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How Effective Is Chemotherapy In Condition Like Colon Cancer?

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Posted on Thu, 2 Apr 2015
Question: Does chemotherapy only work in some ppl with colon cancer? What js the percentage rate?
doctor
Answered by Dr. Dr. Ivan Romich (1 hour later)
Brief Answer:
It cant be calculated precisely

Detailed Answer:
Hi and welcome to HCM.

It depends on several factor.s is chemo performed after or before surgery or there wasnt surgery at all. After surgical resection of whole tumor without signs of metastases,chemo is used if lymph nodes ar4 involved and in this case 5 year survival can be achieved in 60-70% of people. If there is dukes C of cancer or metastases and no possibility of surgical resection then prognosis is poor and complete cure can be achieved with chemo only in about 5% of people, while 2 year survival is about 50%.

WIsh you good health. Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Ivan Romich (13 minutes later)
Please see attached ct image of liver. Colon cancer pt. was stage 3, now stage 4.
We are totally confussed .

2013 my father had been told he has simple liver cysts via a mri.

Few months after bowel surgery scsn showed a liver met 1.5 cm and a node.

Irinorecan started october however we got told liver met grew n node and a new sub pleural nodule.

But we sought a second opinion n a new ragiologist did a ct scan last week which shows multiple mets - report attached

1. What could these lesions b in XXXXXXX scan when we got tol only 1 liver met?d
doctor
Answered by Dr. Dr. Ivan Romich (24 hours later)
Brief Answer:
it may be confusing but there are no doubts about metastases

Detailed Answer:
There are several possible explanations,but first i need to say that there are no doubts that these are liver metastases and that there is progression of liver lesions ,serious progression. What happnned in 2013,was it simple liver cyst that disappear(which is possible) or radiologist didnt mention another lesions in liver or he didnt pay attention to this cyst in future findings,it is hard to say. also it is possible that liver cyst became malignant. but it doesnt matter now, unfortunately this is serious malignant disease and it could not have been changed. liver mets have tendency to grow fast and multiply in short time. I dont see recent whole liver ct scan.

If i could see it , i could tell you the possiblity of further treatment. thee is a procedure called ALPPS(Associating liver partition and portal vein ligation for staged hepatectomy ) an it may be used as last hope for patients with serious liver involvement. But all in all,prognosis is poor and you dont need to expect much from cehmo,I am afraid.
WIsh you good health.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Ivan Romich (7 hours later)
From the liver image, do u see mets in the liver? Or is this peritoneal area?
doctor
Answered by Dr. Dr. Ivan Romich (44 hours later)
Brief Answer:
I see 2 mets in liver

Detailed Answer:
These lesions seem to be in liver as I can see from this photo.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Ivan Romich (1 hour later)
There are other lesions too right on livet? Whay do they seem to be or am i wrong?
doctor
Answered by Dr. Dr. Ivan Romich (13 hours later)
Brief Answer:
yes

Detailed Answer:
yes, it is seen in both right and left liver lobe. this is only one slice of ct scan so i cant see more detailed scan of liver but these lesions has features of metastases and there is no doubt about this
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13888 Questions

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How Effective Is Chemotherapy In Condition Like Colon Cancer?

Brief Answer: It cant be calculated precisely Detailed Answer: Hi and welcome to HCM. It depends on several factor.s is chemo performed after or before surgery or there wasnt surgery at all. After surgical resection of whole tumor without signs of metastases,chemo is used if lymph nodes ar4 involved and in this case 5 year survival can be achieved in 60-70% of people. If there is dukes C of cancer or metastases and no possibility of surgical resection then prognosis is poor and complete cure can be achieved with chemo only in about 5% of people, while 2 year survival is about 50%. WIsh you good health. Regards