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Scan report suggesting colon cancer, surgery, chemotherapy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Colon Cancer
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
User :   I spoke to you yesterday regarding my mother's case
User :   do you remember?
Doctor :   Yes
User :   regarding possible cancer
Doctor :   I have your details.
User :   I have teh reports now - I wanted to share the details with you
User :   I'm a little scared reading the details
User :   CT scan reports says ïrregular circumferential wall thickening without luminal compromise involving sigmoid colon (approx. 9.5cm length) showing heterogenous enhancement of post contrast study with pericolonic fat stranding, pericolonic & left iliac lymphadenopathy"
Doctor :   Ok
User :   kindly explain what it means? does this mean that it is indeed a cancer? and does it mean that it has started to spread to lymphs?
Doctor :   Irregular mass is against the feature of benign tumour.
Doctor :   The presence of lymph node is also not a good sign to be observed.
Doctor :   However it is difficult to predict the nature, stage or grade of tumour at this point of time.
User :   so are you suggesting that it is indeed cancer?
Doctor :   Since there are not surrounding adhesions noticed, she may need a radical surgery
User :   radical means?
Doctor :   Radical means, she may need removal of a large part of intestines with the surrounding structures and along with the lymphnodes removal.
Doctor :   Pathological studies of the mass will be the most crucial test after the surgery which will determine the stage and grade of the mass (if the mass is indeed a tumour)
User :   I'm still awaiting results of biopsy tests - looks like it takes 3-4 days
Doctor :   Your doctor may order for a colonoscopy with biopsy
Doctor :   before deciding to do all this.
User :   colonoscopy is also done - I have the results
User :   it says "carcinoma sigmoid colon. biopsies taken"
User :   ülcerated circumferential growth seen in sigmoid colon. Scope could not be negotiated beyond"
User :   ulcerated
Doctor :   , the reports are not in favour of a benign tumour. It is more in lines of a cancer.
User :   ok. but is there any possibility that it is not?
User :   also - will she survive? I'm scared
Doctor :   Let me put across this in the following way.
Doctor :   1. As mentioned earlier, the reports are probably more suggesting of a cancer.
Doctor :   2. It infers that she needs the surgery. A radical/extensive surgery sooner than later.
Doctor :   3. Biopsy studies done after colonoscopy will be the test which will give a go ahead signal to the doctor to carry out the surgery.
Doctor :   So surgical treatment will be decided after the reports of the biopsy.
Doctor :   4. The severity of the condition is determined by what the current stage and grade the tumour is.
Doctor :   Histopathological studies will invariably be done after surgery.
Doctor :   Accordingly the further course of treatment will be decided.
Doctor :   The prognosis of the condition also will depend on those reports.
User : overall the news is very bad
Doctor :   I feel extremely sorry for your mother.
Doctor :   But a positive approach is very much needed at this point of time.
User :   is there any possibility that this might not be a cancer?
Doctor :   The chances that this might not be a cancer is least.
Doctor :   Both scan reports and colonscopy reports are pointing towards cancer.
User :   so then should we wait for the biopsy results? should we go for the surgery at the earliest?
Doctor :   However, I could be proved wrong by biopsy report.
Doctor :   Wait for the biopsy reports.
Doctor :   Surgical treatment would be needed here even if the reports are positive and non cancerous.
User :   also - can we make any guess on the stage of the cancer with the reports so far?
Doctor :   I wish not to comment on the stage of cancer just by looking scan reports.
User :   doctor - please give me some hope. Will she survive?
Doctor :   As mentioned to you in the past chats and earlier, it is necessary that you remain positive.
Doctor :   Survival chances depend and varies among different individuals.
Doctor :   You had reported to me in my previous chat
Doctor :   that she is hale and healthy, with no symptoms of cancer.
Doctor :   This is a very positive to us.
Doctor :   She may be advised chemotherapy/radiotherapy after the procedure
User :   and that is very painful procedure right?
Doctor :   which has enhanced survival rates in many patients.
Doctor :   So a positive approach is very much needed.
Doctor :   Patients tolerate the chemo and radiotherapy procedures differently.
Doctor :   I would suggest you to wait for the biopsy reports.
Doctor :   In the mean time be prepared for a radical / extensive surgery.
User :   ok. I'm leaving everything to god
Doctor :   Future course of treatment will be decided after that.
Doctor :   Prayers and wishes remain with you and your family.
User :   ok doctor. please pray for my mother
Doctor :   I am sorry to hear about it.
Doctor :   you can come back to us, if you need any assistance.
Doctor :   Hope to help you in the best way as we can.
Doctor :   Do you have any other query now?
User :   sure thanks. can I get a copy of this chat?
User :   I woudl want to share this with my wife
Doctor :   You could view this and the previous chat on your dash board.
Doctor :   I shall ask my customer support team to assist you in viewing the chat.
Doctor :   Hope that is fine.
Doctor :   Do you have any other query?
User :   no thanks. please pray for my mother...
Doctor :   Our prayers with your mother.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye
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