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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Colon Cancer. Developed Colitis During Chemo Therapy. Now Developed Another Type Of Cancer. Suggestions?

Hello, I am looking for help to my husband. He was diagnose with colon cancer on June 3. My husband suffered Colon cancer 18 years ago. Developed colitis during quemo therapy. And know because of the colitis hi has developed another type of cancer; this is the gastroenterologist explanation. Secondly, he has been trying to reach his first surgeon without success. This surgeon who has my husband history is to busy and has transfer him to a new general surgeon who is offering to my husband a limited solution. Just to remove the section where the cancer is. His limited to his experience and to the hospital where he is practicing. What can we do in this type of situation where time is important. All doctors we had seen recommend to do something in 4 to 6 weeks but by know we has been for 6 weeks just waiting and praying to find the right surgeon who cares and have the experience required to offer to my husband not only a limited opportunity but a clear discussion about the other procedures that in his case. I am trying to get a plan B which is looking in the private system. I had call to three different clinics in Vancouver and no one of them do this type of surgery. Know, we are getting desperate because is really hard just waiting for an opportunity. I will appreciate if somebody can answer this mail and give me fresh ideas, what can we do to deal in this system where is looks that nobody cares. Thank you. Diana
Fri, 19 Jul 2013
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General Surgeon 's  Response
Hi and welcome to Healthcare magic.Thank you for the query.
I don tinderstand what ype of surgery is necessary. If this is just hemicolectomy or bowel resection with or without coostoma then it should be able to be performed in any better hospital. If there are signs of cancer extension then surgery is debatable. It should be terated by chemoth only.
Wish you good health. Regards
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General Surgeon Dr. Venkat Narayana Badipatla's  Response
Hello Mrs.Diana,

I had gone through your husband's problem. Previously he had colon cancer 18 yrs back and also you wrote that he had colitis during chemotherapy. If it is Ulcerative colitis then there is every chance for him to land up in colon cancer and what the gastroenterologist said is true. Ok forget about the past. Now he is having colon cancer. Management of colon cancer depends on the stage of the disease. Is it localised to the colon or had spread to the surrounding structures and metastasised to the liver. This can be known with CT scan of the abdomen. If it is localised to the colon then surgery can be done. If it had spread to the surrounding structures, then chemotherapy should be given. Also there are various types of colectomy (resection of colon) for colon cancer. This depends on the location of the cancer which can be seen in colonoscopy.

My advice is to see a proper surgeon and get the workup done as soon as possible so that he can plan a correct management depending on the tumor staging.

Good luck.
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Diagnosed With Colon Cancer. Developed Colitis During Chemo Therapy. Now Developed Another Type Of Cancer. Suggestions?

Hi and welcome to Healthcare magic.Thank you for the query. I don tinderstand what ype of surgery is necessary. If this is just hemicolectomy or bowel resection with or without coostoma then it should be able to be performed in any better hospital. If there are signs of cancer extension then surgery is debatable. It should be terated by chemoth only. Wish you good health. Regards