I have had ulcerative colitis for 13 years. A recent colonoscopy showed a cancer tumor in the right side of colon. Should I go for a full or partial colon removal?

Probably . Best is total colon removal because leaving diseased colon in place would keep you at future risk for more colon cancers in the future, and you would need frequent colonoscopy. Can get off colitis medications with surgery. Best to see a colon rectal surgery specialist, maybe at a university, who has extensive experience in ileo-anal pouch surgery.
Total colectomy. Given the history of uc and now the changes to colon cancer, you need to have the entire colon removed. There is a possibility that you could still have a j-pouch and keep fecal continence, without the need for a permanent ileostomy, but this would have to be assessed by a colorectal surgeon who is skilled in this procedure.
Lesser Rx possible. The answers by drs. Fung and hoepfner are correct for "standard of care." however, a partial colectomy with sampling of at least 10 nodes could be considered if you are willing to have intensive screening colonoscopy and resection of new adenomas. Improved control of the inflammatory disease might decrease the risk of cancer in the remaining colon, but poor control in the past led to colectomy rx.

Related Questions

I have had ulcerative colitis for 13 yrs getting routine colonoscopies every 2 years. Last one showed cancer tumor. Full or partial colon removal?

Probably . Best is total colon removal because leaving diseased colon in place would keep you at risk for more colon cancers in the future, and you would need frequent colonoscopy. Can get off colitis medications with surgery. Best to see a colon rectal surgery specialist, maybe at a university, who has extensive experience in ileo-anal pouch surgery. Read more...
Full colon removal. One of the main indications for removing the colon in uc is for cancer prevention and/ or treatment. The disease is seen through out the colon and often difficult identifying real lesions from pseudo-polyps. Just removing part of the colon still maintains high risk of developing another cancer. Read more...

What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon?

Cancer recurrance. Cancer can recur unfortunately. Recurrence rates vary. Monitoring with your cancer team is the best way to manage this issue. Monitoring programs are also known to improve overall health, as new health issues get diagnosed and treated sooner. A pet scan, colonoscopy and blood tests are the basis of colon cancer monitoring. Okay to ask your regular doc and cancer team about monitoring. Read more...
It varies by stage. The risk of recurrence in patients with ulcerative colitis is somewhat higher. But it all depends on the stage of colon cancer when it was removed. If it had not spread into the lymph nodes(stage-3), then the prognosis is fairly good. Ask your doctor this question and get an answer which is dependent on the stage of colon cancer you had. Read more...
High risk of cancer. Recurrence risk given cancer is a function of the stage of cancer when diagnosed, independent of uc. However, uc patients have an approximately 1% per year risk of new cancer appearing. Because of this high risk, total colectomy has been the standard of care for uc. If you have any colon left, it should be examined and biopsied periodically looking for dysplasia, the precursor of cancerous change. Read more...

Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?

Ulcerative colitis. All of the biopsies from colonoscopy showed inflammatory changes consistent with ulcerative colitis. The later is part of the spectrum of IBD but involves only the mucosal layer of the bowel. Chrons disease is a form of IBD that involves all layers of the bowel and can be recognized on scans of the bowel or deeper layers of bowel on bx. Read more...

Have ulcerative colitis in sigmoid and ascending colon/cecum (just confirmed by colonoscopy). Will enema treat this (allergic to NSAIDs)?

Consider allergy ref. Thanks for your question. Depending on the NSAID allergy, sometimes it can be desensitized through introduction of small amounts initially, then gradual increase in dose under supervision by an allergy specialist. However, would discuss the side effects/risks/benefits with a specialist. Read more...

Is their a cure for ulcerative colitis? Is colon removal the only option? Had flared since may 2013, almost a breaking point :- (

Removal of colon. For uc, only cure is removal. Many can get controlled on medicines, but, that then continues for life. Surgery is used when there is severe bleeding, obstruction, perforation or failure of medical therapy. Read more...
No cure. There is no cure for UC. Collecting WLAN drastically reduce symptoms. While many people will have no problems after collecting others struggle intermittently with pouchitis which is chronic inflammation of the rectal pouch created after surgery. . Read more...