Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Colorectal Cancer
Question: Will my mum get cured of cancer. I have attached her clinic letter. Whilst waiting to start treatment I am worried this cancer will spread. Is it in the lymph nodes and what stage do you think it is? Is it in the earlier stages? Please help I am really worried and feel physically sick. Mum is fine and says all will be well
Brief Answer:
Stage III. Treatment- Surgical excision followed by chemo-radiotherapy
Detailed Answer:
Hello Dear. I went through the reports. The colorectal cancer which your mom is having is in stage III. Or to be more precise stage III A.
Stage III A can be read as- The cancer has grown through the mucosa into the submucosa (T1), and it may also have grown into the muscularis propria (T2). It has spread to 1 to 3 nearby lymph nodes (N1a/N1b) or into areas of fat near the lymph nodes but not the nodes themselves (N1c). It has not spread to distant sites (M0).
Mucosa, submucosa, muscularis propria are the layers of the gut.
It has spread to one or two nearby lymph nodes but there is no distant spread.
The treatment involves a surgery where the part of the rectum having cancer will be excised and this will be followed by chemotherapy and radiotherapy.
According to the National Cancer Institute, USA, the survival for Stage I colon or rectal cancer is about 93 percent. Survival for Stage II is between 72 and 85 percent and for Stage III, 44 and 83 percent. Chemotherapy may improve prognosis for Stage III cancer.
So you need to follow all the treatment modalities what your doctor says without fail.
Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini
Stage III. Treatment- Surgical excision followed by chemo-radiotherapy
Detailed Answer:
Hello Dear. I went through the reports. The colorectal cancer which your mom is having is in stage III. Or to be more precise stage III A.
Stage III A can be read as- The cancer has grown through the mucosa into the submucosa (T1), and it may also have grown into the muscularis propria (T2). It has spread to 1 to 3 nearby lymph nodes (N1a/N1b) or into areas of fat near the lymph nodes but not the nodes themselves (N1c). It has not spread to distant sites (M0).
Mucosa, submucosa, muscularis propria are the layers of the gut.
It has spread to one or two nearby lymph nodes but there is no distant spread.
The treatment involves a surgery where the part of the rectum having cancer will be excised and this will be followed by chemotherapy and radiotherapy.
According to the National Cancer Institute, USA, the survival for Stage I colon or rectal cancer is about 93 percent. Survival for Stage II is between 72 and 85 percent and for Stage III, 44 and 83 percent. Chemotherapy may improve prognosis for Stage III cancer.
So you need to follow all the treatment modalities what your doctor says without fail.
Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini
Above answer was peer-reviewed by :
Dr. Nagamani Ng
we were told mum would be cured
Brief Answer:
It can be cured provided no distant metastasis
Detailed Answer:
Hello. As per reports it says one or two lymph nodes involved. But no distant metastasis. If your treating surgeon is very confident that there is no spread beyond the local lymph nodes then there can be chances of cure if total resection of rectum plus lymph nodes followed by chemo-radiotherapy. Your mom may be falling into that category who has better prognosis even at stage III.
Regards- Dr Sanjay Kini
It can be cured provided no distant metastasis
Detailed Answer:
Hello. As per reports it says one or two lymph nodes involved. But no distant metastasis. If your treating surgeon is very confident that there is no spread beyond the local lymph nodes then there can be chances of cure if total resection of rectum plus lymph nodes followed by chemo-radiotherapy. Your mom may be falling into that category who has better prognosis even at stage III.
Regards- Dr Sanjay Kini
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Mum has had CT and MRI that shows no spread they are doing chemo and radium first then operation
Brief Answer:
yes there is no spread in CT MRI which is a good sign
Detailed Answer:
Hello. Yes i agree. CT and MRI shows no spread which is a good sign. There is upto 83% chances of cure.
Most often, chemo is given along with radiation therapy (called chemoradiation) first. This may shrink the cancer, often making surgery more effective for larger tumors. It also lowers the chance that the cancer will come back in the pelvis. Giving radiation before surgery also tends to lead to fewer problems than giving it after surgery.
Regards- Dr Sanjay Kini
yes there is no spread in CT MRI which is a good sign
Detailed Answer:
Hello. Yes i agree. CT and MRI shows no spread which is a good sign. There is upto 83% chances of cure.
Most often, chemo is given along with radiation therapy (called chemoradiation) first. This may shrink the cancer, often making surgery more effective for larger tumors. It also lowers the chance that the cancer will come back in the pelvis. Giving radiation before surgery also tends to lead to fewer problems than giving it after surgery.
Regards- Dr Sanjay Kini
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
