Doctor insights on:
Need To Colon Cancer
Final few yards of your intestine, between the terminal ileum (small bowell) and rectum. It squeezes water and solidifies waste to stool. It is subject to outpouching (divertics) polyps, and these can become cancers. The cells are abnormal, invade into the muscle and travel ...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
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
Some colon cancers: Are hereditary. Vast majority are not. The two common hereditary forms of colon cancer are familial adneomatous polys and lynch syndrome. Let me reiterate that hereditary colon cancers are a minority. See this site for more info. http://www.mskcc.org/cancer-care/hereditary-genetics/inherited-risk-colorectal. ...Read more
At what point do I need to worry about colon cancer? I've had pencil thin stool for a week now and can't completely empty my bowels.
Unlikely at your age: It would be very unlikely for someone of your age to have colon cancer, unless there's a strong family history that would suggest a genetic predisposition for such. However, with these pencil-thin stools, you may have an infection or inflammation within the colon which needs identification and treatment. A CT scan and colonoscopy would be in order to investigate this. ...Read more
MD: This is such a common question and yet the answer is evident. You need to visit a doctor to get an exam and maybe some tests (BTW, at age 50 you should start screening colonoscopies). There is no way to help you online. Go see a doctor please and best to you. ...Read more
Why does my wife need chemo? My wife was operated on for colon cancer it went well they removed 12 lymphnodes 4 of them had traces of cancer we just had a petscan and it came back clean no organs affected.Why would my wife need chemo if scan was clean.?
PET : Pet scans usually can only see tumor measuring about the size of a small raisin (1 cm). A tumor this size already contains about 1 billion cancer cells. When multiple lymph nodes are invovled there is a very high chance that there are tiny clusters of cells in other lymph nodes, surrounding tissues, or organs. Chemotherapy or other treatments are often given after surgery to hopefully kill these remaining bad cells. We know that this increases the chances of beating the disease based on randomized trials in which brave people who had colon cancer in their lymph nodes and normal scans after the operation agreed to get chemotherapy or not based on the flip of a coin. Those who got the chemotherapy lived longer and had relapses less often and later in life. ...Read moreSee 1 more doctor answer
Yes: Not all polyps are pre-canerous, most are. The determination of whether the polyp is precancerous or not usually requires examination by a pathologist and that necessitates removal. There is no good reason to not remove a polyp detected on colonscopy. All most all colon cancers start in polyps, therefore it is necessary to remove polyps to prevent colon cancer. ...Read moreSee 2 more doctor answers
Is it recommended to get a colonoscopy at age 43 if there is a family history of colon cancer? What other tests are needed at this age?
10 years before diag: A basic guideline is that in the case of a potentially inherited cancer trait, that we start screening 10 years before the presentation of a first degree relative, i.e. Parent or sibling. If the relative was diagnosed with colon cancer at age 53, we consider beginning screening tests at 43. Otherwise begin screenings as age appropriate, colonoscopy age 50, mammo age 40. ...Read moreSee 1 more doctor answer
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