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    Suggest treatment for rectal cancer

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Posted on Mon, 13 Nov 2017 in Cancer
Question: mum has rectal cancer and has had chemoradiation before a planned operation. if mum is overweight at 16 stone can she still have this operation done. Do you see this be early stage? If so what stage and does mum have a good prognosis?
doctor
Answered by Dr. T Chandrakant 39 minutes later
Brief Answer:
Stage will be as told by the TEAM after investigations

Detailed Answer:
Hi.
Thanks for your query.
Noted the history about your Mother and understood the concerns.
It seems that your mother will need a end-colostomy meaning permanent colostomy as per the letter you have provided.
16 stone is about 224 lbs or more than 100 kg and has lower abdominal apron which makes fashioning of colostomy a difficult job to maintain in future. It can be done but will be difficult to maintain the tightness and cleaning hence the need to loose weight.
The letter dates back to XXXXXXX 17, almost 4 months back hence the follow-up with the Team of Oncologist, Oncosurgeon, stoma therapist and the recent investigations should tell about the prognosis.
I hope this must have already explained to you and the patient.
Please carry on the management as per the advised by the TEAM of Doctors to get the best of all and see that other medical problems are well under control.

What was told about the staging and the possible dates for surgery?
Has your Mother reduced weight over the time?
Are the medical conditions well under control?
Please give feedback.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant 6 minutes later
mum is struggling to lose weight. all health conditions are stable and well controlled. surgery will hopefully be within November. Mum finished chemoradiation in August 9th 2017. had MRI and CT Scan last week awaiting results. we were originally told mum can be cured. What are your thought please I am so worried
doctor
Answered by Dr. T Chandrakant 2 hours later
Brief Answer:
As detailed.

Detailed Answer:
Let us know the result of MRI and CT scan.
These along with per-rectal examination by an expert alone can tell us the exact position.
With the advent of recent advances she can be cured.
Please post reports of MRI and CT scan and finding of examination.
Consult a Dietitian for reduction of weight.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant 6 minutes later
I have no further details other than the letter I have sent you x
doctor
Answered by Dr. T Chandrakant 1 minute later
Brief Answer:
Please post other reports if you get them.

Detailed Answer:
Try to get the reports

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant 8 minutes later
going off just the letter does mum have good chances of coming through op and cure
doctor
Answered by Dr. T Chandrakant 1 minute later
Brief Answer:
Yes.

Detailed Answer:
Looks to be
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 18105 Questions

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