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Frequently Asked Questions related to Chemotherapy
Colon Cancer Treatment
Are there any chances of recurrence?
Most recurrences will occur within 2 years of surgery and 90% by 5 years.
What is the duration of surgery?
The surgery normally takes 1 to 4 hours
Will removing the polyps cure the disease?
Polyps are often non-cancerous growths, but some can develop into cancer. Removing polyps can not only prevent colorectal cancer, but also reduce deaths from the disease for years, according to a new study.
When will I have post-surgery follow up?
Follow-up visits for are usually scheduled every 3 to 6 months for the first 3 years and then every 6 months for the next 2 years. People treated for early stage cancer may be seen less often.
Are there any restrictions after the procedure?
Be careful to avoid strenuous activity such as heavy exercise or lifting anything more than 20 pounds until you feel well, and your doctor gives his or her approval. Also, avoid taking baths or using hot tubs and swimming pools until your incisions have fully healed
Will I be on some medications after the procedure?
Normally pain killers are given for 2 to 4 weeks after the procedure
Is colon cancer treatable?
Yes, colon cancer can be treated when it is being localized to the bowel. In most of the treatment option surgery is the only option
Can colon cancer be treated with medicine?
Yes, colon cancer can be treated using drugs which can either be given orally or directly in the blood stream. They are referred to as systematic treatment because they can directly reach the cancer cells almost all the body.
How colon cancer is being treated at late stage?
When colon cancer spreads it will also spread to the lungs, brain, peritoneum (the lining of the abdominal cavity) and to the distant lymph nodes. If colon cancer has spread to nearby lymph nodes but not to other parts of the body, surgery may be used followed by chemotherapy. When the disease has spread to distant sites, chemotherapy may be used as the primary treatment, especially if surgery is unlikely to cure the cancer. If the disease has spread in the form of a small number of distant tumors, surgery may be used to help cure the disease or extend the patient’s lifespan.
Can colon cancer be treated by endoscope?
Polyps are being removed safely during cancer treatment, some of the very large polyps are also remove without surgery by using a endoscope. If you have got large polyps then polypectomy is being used in removing polyps.
How colon cancer are being treated laproscopically?
In laproscopic treatment, laproscopes are being passed into the abdomen region when the patient is under anaesthesia. The incision made in the surgery are smaller and the recovery time is short than the standard colon surgery.
How colon cancer is surgically treated?
Surgery is the removal of the tumor and some surrounding healthy tissue during an operation. It is often called surgical resection. This is the most common treatment for colorectal cancer. In surgery the part of healthy colon or rectum and the nearby lymph nodes are also removed.
Is colon cancer curable at Stage 3?
Colon cancer can be treated at stage three but there are only 40 percent chances of getting cure. Chemotherapy is being given after surgery in different stages of two, three and four because it has been shown to increase the survival rate.
How is colon cancer usually treated?
Surgical resection is the treatment choice of colon cancer this surgery is usually done in removing the cancer completely throughout the surgery. Surgery is being done to remove the cancer completely and in reconstructing the bowel.
What are some risk factors for colon cancer?
Some of the risk factors of colon cancer includes lack of regular physical activity, diet low in fruits and vegetables, low-fiber diet, overweight and obesity, alcohol and tobacco use.
When can I start walking, climbing stairs, and resume with my daily chores again?
You can resume your daily chores on going home but you need to avoid strenous exercised and lifts.After 1 to 2 weeks, you may be able to get back to most of your normal routine, such as walking and working.
Is it possible that the polyps can “fall off” without having to surgically remove it?
No polyps cannot fall or cure on its own. They turn cancerous if left untreated
How many days will I have to stay in hospital for my surgery?
Generally you are required to stay in the hospital for 3 to 4 days
How early does colon cancer need to be detected?
Colon cancer should be detected early at an age of 50 but there is an increased risk in those people who have family history of colon cancer.
What is colon cancer?
Colon cancer is the type of cancer which starts in the colon or rectum. This cancer is being found in the tissues of the colon.
Can it be performed in any any age group?
Most polyps are protusions in th elining of the intestine. Surgery is recommend after the disease is is dectected in the age group 50 to 75 yrs. Screening of colon cancer is done at this age.
