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Doctor insights on: Small Bowel Cancer Chemotherapy

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Dr. Barry Rosen
4,310 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 small bowel cancer causes colicky pain then what is the likely hood that pain would be diffused rather than isolated.

If small bowel cancer causes colicky pain then what is the likely hood that pain would be diffused rather than isolated.

Understand pathways: Colicky pain is crampy caused by hypermotility or contracting against a blockage - typically starts and stops abruptly and located in the middle of the abdomen. Pain that localizes suggests that there is irritation underneath, either infection or growth. For more information about these cancers, see: http://my.Clevelandclinic.Org/disorders/small_intestine_cancer/hic_small_intestine_cancer.Asp. ...Read more

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For what length of time can a person have small bowel cancer?

For what length of time can a person have small bowel cancer?

Highly variable: Each person is different & it depends on the cell type of the cancer. Adenocarcinomas may grow faster than a carcinoid tumor, for example. These cancers may be around for several months before becoming symptomatic, but that is an estimate on my part. I am not aware of medical studies watching how a person's cancer may grow without treatment. ...Read more

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Can you give me information about the prognosis small bowel cancer?

Can you give me information about the prognosis small bowel cancer?

Need more info: In order to be able to comment on prognosis, it's important to have some more information. What type of cancer (adenocarcinoma versus neuroendocrine)? Where within the small bowel is it located? Has it spread to other organs? Can it be removed completely with an operation? Small tumors that have not spread often have a good prognosis, but talk to your doctor to find out about your case. ...Read more

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How long can a person have small bowel cancer before it causes symptoms?

How long can a person have small bowel cancer before it causes symptoms?

Varies: Some small bowel cancers, e.g., lymphomas may cause obstruction when the size approaches the lumen diameter; others like neuroendocrine tumors are usually slow growing may cause symptoms only on producing metastases. In general tumors spend about half their life before those become clinically manifest, therefore most cancers are there for years before being detected. ...Read more

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My elderly mother has small bowel cancer and spread to liver and she is yellow and hardly eatling?

My elderly mother has small bowel cancer and spread to liver and she is yellow and hardly eatling?

Liver mets: Bring her to see an oncologist for further eval and therapy. She could have biliary duct obstruction from the cancer and perhaps palliative stenting can help to relieve the symptoms, or could be she is the process of liver failure etc. Once the acute issue like biliary obstruction is treated- then if she choses to get chemotherapy- a palliative systemic chemo should be considered. Go to see her md. ...Read more

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Possibility of symptomatic small bowel cancer 15mo after clean oral/iv abdominal CT done at baylor in dallas?

Possibility of symptomatic small bowel cancer 15mo after clean oral/iv abdominal CT done at baylor in dallas?

unlikely: Most small bowel masses present as a small bowel obstruction. Unless you've had a previous tumor in that area it would be unlikely you have one now especially if you had a normal ct scan 15 months prior. Do you have any symptoms? Prior tumor in that area? ...Read more

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My mum has had colon cancer and my grandma (mums mum) had small intestine cancer. Are there steps I can take to prevent cancer myself?

My mum has had colon cancer and my grandma (mums mum) had small intestine cancer. Are there steps I can take to prevent cancer myself?

Heritable cancer: First it might be good to know which type of cancers they had-- i.e. if they truly were inherited by known pathways (polyposis, Lynch syndrome, etc.) Prevention would include healthy diet (high fiber, no nitrites, no alcohol, etc.) and appropriate screening at a possibly earlier age. Consulting with a pathologist/gastroenterologist or geneticist about the cancer pattern and path may be useful. ...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?

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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Family history of colon cancer have had two small bowel movements while sleeping what could be causing this ?

Family history of colon cancer have had two small bowel movements while sleeping what could be causing this ?

Incontinence: Bowel incontinence is not a specific sign of cancer. Needs a physical exinatuon with a doctor. Weakened sphincter muscles can come from trauma or prior pregnancy with episiotomy. Also could be rectocele & could also consider seeing a gynecologist for an examination. ...Read more

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May 2012 egd showed gastritis, colonscopy showed diverticulosis, .Colicky diffused abdominal pain since dec 2012, could this be small bowel cancer?

May 2012 egd showed gastritis, colonscopy showed diverticulosis, .Colicky diffused abdominal pain since dec 2012, could this be small bowel cancer?

Not likely : Small bowel cancer is rare as my other colleague has mentioned. Chronic constipation is related to development of diverticulosis. Your symptoms may be related to chronic constipation and also you are at risk to have diverticulitis- which is inflammation of the diverticulosis ( pouching of the colonic wall). Those 2 could give diffuse colicly pain. You need to go to see your md for further eval. ...Read more

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Chemotherapy for bowel cancer yes or no: stage 2a pt3 n0 mx, 1-2 mm margin of fat to serosa, moderately differentiated @ splenic flexure. Thankyou?

Chemotherapy for bowel cancer yes or no: stage 2a pt3 n0 mx, 1-2 mm margin of fat to serosa, moderately differentiated @ splenic flexure. Thankyou?

Stage IIA colon ca: Routine use of chemo for stage ii colon cancer is not recommended.For stage ii, chemo was associated with a small improvement in disease free survival that ranged from 4 to 7% but no overall survival benefit. In high risk stage ii ( lymph node taken <13; margin +/close, poorly diff, perforation, T4 etc) chemo either using 5fu or 5fu+oxaliplatin can be considered. Please discuss with your doctor. ...Read more

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My father has been diagnosed with bowel cancer that has spread to the lungs and liver. Surgery is not being offered only chemotherapy. Prognosis pls?

My father has been diagnosed with bowel cancer that has spread to the lungs and liver. Surgery is not being offered only chemotherapy. Prognosis pls?

Ask the oncologist: The oncologist treating your father is the best person to ask this question, and will have all of the necessary data to offer an estimated prognosis. In addition, the oncologist will be able to assess the response to chemotherapy. ...Read more

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Due to bowel cancer treatment and depression my sperm level has reached low.Will lmethylfolate and clomipramine and omni tablet will increase my sperm?

Due to bowel cancer treatment and depression my sperm level has reached low.Will lmethylfolate and clomipramine and omni tablet will increase my sperm?

Nature: Please let nature resolve this. Give it time. Please do not self treat with combinations of medicines that may change your body forever. Please be sane. Don't do it. ...Read more

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How effective is chemotherapy for treating colon cancer?

How effective is chemotherapy for treating colon cancer?

Improves survival: Chemo may help improve survival but does not result in cure. It is used pre operatively as neo adjuivant chemo to help improve resection or as adjuvant after surgery to help prolong survival. It is best employed in combination chemo such as FOLFOX to optimize response. ...Read more

Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


Dr. Creighton Wright
15 doctors shared insights

Small Intestine Cancer (Definition)

Also called small intestine cancer, this is a condition of uncontrolled growth of cells in the small intestine, which connects the stomach to the colon. Symptoms can include nausea, weight loss, ...Read more