Colon Cancer: Once diagnosed, what are the next steps? | Norton Cancer Institute
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- Опубликовано: 13 ноя 2013
- Michael F. Driscoll, M.D., medical oncologist answers the question, once colon cancer is diagnosed, what are the next steps?
For cancers that seem local/regional meaning contained in one area potentially maybe there's some lymph nodes that look suspicious on the CT scan but no evidence of any spread to let's say the liver or the lungs which would be more of a distant spread and denote a late stage such as stage four.
It's usually stage 1, 2, 3 we would go for surgery as the first option and surgery is really your best chance of cure.
Oftentimes the final stage is not known until the pathology comes back. Sometimes we would look at a colon cancer and say this looks relatively early stage maybe this is a stage one, potentially a stage 2 and we may get the pathology back which shows that the cancer has maybe invaded deeper into the colon or maybe in the pericolorectal tissues which are just outside of the colon or has maybe spread to the lymph nodes and if that's the case then that changes what we're going to do after the surgical resection.
As a general rule with the different stages of colon cancer typically stage 1 people just need a surgical resection and that is generally curative.
Stage 2 depending on your risk factors you may need chemotherapy after the fact.
Stage 3 tends to involve the lymph nodes and we know from clinical trials that people that have lymph node involvement with colon cancer definitively benefit from chemotherapy it decreases their risk of recurrence gives them a better overall survival.
So, those folks definitively need chemotherapy and then stage 4 is spread outside in the colon so it's a distant platastocyst or spread somewhere else most often times its to the liver.
Colon cancer’s a little bit different cancer than some of the other solid tumor malignancies. When we look at other cancers such as let’s say pancreatic cancer or Cholangiocarcinoma which is a cancer of the biliary tract maybe even with cancer that starts in the liver and then spreads somewhere else, cellular carcinoma, or even lung cancer or breast cancer that tend to be stage four meaning distant metastasis oftentimes these are very difficult to cure.
Colon cancer is a little bit different in that when folks present with a single isolated metastasis or cancer to the liver from the colon and there's no evidence of any spread anywhere else we can still cure some of the stage 4 colon cancers with surgical resection or ablation of the liver metastases in addition to the chemotherapy.
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I just got diagnosed with stage 2a and am going into surgery soon. Whew, thank god it looks like it hasn’t spread.
I could hear the sign in his voice when he mentioned stage 4.
@@janethester1501 so happy to hear that you are doing good. stage four listening to him had me scared as i have a very good friend who just found out he has stage 4. wow they told you 10 days that is so scary and you beat it
@@janethester1501 so happy for you 🥲
@@sandyb2391 are you ok now?
Yea nortons sucks lost my son to stage four feel like he didn’t get get the most advanced cared he needed 😢
Thank you for this information
Is Colitis Considered a Form of Cancer?
in case of colon cancer metathesis to lung, what are best option for chemotheraphy to cure with possible resection ?
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What are popular chemotherapy treatments for Stage 3/4 adenocarcinoma colon cancer with spread to peritoneal lymph nodes in the abdomen? Folfox, Folfiri, Capox? With Avastin?
What should the scan periods be to determine effectiveness? Every 3 months and try a new combination?
im stage 4 small intestine was the orign of the tumor which was removed because it was blocking the instestine. it was during surgery that they found spots in the mesentry and caecum. im scheduled for folfox 6 months with a scan after 3 months to see the effectiveness before scheduling for surgery. ill have hipec surgery then chemo after.
Hey, would you happen to know the chances of surviving cancer stage 4?
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Oh my god I get locky with stage one at 45
me too
I have a symptoms but i dont have money to treat can you help me..im from the philippines..thank you po😊
I feel u. In 2018 they said I had a liver mass. But no insurance or money to do anything about it. Last week I was diagnosed with colorectal cancer. Still no insurance. So no one is giving me any answers about what to do next. I have to beg my drs to do labs. I also have endometriosis so when I had symptoms from colorectal cancer I assumed it was endometriosis symptoms. The only reason we even found the cancer was bc I havent had any pain relief and have had troubles with bowel pain and movements. So they did a colonoscopy ($ out of pocket cuz I'm too young to qualify for colonoscopy coverage with insurance) no endo in my intestines but we found cancer instead. I have a biopsy to see what the mass on my liver is in two weeks. Hopefully they arent connected. Hopefully it can be cut off. Hopefully I can afford the surgery to remove all the spots and then the two drs I've seen both recommended I do the chemo/radiation combined or after the surgery. Had some MRI and PET and ultra sounds did the radioactive iodine labs... more to come to make sure we have all the info we can get before choosing a specific treatment plan. Also want to know my liver is strong enough to sand treatment
who the fuck are the 3 people who disliked this video