Treatment FAQ

what is the best treatment for colon cancer

by Remington Gusikowski Published 3 years ago Updated 2 years ago
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Surgery. The treatment of choice for colon cancer is surgical resection, which involves removing the cancer through surgery. Surgery is performed to remove the cancer completely and reconstruct the bowel, if possible, so your postoperative bowel function is normal or near normal.

Medication

Natural Remedies for Colon Cancer Prevention

  • Vitamin D. High blood levels of vitamin D may be linked to a lower risk of colon cancer, according to a 2019 study.
  • Folate. Making sure you consume enough food sources of folate (a B vitamin found in foods like spinach, asparagus, and fortified cereals) may lower your risk of colon cancer, according ...
  • Quercetin. ...
  • Tea. ...

Procedures

  • Eat plant-based foods like beans and peas instead of meat a few times every week.
  • Fruits and vegetables are excellent additions to your diet plan as they contain vital vitamins and antioxidants. ...
  • Instead of three large meals, eat high protein snacks every few hours throughout the day to help reduce side effects like nausea. ...

Therapy

You would see a colorectal surgeon if referred for any of the above colorectal conditions, or if you are undergoing screening for bowel and colorectal cancers. Colorectal surgery may also be required if a patient presents with an injury, obstruction or ischaemia to the colon, rectum or anus.

Nutrition

Your choices include:

  • Surgery
  • Chemotherapy
  • Radiation
  • Ablation and cryotherapy
  • Targeted therapies
  • Immunotherapy

See more

What are the best natural remedies for colon cancer?

What diet is best for prevention of colon cancer?

Who is the best doctor for colon cancer?

What treatments are best for Stage IV colon cancer?

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What is the typical treatment for colon cancer?

Treatment for colon cancer usually involves surgery to remove the cancer. Other treatments, such as radiation therapy and chemotherapy, might also be recommended.

Can you cure colon cancer without surgery?

Treating stage III colon cancer For some advanced colon cancers that cannot be removed completely by surgery, neoadjuvant chemotherapy given along with radiation (also called chemoradiation) might be recommended to shrink the cancer so it can be removed later with surgery.

What is the most definitive treatment for colon cancer?

Surgery is the only curative modality for localized colon cancer (stage I-III).

How curable is colon cancer?

Cancer of the colon is a highly treatable and often curable disease when localized to the bowel. Surgery is the primary form of treatment and results in cure in approximately 50% of the patients.

Does colon cancer spread fast?

Once cancer has developed in the colon, its progression will vary according to the cellular makeup of the tumor and other factors, such as the age and overall health of the patient. The general progression of colon cancer tends to be slow, but it is still a serious disease that warrants prompt medical attention.

How long can you live with untreated colon cancer?

The results showed the median survival of patients to be 24 months (range 16–42). One-year survival was found to be 65% while the 2-year survival was found to be 25%. A satisfactory quality of life was also observed.

What is the average life expectancy with colon cancer?

5-year relative survival rates for colon cancerSEER stage5-year relative survival rateLocalized91%Regional72%Distant14%All SEER stages combined64%Mar 1, 2022

How long can you live with colon cancer?

For colon cancer, the overall 5-year survival rate for people is 64%. If the cancer is diagnosed at a localized stage, the survival rate is 91%. If the cancer has spread to surrounding tissues or organs and/or the regional lymph nodes, the 5-year survival rate is 72%.

Is radiation good for colon cancer?

Radiation for colon cancer It's not common to use radiation therapy to treat colon cancer, but it may be used in certain cases: Before surgery (along with chemo) to help shrink a tumor and make it easier to remove. After surgery, if the cancer has attached to an internal organ or the lining of the belly (abdomen).

What is the main cause of colon cancer?

Colon cancer may be linked to a high-fat, low-fiber diet and to a high intake of red meat. Some studies have found that the risk does not drop if you switch to a high-fiber diet, so this link is not yet clear. Smoking cigarettes and drinking alcohol are other risk factors for colorectal cancer.

Can you live 10 years with stage 4 colon cancer?

A growing number of people with stage IV colon cancer live longer than 2 years. And for a small group of people with cancer that has only spread to your liver or lung, surgery might even cure it. Also remember that survival rates are based on studies that were done a few years ago.

How is colon cancer removed?

