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Doctor insights on: Post Operative Colon Cancer Care

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Wife complete debulking for stge 4 ovarian cancer. No l-nodes involved. All cancer removed. Ca125 44 at diagnosis. Ca125 is 3 after 6 rds of chemo. What questions should I ask onc re: prognosis?

Wife complete debulking for stge 4 ovarian cancer.  No l-nodes involved.
All cancer removed. Ca125  44 at diagnosis. Ca125 is 3 after 6 rds of chemo.  What questions should I ask onc re: prognosis?

High Risk: It sounds like she has had a good respons but she is high risk. You need to continue to have her monitored no matter what the numbers show. Her risk of recurrence is high just based on the staging. Her oncologist is the expert in this field. Support gourps may help as well. Good luck. ...Read more

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Dr. Barry Rosen
4,366 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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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

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

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Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

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

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What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon ?

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 more

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What treatment to expect with adenocarcinoma colon cancer?

What treatment to expect with adenocarcinoma colon cancer?

Surgery, chemo: Depending on the stage, an operation is usually necessary to remove the diseased portion of the colon along with its nearby lymph nodes. Then, depending on if the cancer has spread to those lymph nodes impacts whether you will also need chemotherapy. If the cancer has already spread beyond the colon, sometimes you start with chemo. ...Read more

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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...Read more

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What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

None: There is no rx for adhesions themselves. If they cause a bowel obstruction then that will be treated with a tube through the nose to decompress the bowel and no food for a few days. If that doesnt work then surgery may be required. ...Read more

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Please post pictures of inflammatory breast cancer in early stages?

Please post pictures of inflammatory breast cancer in early stages?

Swelling, redness: You can google photos (images) for inflammatory breast cancer. There is not 1 picture. This is a hard diagnosis to make because there is not a mass. There is often redness, swelling, orange peel like changes. It is often confused with an infection. If you think anything is abnormal, see your doctor. ...Read more

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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

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

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Persistant pain at colostomy removal site post reversal. Had severe peritonitis post op?

Persistant pain at colostomy removal site post reversal. Had severe peritonitis post op?

Depends: How long ago was your last surgery? Incision site discomfort can sometimes last for a few months after surgery. See your surgeon for an exam. Sometimes hernias can form at the surgery site. Sometimes there can be prolonged skin nerve discomfort in the scar. ...Read more

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Complications of a collapsed colon with ovarian cancer?

Complications of a collapsed colon with ovarian cancer?

Call surgeon: If ovarian cancer has caused obstruction of the large intestine, common humanity would call for a surgeon to see if he/she can relieve the obstruction by whatever means even if the cancer is uncurable long-term. ...Read more

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Is liver resection possible for brother w/stage 4 colon cancer mest to liver w/lots of tumor.

Is liver resection possible for brother w/stage 4 colon cancer mest to liver w/lots of tumor.

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 more

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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What follow-up care is necessary during recovery after surgery for esophageal cancer?

What follow-up care is necessary during recovery after surgery for esophageal cancer?

Close followup: Both the surgeon, medical oncologist and radiation oncologist must be involved in your followup care. Depending on the stage, you may involve all 3 of these specialists who will mainly follow you by physical exams, ct scans and occasionally pet/ct scans. ...Read more

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Dr. Katharine Cox
13 doctors shared insights

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. Jon Fishburn
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