6 doctors weighed in:

What is the typical treatment for invasive colorectal and pancreatic cancer?

6 doctors weighed in
Dr. Michael Thompson
Internal Medicine - Hematology & Oncology
2 doctors agree

In brief: Depends on stage

Colon ca: stage 1 (surgery, no chemo), stage 2 (surgery, usually no chemo), stage 3 (surgery, chemo), stage 4 (chemo, surgery and radiation only for symptom control).
Pancreas staging is often defined functionally as "resectable" (surgery as primary treatment), "borderline/unresectable" (neo-adjuvant chemo and surgery if possible), advanced/metastatic (chemo). Details too advanced for answer limit.

In brief: Depends on stage

Colon ca: stage 1 (surgery, no chemo), stage 2 (surgery, usually no chemo), stage 3 (surgery, chemo), stage 4 (chemo, surgery and radiation only for symptom control).
Pancreas staging is often defined functionally as "resectable" (surgery as primary treatment), "borderline/unresectable" (neo-adjuvant chemo and surgery if possible), advanced/metastatic (chemo). Details too advanced for answer limit.
Dr. Michael Thompson
Dr. Michael Thompson
Thank
Dr. Joseph Woods
Pathology
2 doctors agree

In brief: Multi-modal-Sx.Cx.Rx

Treatment for these cases is likely multimodal, like surgery, chemo.
, and radiation. Specifically, the treatment for advanced/invasive colon cancer is radiation and chemo., like 5-fu (5 fluorouracil) and folinic acid to at least palliate symptoms. Pancreatic cancer has a whipple procedure, that removes parts of the duodenum, pancreas, and bile ducts in localized cases and gemcitabine if advanced.

In brief: Multi-modal-Sx.Cx.Rx

Treatment for these cases is likely multimodal, like surgery, chemo.
, and radiation. Specifically, the treatment for advanced/invasive colon cancer is radiation and chemo., like 5-fu (5 fluorouracil) and folinic acid to at least palliate symptoms. Pancreatic cancer has a whipple procedure, that removes parts of the duodenum, pancreas, and bile ducts in localized cases and gemcitabine if advanced.
Dr. Joseph Woods
Dr. Joseph Woods
Thank
Dr. Richard Bensinger
Ophthalmology

In brief: Chemo

Generally an exploration will have been needed to establish the extent of these cancers and if found to be widespread, chemotherapy is the best course to prolong life and prevent further spread.

In brief: Chemo

Generally an exploration will have been needed to establish the extent of these cancers and if found to be widespread, chemotherapy is the best course to prolong life and prevent further spread.
Dr. Richard Bensinger
Dr. Richard Bensinger
Thank
1 comment
Dr. Michael Thompson
Chemotherapy is not required for stage 1 and most stage 2 colon cancers.
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