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Doctor insights on: Sessile Lesion And Colon Cancer

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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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Dr. Barry Rosen
4,222 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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If a new liver lesion is found in a person with colon cancer History and this lesion was not present before , but the SUV uptake is 2.8, can this be a killed met? The liver background uptake is 3.8.

If a new liver lesion is found in a person with colon cancer History and this lesion was not present before , but the SUV uptake is 2.8, can this be a killed met?

The liver background uptake is 3.8.

Probably not: Most lesions that metastasize metachronously post colectomy are viable . Many reside in a reservoir, the bone marrow, and eventually are released to spread to sites like tlie liver. While the SUV value is low there may be some devasularization but that does not rule out viability. A bx is needed to characterize the tumor and then resection or microwave ablation followed by chemotherapy. ...Read more

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If a new liver lesion is found in a person with colon cancer History and this lesion was not present before , but the SUV uptake is 2.8, can this be a killed met? The liver background uptake is 3.8. The lesion is 16 mm and Another one is also 16 mm wit

If a new liver lesion is found in a person with colon cancer History and this lesion was not present before , but the SUV uptake is 2.8, can this be a killed met?

The liver background uptake is 3.8.

The lesion is 16 mm and 
Another one is also 16 mm wit

Not sure: if a lesion is under 2.5 cm, it is not big enough to make an accurate judgement as to it's activity. 2.8 SUV is low, so, it is likely to be not cancer. BUT since it is new, I am concerned that it could be a cancerous nodule. Talk to your oncologist. see link: http://www.uptodate.com/contents/management-of-potentially-resectable-colorectal-cancer-liver-metastases ...Read more

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Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Possibly: For initial treatment after surgery, you shouldn't need to get kras testing. However, if this is metastatic or recurrent colon cancer, then it may help to determine if egfr based therapies like Cetuximab can help (they only work for kras "wild type"). Remember that if you do recur (god forbid), management may be different at that future time! not something to worry about with your current story. ...Read more

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Can colon cancer be diagnosed only with CT scan showing lesion in right colon in elderly patient with anaemia, weightloss but no other symptoms?

Can colon cancer be diagnosed only with CT scan showing lesion in right colon in elderly patient with anaemia, weightloss but no other symptoms?

CT: A ct colography (virtual colonoscopy) is an option if the ct is negative, but standard optical colonoscopy is the gold standard. There are limitations to both. See your gastroenterologist. Every test decision is individualized. Read more at www.Browardgi.Com. ...Read more

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My fathers colon cancer spread to the liver with several lesions on the liver. He now has larger lesions with one measuring 9.6 CM x8.5 cm. Prognosi?

My fathers colon cancer spread to the liver with several lesions on the liver. He now has larger lesions with one measuring  9.6 CM x8.5 cm.  Prognosi?

Poor: This is stage 4. For patients with colon cancer and liver lesions that could be totally resected, the 5 year overall survival can be 20% or more. Unfortunately in your father cases, the liver lesions are unlikely resectable. The 5 year overall survival for stage 4 is 6%. ...Read more

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Person is 91yrs old has colon cancer, took 6wks of chemo and dr said no more. What do we expect and what symptoms will she have she has colon cancer and lesions on her liver as well as having cancer in the uretha when she finished her 6wks of chemo she

Person is 91yrs old has colon cancer, took 6wks of chemo and dr said no more.  What do we expect and what symptoms will she have she has colon cancer and lesions on her liver as well as having cancer in the uretha 
when she finished her 6wks of chemo she

Palliative care: We're working to improve palliative care for patient.S early palliative supportive care has shown greater quality of life. Patients with less aggresive care (chemo) at the end-of life have shown to survive 2-3 months longer. Palliative care is not end-of life. It's focused on comfort, pain control, support and a better transition to end-of-life. Most patients prefert to pass at home and not alone. ...Read more

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What does it mean if I had a 4mm sessile benign neoplasm of the cecum? Does this raise my risk of colon cancer? Does location matter? I'm only 42!

What does it mean if I had a 4mm sessile benign neoplasm of the cecum?  Does this raise my risk of colon cancer?  Does location matter?  I'm only 42!

Cecal neoplasm: What is the histology ? Lipoma, mucocele , carcinoid. In general though individuals with lesions due have a higher propensity for cancer. You likely will need continued surveillance colonoscopy with evaluation of the cecum . The tumor that was identified was small and surveillance/monitoring will detect lesions before cancer occurs. F/u/ w/ gastroenterologist ...Read more

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My mum, 67 , was diagnosed with colon cancer with liver metastases, lesions in lungs and kidneys. Starting folfox tomorrow?? Life expectancy?

My mum, 67 , was diagnosed with colon cancer with liver metastases, lesions in lungs and kidneys. Starting folfox tomorrow?? Life expectancy?

Not enough: Need to assess for Kras and Nras mutation IF she is wild type she should receive FOLFIRI and Erbitux If she has mutation the treatment of choice FOLFOX and Avastin Life expex 22 - 26 months... If responsive disease can be extended with other agents and survival can extend several years. New agents add to OS sequencing of therapy is important to extend Overal survival ...Read more

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What is colon cancer?

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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Dr. Eric Kaplan
923 doctors shared insights

Colon Cancer (Definition)

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


Dr. Hirenkumar Italia
1 doctor shared a insight

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