Doctor insights on:
Sigmoid Colon Cancer Prognosis
Reactive lymphoid follicles colon means? My sigmoid colon was removed by surgery due to cancer and re joined. Thanks sir. My colon cancer stages 3.
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
Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?
After 15 days of sigmoid colon operation constipation, burning and pain occurs. What's the solution for colon cancer patients stage 1?
Bowel regimen: Constipation is common after colon surgery/ any surgery. A bowel regimen will be helpful. The goal 2 soft bowel movements daily. Use water/dilute juice (up to 1.5 liter/day), fiber, stool softner, laxative, less solid food, walking to achieve goal. Diagnosis of colon cancer stage 1 means monitoring, surveillance, oncology consult. Fever, worsening pain means you need to get evaluated. Read moreSee 1 more doctor answer
What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?
I had a polyp removed from my sigmoid at age 20 and it was benign. No direct family history of colon cancer. What tests should be done ongoing?
Typically: It depends on type of polyp found/ removed and why scoped. Consider full colonoscopy if there was one, there could be more. Typically a colonoscopy every 5 yrs is indicated with a family history of colon cancer or a personal hx of polyp or cancer (at a minimum). Consult a GI specialist for further management. Read moreSee 1 more doctor answer
Can pain caused by colon cancer switch locations? For some time period its in the sigmoid, then in transverse, etc. (pain is felt only at one part)?
See below: It is highly unlikely that you have colon cancer. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Read more
Will pain caused by bowel cancer be always on the same spot or it can move to other locations, or be general? Pain in sigmoid, transv, descending colon.
Referred pain: Pain in one spot that has its source from another spot is what we call referred pain. Yes this is possible. Read more
I had small multiple polyps in my sigmoid colon, and erosion seen at rectum, decending colon. Is there a highrisk for cancer, please help?
Depends: Risk can depend family history of polyps, cancer, number, size, and cell type of polyps, presence or absence of inflammatory bowel disease. If present, more frequent colonoscopies indicated. Low fat, hi fiber diet, containing low or no fat dairy, lots of fruit, vegs, legumes, whole grains may help. Supplements preventiodon't help as much. Talk to md ifif Aspirin or NSAID prevention is indicated 4u. Read moreSee 1 more doctor answer
35yo. F. W/ hyporthyroidism. Colonoscopy/endoscopy 11/20/14. Diminutive 3mm polyp of sigmoid colon. Random biopsies of ileum and colon done. Cancer?
Can fat hard stools + a mass for 1 year on sigmoid colon every morning be a sign of colon sigmoid cancer without having blood, fever, fatigue?
Would you operate on a 85 yr man with chf, for tumor w/cancer in sigmoid colon, 80 pd weight loss, bad ekg too, worried he won't make it, what chance?
Complicated Question: There's not enough space in this forum to answer a complex question like this. There are many nuances... how bad is the CHF? (ie, What is the NYHA Stage? What is the EF?) How large / problematic is the cancer? What type of cancer? (adenocarcinoma,? squamous?) What is the Grade and Stage of the cancer? (They're not the same thing). Hopefully a surgical oncologist is helping guide the pt. I feel 4u. Read moreSee 1 more doctor answer
Staging & treat soon: Staging addresses prognosis--based on tumor depth of local invasion through colon & spread of tumor (metastasis) to sites distant from primary mass. Histology (microscopic typing), genetic factors (polyposis syndromes), age of onset, co-morbidities, completeness of removal, & environmental factors (for example Aspirin increase survivability) all play roles. Early detection & removal is key here. Read moreSee 1 more doctor answer
So many variables: Too many variables to give you a pertinent answer. Consult your oncologist to help you with clinical decisions Read more
What kind of mets: It depends what kind of metastases we are talking about. If the spread to the lymph nodes, surgery and chemotherapy, and possible radiation therapy could be very helpful. If the spread to the liver the prognosis is less optimistic, unless the metastases are able to be resected. Other metastases are less promising in spite of chemotherapy and radiation therapy. Like bone and brain. Read moreSee 1 more doctor answer
Colon mets: Not having your chart and you in front of me makes it very hard to give you an accurate idea on prognosis. When chemo is started, that means your CA cells have gone beyond the boundaries which would have made txing it simple. The simpler the tx, the better the prgns. The harder the tx, the worse the prgns. On a positive note, f/u with your docs, stay faithful, and you might get a pleasant surprise Read more
Is being diagnosed with stage 4 colon cancer and being a diagnosed with stage 2 but having a recurrence later the same in terms if prognosis?
Prognosis is stage: It is stage-dependent. Once the Cancer has relapsed the prognosis is bad as the disease is typically fatal. As long as it remains stage-2, there is hope for a better prognosis as long as the disease is not visibly present. In one individual the prognosis and outcome is ultimately same although numerically speaking survival is longer as long as the Cancer has not shown up in the tests. Read more
See below: Colon cancer stage depends on how deep the cancer invades through the intestinal layers, if the cancer spread to lymph nodes, or if the cancer spread to other organs. Pathology helps determine the stage after surgical removal. Stage 1 best over 90% survival, stage 2 about 80% survival, stage 3 about 60% survival & stage 4 about 40% survival. Numbers very rough and each person responds differently. Read more
How is colon cancer diagnosed? What is the prognosis? What tests are used to determine the different stages of colon cancer
Biopsy: Colon cancer is diagnosed by a biopsy sample during colonoscopy. Pathology helps determined the stage after surgical removal of the cancer. Ranges from best stage 1 with small early cancer, to most advanced stage 4 when cancer has spread to other organs. Sometimes a ct scan or pet scan may be used to see if the cancer has spread to other sites. Read more
If a person with colon cancer has a liver met, 1 node and 1. 0.5 mm nodule In lobe, what is approx prognosis? Primary removed last yr
Not good: Once a cancer had metastasized, it becomes inoperable and the only way to slow it down is with either radiation and or chemotherapy when these treatments work. Ultimately the treatment itself produces immunosuppression and makes the patient susceptible to infection which is often the actual cause of death. All these variables impact the length of survival. Read more
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