What are the signs and symptoms of colon cancer?
Signs and symptoms of colon cancer includes diarrhoea or constipation, changes in stool consistency, blood in stool, bright red bleeding from rectum, abdominal pain, cramping, bloating, weakness, unexplained weight loss, iron deficiency anemia and irritable bowel syndrome.
How do you know if you had colon cancer early?
Some of the signs and symptoms of colon cancer includes rectal bleeding, fatigue, abdominal pain and unintentional weight loss.
Is colon cancer easy to detect?
With screening you can find colon cancer at an earlier stage. With regular screening colon can be prevented, because a small polyp will take around 10 to 15 years before they will develop into cancer.
How do I prepare for Hipec surgery?
You should not drink or eat anything before the procedure. You can do gargles or rinse your mouth but you can’t swallow. Don’t consume tobacco or cigarettes.
Am I a candidate for HIPEC?
It depends on your tumor type, your cancer stage and how quickly it is growing as well as the overall medical condition. You should consult with your doctor whether you are a candidate for this procedure or not. Doctor will carefully check your tumor and then tell what type of tumor you gave got and give you the treatment options. Tumor histology is checked to determine whether this procedure is appropriate for you or not.
What are the benefits of HIPEC?
As HIPEC can be directly targeted at the tumors high concentration of chemotherapy is delivered in your abdomen, it can be effectively and safely done than standard chemotherapy which is intravenously done. The chemotherapy solution is able to penetrate the affected tissue for destroying the microscopic cancer cell in a better way. HIPEC when used along with surgical tumor has improved the outcome when compared with chemotherapy or surgery.
Can Hipec be done more than once?
Second round is usually not necessary, only if mesothelioma resurrence occurs within 18 hours after surgery then only second round is needed.
What is HIPEC?
HIPEC is an innovative procedure which is used for cancer treatments which have been spread to surface of abdominal cavity like colon cancer, gastric cancer, ovarian cancer, appendiceal cancer and peritoneal mesothelioma.
How is HIPEC different than traditional chemotherapy?
HIPEC delivers a higher dose of chemotherapy to directly kills your cancer cells in abdomen, traditional chemotherapy is given intravenously and is circulated in your bloodstream. Higher dose of chemotherapy is needed for killing cancer cells in a single treatment. HIPEC has also few side effects as compares to traditional chemotherapy because little chemotherapy gets absorbed in your blood stream.
What cancers is Hipec used for?
HIPEC is used for treating abdominal cancer such as appendix or colorectal cancer as well as cancer of abdomen lining which causes difficulty in breathing.
What are the side effects of HIPEC?
Pain, Nausea, Vomiting, Diarrhea, Constipation, Bloating, Weight loss, Difficulty sleeping are some of the side effects usually seen after HIPEC
How do you feel after Hipec surgery?
You may feel fatigued for about 2 to 3 hours after surgery. It is important for you to take rest during this period and to keep your body in minimum state of movement you should move around and remain active.
What is recovery like after HIPEC?
After HIPEC patient is told to remain in hospital for about seven to ten days. In that time your digestive system will be recovered from the intense dose of chemotherapy. You will be provided your nutrition with IV tube. There is minimum exposure of chemotherapy which means its side effect such as hair loss, mouth sores can be avoided.
How long is recovery after Hipec?
The recovery after HIPEC usually takes three months and it takes around eight to ten hours to complete.
How safe is Hipec?
It is safe not only when it is compared to other procedures but it has less morbidity.
How long does Hipec surgery take?
Usually the procedure lasts for six to nine hours but in some cases the time duration may also exceed. Once the cancer is removed from your abdomen HIPEC is started.
What can you eat after Hipec surgery?
You will have dry mouth after surgery, after 3 to 4 days of the surgery you have to start with your liquid diet.
What happens during HIPEC?
Your tumor will be removed surgically by giving you general anaesthesia, it may last between six to nine hours or may even take longer time.Chemotherapy is heated to 107 degree Fahrenheit and then it is circulated throughout your abdomen. Special precautions are taken to keep your body temperature safe during the procedure, it is known as hot chemotherapy which lasts for about 90 minutes.
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