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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Return Of Cancer In Pelvic And Lymph Nodes After Bowel Not Curable?

Hi, may I answer your health queries right now ? Please type your query here...My husband had bowel cancer surgery in 2009 and has just had a CT Scan and has been told the cancer has returned to the pelvic area and lymph nodes and cannot have further surgery. Does this mean he is terminally ill?
Mon, 27 Apr 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Bowel cancer is difficult to treat in some patients and your husband might have had a recurrence lymph node involvement. In this situation there is disease spread to the regional lymphnodes and this make it difficult to operate. However, treatment should be started after considring all the features of the recurrence.

Many patients can have good response to chemotherapy and radiation therapy and show significant reduction in size of lymphnodes. This can then be assessed again and a the staging can be done and if possible then operated at a later date.

Bowel cancer is also seen to spread to liver in nearly half the patients and therefore it will help to check on the liver from time to time by ultrasound scan or CT scan. Lungs should also be screened regularly. Hope he recovers with treatment. Please do not worry.
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Does Return Of Cancer In Pelvic And Lymph Nodes After Bowel Not Curable?

Hi, Thanks for writing in. Bowel cancer is difficult to treat in some patients and your husband might have had a recurrence lymph node involvement. In this situation there is disease spread to the regional lymphnodes and this make it difficult to operate. However, treatment should be started after considring all the features of the recurrence. Many patients can have good response to chemotherapy and radiation therapy and show significant reduction in size of lymphnodes. This can then be assessed again and a the staging can be done and if possible then operated at a later date. Bowel cancer is also seen to spread to liver in nearly half the patients and therefore it will help to check on the liver from time to time by ultrasound scan or CT scan. Lungs should also be screened regularly. Hope he recovers with treatment. Please do not worry.