High. Recurrence risk is based on multiple pathological factors. Inadequate surgery is a significant predictor for recurrence and the patient should be reevaluated soon. Pathologic review and further surgery should be considered.
High. Inadequate margins can be associated with a high risk of recurrence and consideration should be given to a re resection. Close followup with colonoscopies and scans are essential if no further surgery is desired.
Depends. This depends on the original stage of the cancer, and where is was located. Rectal cancers can sometimes spread outside the areas that can be safely removed. It depends on if the cancer was growing into another structure, or into lymph nodes. The surgeon usually works very hard to remove all cancer, unless it is not safe or cannot be done. Chemotherapy may be indicated, and sometimes radiation rx.
Depends. Family history and thus genes can account for approximately 20% of all colon cancers.
Lynch syndrome. Genetic risk is definite risk for early colorectal cancer.
Possibly. Poor diet and not seeking medical attention early, not getting appropriate screening, all of which may be related to ones economic situation can lead to development of colon cancer along with many other diseases.
Maybe. Access to colonoscopy prevention is key.
Is my colon cancer risk increased if the only family members who've had it were 3rd Degree and only 1 died & was 45 & also was 4th OR 3rd degree?
Unlikely. It is unlikely that a 3rd or 4th degree relative having the disease increases your risk above the base line or background risk. When you turn 40 discuss with your doctor if you should have an early colonoscopy.
Yes. If you have a strong family history of colon cancer in several 1st degree relatives, you may be a candidate for genetic testing, however if the test is negative it just means you do not have a genetic predisposition to colon cancer. 80% of colon cancers occur in individuals with no family history and hence would have a negative genetic test.
Yes. A common test is the colaris test for lynch syndrome available through myriad. Another panel called colonext offers an even broader spectrum of tests for high risk genes and is available through ambry genetics. Talk to a knowledgable physician or genetic counselor to know the implications and possible interpretations of the testing and to determine if you are a good candidate,
Colon cancer risk. While there is available genetic test to check for hereditary colon cancer, the best person to have this test is one with colon cancer or + strong family history -who is suspected to carry certain mutation i.e. Diagnosed at young age, family history of colon cancer or other multiple cancers history in the family. This test would not be suggested to everybody as a screening test for colon cancer.
Fiber is supposed to decrease colon cancer risk, but does chronic constipation increase the cancer risk even if a person eats tons of fiber?
Colon cancer. The relationship between high fiber intake and colon cancer is still somewhat controversial with studies going both ways. But a high fiber diet is beneficial in many other ways as well. There are no quality clinical data to suggest constipation is a risk factor for colon cancer.
Unlikely. A diet low in fiber is associated with colon cancer risk. Constipation has not been associated with increased cancer risk in huge population studies in japan and netherlands recently- in fact in the latter study colon cancer risk was less in patients with constipation!
Hard to say. I am sorry to hear about the recurrence of the cancer. However, it would be hard to say anything about your case, as more information needed. What kind of treatment did you get before after surgery? What was your stage before? Where is the recurrence now? Any spread of the cancer to distant organ like liver, lungs? Those are at least the very minimal information needed to say more about your case.
Unfortunate. Getting adequate margins at the first surgery is imperative. The surgeons first shot is the best shot. I don't know the location but I suspect inadequate margins were the result of attempting a low rectal hook-up or anastamosis. Re resection by a skilled surgery with chemo and radiation if not already received and if this is a rectal recurrence. A colostromy at first procedure, better than recurren.
Sorry you have a. Problem. Bowel margins are usually checked at frozen while you are asleep, if permanents are positive, this forecasts for anastamotic recurrence. Many would re-operate then, some would watch. Penetration into bowel wall and number of nodes predict for metastasis and need for adjuvant chemotherapy. Your doctors should be transparent and honest. 2nd opinion?
80yo father diagnosed with early colon cancer. Inadequate margins, retreated. Expired 9yr later from obstruction how can I get slides to know my risk?
Slides. First. Slides should be filed at hospital diagnosed. You do not need them you are at higher risk alas first degree relative. Survelence colonoscopy polepectomy is the appropriate. See your physician and get screening started.
May not help. The slides will help tell you what kind of colon cancer you father had. They will not tell you anything about your risk. He and you (if he was alive) could be tested for certain genetic disorders that increase your risk. Sorry for your loss.
Don't need slides. Since your father developed colon cancer at an advanced age, you are not likely to develop hereditary colon cancer which tremendously increases your risk. However, since you have a first degree relative with colon cancer, you are at increased risk and should start screening colonoscopies by age 50 and every 5 to 10 years thereafter. Colon cancer can be prevented by removal of benign polyps.