cancer fast-growing?

Can be: The fastest-growers are the ones that follow genetic pathways associated with the lynch loci. They may not even be preceded by a polyp -- colonoscopy can be clean one year, and a year later, there's a cancer. That's actually quite fast as cancers go. Hope this helps. ...Read more

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How is colon cancer inherited?

Genes: Most colon cancers are not inherited. However, there is a subset which is associated with inherited genetic abnormalities such as hereditary polyposis a this hereditary non polyposis gene (hnpp). There are also syndromes that make you susceptible to a variety of different cancers including colon cancer such as lynch syndrome. ...Read more

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Can children get colon cancer?

Can children get colon cancer?

Yes: Usually adult children. The youngest patient I have seen in my practice with a family history of colon cancer, was first diagnosed at age 18. ...Read more

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39 old enough for colon cancer?

Yes: But not that common unless you have increased inherited risk factors. ...Read more

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What is terminal Colon cancer ?

What is terminal
Colon cancer ?

Stage IV: When the cancer has metastasized to other organs and there is no controlling it by medical or surgical means ...Read more

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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


Dr. Wendy Askew
12 doctors shared insights

Colonic (Definition)

This is a combining term referring to some condition, treatment or disease of the colon. Such as colonic enema, colonic ...Read more