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Suggest treatment for colon cancer spreading to lymph nodes - Online Doctor Chats

Date : 11-Sep-2014
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Very Good Posted in: Colon Cancer
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General & Family Physician
Practicing since : 2003
Answered : 1559 Questions
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User:Need some inputs on this report
Doctor:Can you upload the reports.
User:grade 2moderately differentiated adenocarcinoma of the transverse colon with half circumference of thewall totally eroded consumed by tumor
Doctor:i don't see any reports now.
User:5/8 nodes show metastasis with perinodal extention
User:Have given the findings in text
User:Both cut margins- adequtely clear
User:what are the prognosis of such patients
User:Doctor has recommended chemotherapy 6 cycles
User:can we do away with this
User:Hi!Doc are you there
Doctor:Yes, I am here
User:Ok await response
Doctor:Did the doctor perform PET CT scans?
User:Dont have the reports
Doctor:The reports indicate there is cancer of colon which has spread to lymphnodes.
Doctor:I think it is important to know whether or not it has spread to distant organs.
User:Yes , my point of contention , can we do away with the pain of chemotherapy
Doctor:If the organ spread is not found, surgery where the cancer growth is excised (which I think is already done) along wit lymph node and chemotherapy cycles
Doctor:we can be able to contain the tumour.
Doctor:No, chemotherapy is necessary to keep the cancer in remission.
User:Though its excised , could it still grow if not contained
User:what if the spread is to distant organs
Doctor:Chances of recurrence is higher if chemo cycles are not done.
User:But if its already spreading whats the point in getting the chemo done
Doctor:Chemotherapy is recommended irrespective of presence / absence of distant organ spread.
User:But whats the purpose
Doctor:The tumour has spread to the lymphnodes
Doctor:but whether or not it has spread to organs is not known yet.
Doctor:You can discuss about it with the oncologist.
Doctor:PET CT scan help us detect tumour spread to organs.
User:Apparently the liver & lungs are not affected
Doctor:Prognosis is better if other organs (not lymph nodes) are involved.
Doctor:Further as I said earlier chances of survical with or without organ spread are better with chemotherapy.
Doctor:If this was my patient, I would urge to get chemocycles unless the patient is medically unfit / intolerant.
Doctor:Hope I am clear?
User:But the survival period could beexcrutiating with the chem after effects
Doctor:There are individuals who don't tolerate chemo well.
Doctor:However it is something that we need to try before giving up.
User:Doc, what if we continue without it
Doctor:I would be glad if the patient receives incomplete chemo cycles instead of no chemo at all.
User:Is there a possibilty of complete cure
Doctor:Possibilities of cure is high with chemo.
Doctor:I present my opinion just based on the facts that you given me.
Doctor:The doctor who is caring for this patient will be the right person to judge whether or not we can let go off chemo.
Doctor:But if there is no contraindication of chemotherapy use
Doctor:this patient will definitely benefit from it.
User:Many thanks Doc for your time & patience
Doctor:Consider the options after a good discussion with the treating oncologist.
Doctor:I wish this patient good luck and health.
Doctor:Is there any other question?
User:Thank you very much
Doctor:Thanks for visiting me here. Bye for now.
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