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Doctor insights on: Palatable Care For Colorectal Metastases

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How is colorectal metastasis detected?

How is colorectal metastasis detected?

CT/surgery.: These are often detected on ct scan, but the most definitive way to detect this is by surgery, often done during resection of primary tumor. This is one reason why the dukes classification is used, as the invasiveness is determined at surgery. Stage a - to submucosa, b - to muscularis, c - to lymph nodes, d - distant metastasis. Organs of metastasis also show signs - liver, bone lung. ...Read more

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Metastasis (Definition)

A cancer begins in an organ (say the breast). If it gets into the blood stream or the lymphatic stream the cells can travel to other parts of the body where, in the right environment, they may settle and grow. This development of tumor growth far away from the original site ...Read more


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What are most common symptoms of early colorectal liver metastasis?If small liver lesions are clm, how fast do they grow big enough to be chacterized?

What are most common symptoms of early colorectal liver metastasis?If small liver lesions are clm, how fast do they grow big enough to be chacterized?

No symptoms: Early liver metastases have no specific symptoms . Rate of growth of clm is variable , particularly if in the process of traetment. Pet/ct is most sensitive way to stage colorectal malignancy , determine if there are metastasis and to follow response to therapy of clm. ...Read more

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Where does colorectal cancer affect before metastasis?

Where does colorectal cancer affect before metastasis?

Mesenteric nodes: As colon cancer grows from premalignant cells in the mucosa of bowel it invades the muscularis reaching serosal outer surface (Dukes B). It then invades nodes of the mesentery C1 expanding to 4 or more nodes C2 and then along the mesenteric lymphatics to liver. Subpopulations in the primary however can eventually spread directly to lung or bone depending on their surface antigens. ...Read more

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What are the causes of hepatic metastases?

What are the causes of  hepatic metastases?

Hepatic mets: I think you mean what cancers can cause hepatic mets. It usually happens when cancer spread through blood circulation in liver. Many different type of cancer can spread to liver. Most commonly colon, any cancer of digestive system and lung cancer. But mostly any cancer can spread to liver. ...Read more

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Describe the features of metastases to the bone.?

Describe the features of metastases to the bone.?

Varies: Bone metastases features can vary. Some are bone "lytic" (moth eaten) such as squamous cell cancers or multiple myeloma. Others are "blastic" such as breast, prostate, etc. Symptoms vary from asymptomatic to painful. Bones may easily (pathologically) fracture. Treatment can include bone directed therapy such as bisphosphonates, xgeva (denosumab), radiation, radio frequency ablation, v-plasty. ...Read more

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Is nano Knife ( ablation ) worth doing for 3 /4 metastases all Under 2 cm?

Is nano
Knife ( ablation ) worth doing for 3 /4 metastases all
Under 2 cm?

Oncology : The nano knife has been FDA approved in 2009 for the surgical ablation of soft tissue, however it has not been approved to treat other specific diseases or conditions. With metastatic cancer your case sounds more complex and worthy of clinical trial status so it is best to consult with your treating oncologist. Be well:) ...Read more

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What can be done for a 6.1 cm liver metastases ? Plus other 3 spots under 1 cm

What can be done for a 6.1 cm liver metastases ? Plus other 3 spots under 1 cm

Resect if possible: Liver metastases are an unfortunate consequence of some cancers. Sometimes they are can be removed with surgery if the patient can tolerate it. Many times surgery is not possible, so patients need to take chemotherapy. Chemotherapy would be chosen depending on the original cancer. Combinations of surgical removal and chemotherapy have led to long prognosis in colorectal cancer, for example. ...Read more

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What are visceral metastases exactly ?

Cancer in organs: Metastases, or areas of cancer spread, to the liver, lungs, or other organs in the body. Metastases to bone are not visceral metastases. ...Read more

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Dr. Keith Monson
200 doctors shared insights

Proctology (Definition)

Proctologists are physicians who have specialized knowledge to diagnose and surgically treat disorders affecting the colon, rectum, and anus. Such disorders may include hemorrhoids, colorectal ...Read more


Dr. Janice Alexander
3 doctors shared insights

Colorectal (Definition)

The term refers to colin(large intestine ) and rectum: colorectal surgeon for example does surgical procedures ...Read more