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Doctor insights on: Sigmoid Colon Cancer Prognosis

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Dr. Barry Rosen
4,344 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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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?

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?

No, not common: Bowel obstruction can occur due to post op adhesions (uncommon) or tumor left behind (this will happen if the cancer was advanced/late stage. Your doctor will have to sort out which of these two possibilities apply to your case. ...Read more

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After 15 days of sigmoid colon operation constipation, burning and pain occurs. What's the solution for colon cancer patients stage 1?

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 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?

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 doesn't work then surgery may be required. ...Read more

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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?

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 more

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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)?

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

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I had small multiple polyps in my sigmoid colon, and erosion seen at rectum, decending colon. Is there a highrisk for cancer, please help?

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 more

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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?

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?

What's the mass?: If you have a mass of any sort, your physician has a duty to tell you what it is. If the imaging specialist can't say for certain, a biopsy is in order. Please ask your physician for clarification. ...Read more

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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?

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 more

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What factors affect prognosis with colon cancer?

What factors affect prognosis with colon cancer?

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 more

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What is prognosis With chemotherapy for metastic colon Cancer?

What is prognosis With chemotherapy for metastic colon Cancer?

So many variables: Too many variables to give you a pertinent answer. Consult your oncologist to help you with clinical decisions ...Read more

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What can approx prognosis b for metastic colon cancer with chemotherapy?

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 more

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What can prognosis b like for metastic colon cancer that chemotherapy oxyplatin and raltitrexed?

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

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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?

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

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How do you determine the different stages of colon cancer what's the prognosis?

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

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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

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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

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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Can high increasing bilirubin in metastic colon cancer with liver mets cause death? What is prognosis? Other LFT "s are normal

Can high increasing bilirubin in metastic colon cancer with liver mets cause death? What is prognosis? Other LFT "s are normal

Bilirubin: The high bilirubin will not cause death in this situation, it likely is a sign that the bile ducts are blocked up by metastatic cancer in the liver. ...Read more

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My 30 yr old daughter had colon cancer with a resection. She received chemo for 6 months but has a mass on ovary along with cysts. What is prognosis an?

Need more info: Although it can happen, spread of a colon cancer to the ovary after her resection seems unlikely. Follow up with the cancer specialists and ob/gyn. This also could be new problem in ovary not recurrence. Testing blood levels for tumor markers and further imaging tests are called for. ...Read more

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What is prognosis like for colon cancer pt with 1 liver met, 1 node and 0.5 lung nodule? Primary was resected last year. Cea 10. Bloodwork normal?

What is prognosis like for colon cancer pt with 1 liver met, 1 node and 0.5 lung nodule? Primary was resected last year. Cea 10. Bloodwork normal?

Prognosis: Prognosis is determined at time of diagnosis/treatment. Seems cancer is/was stage 4, which has a shorter prognosis than stage 1. If stage 4 is NEW, newly discovered liver metastasis, then prognosis will be negatively impacted compared to a year ago. Regardless of prognosis, talk with your docs. Take friend/family with you to appointments to help with understanding. Treatments exist. Be well. ...Read more

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My mother has stage IV colon cancer that has mestitized to the liver. She has 15 tumors in liver with spots in her lungs and lymph nodes. Prognosis?

My mother has stage IV colon cancer that has mestitized to the liver. She has 15 tumors in liver with spots in her lungs and lymph nodes. Prognosis?

Stage IV colon cance: Your mohter's cancer is stage iv.

Please refer to the table on this page for survival data:

http://www. Cancer. Org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-survival-rates

i am so sorry to hear that you are going through this terrible time. ...Read more

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St 4 Colon Cancer with mets to the brain and liver. Received palliative radiation for brain tumors, no chemo, fluid in lungs Prognosis with time left?

Consider hospice: Nobody can tell you the time left. You should very seriously consider getting with your local hospice organization. ...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?

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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How do I find statistics and prognoses for young (less than 50 yrs old) stage 1 colon cancer patients who didn't choose colon resection?

How do I find statistics and prognoses for young (less than 50 yrs old) stage 1 colon cancer patients who didn't choose colon resection?

Tough: What therapy did you choose? Why did you not choose surgery which would be 100% curative? You need to look at old surgical articles comparing colon cancer surgery patients to those who chose not to have surgery. They will be tough to find as they are old. ...Read more

Dr. Heidi Fowler
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


Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...Read more