A colectomy is surgery to remove all or part of the colon. Nearby lymph nodes are also removed. If only part of the colon is removed, it's called a hemicolectomy, partial colectomy, or segmental resection. The surgeon takes out the part of the colon with the cancer and a small segment of normal colon on either side.

Treating Stage 0 Colon Cancer

Since stage 0 colon cancers have not grown beyond the inner lining of the colon, surgery to take out the cancer is often the only treatment needed....

Treating Stage I Colon Cancer

Stage I colon cancers have grown deeper into the layers of the colon wall, but they have not spread outside the colon wall itself or into the nearb...

Treating Stage II Colon Cancer

Many stage II colon cancers have grown through the wall of the colon, and maybe into nearby tissue, but they have not spread to the lymph nodes.Sur...

Treating Stage III Colon Cancer

Stage III colon cancers have spread to nearby lymph nodes, but they have not yet spread to other parts of the body.Surgery to remove the section of...

Treating Stage IV Colon Cancer

Stage IV colon cancers have spread from the colon to distant organs and tissues. Colon cancer most often spreads to the liver, but it can also spre...

Treating Recurrent Colon Cancer

Recurrent cancer means that the cancer has come back after treatment. The recurrence may be local (near the area of the initial tumor), or it may b...

What is the best treatment for colon cancer?

If you have colon cancer, your treatment team will include medical oncologists, surgeons and radiation oncologists. These specialists will work together to develop the best treatment plan for your condition. Colon cancer treatment will depend on how early the cancer is caught. Sometimes, your doctor can remove polyps during a colonoscopy ...

What is the treatment for gastrointestinal cancer?

Other treatment options for late stage gastrointestinal cancers may include cytoreductive (debulking) surgery and hyperthermic intraperitoneal chemotherapy (HIPEC).

What happens after colon cancer surgery?

Following colon cancer surgery, vigilant monitoring is a critical part of follow-up care. There is a risk of recurrence, especially if the cancer involved the lymph nodes. After your surgery, your doctor will see you at the following times:

What is the treatment for cancer after surgery?

This is called neoadjuvant therapy. In more advanced cancers, you may need a course of chemotherapy following your surgery. This type of chemotherapy is generally administered on an outpatient basis. Chemoradiation (chemotherapy combined with radiation therapy) may also be used after surgery.

What percentage of colon cancer patients have localized disease?

Some patients with early stage disease may also receive chemotherapy after surgery. For patients with localized colon cancer, the five-year survival rate is 90 percent.

How does chemotherapy work?

Chemotherapy drugs travel through the bloodstream to destroy tumor cells that may have broken away from original tumor and could begin to grow again elsewhere in the body. They may be administered orally or intravenously. Chemotherapy can be used at various stages of colon cancer treatment.

Where does colon cancer spread?

When colon cancer metastasizes (spreads), it usually appears in the liver. It may also spread to the lungs, brain, peritoneum (the lining of the abdominal cavity) and/or distant lymph nodes. For patients with this type of late stage disease, the five-year survival rate is 14 percent.

How does chemotherapy help with colon cancer?

Chemotherapy uses drugs to destroy cancer cells. Chemotherapy for colon cancer is usually given after surgery if the cancer is larger or has spread to the lymph nodes. In this way, chemotherapy may kill any cancer cells that remain in the body and help reduce the risk of cancer recurrence.

What tests are needed for colon cancer?

Staging helps determine what treatments are most appropriate for you. Staging tests may include imaging procedures such as abdominal, pelvic and chest CT scans.

What is the procedure to check for colon cancer?

Colonoscopy. During a colonoscopy , the doctor inserts a colonoscope into your rectum to check for abnormalities in your entire colon. If your signs and symptoms indicate that you could have colon cancer, your doctor may recommend one or more tests and procedures, including:

What is the earliest stage of colon cancer?

At its earliest stage (stage 0), colon cancer is limited to the inner lining of your colon. As colon cancer progresses, it can grow through your colon and extend to nearby structures. The most advanced stage of colon cancer (stage IV) indicates cancer has spread to other areas of the body, such as the liver or lungs.

How to tell what stage of colon cancer you have?

The stages of colon cancer are indicated by Roman numerals that range from 0 to IV, with the lowest stages indicating cancer that is limited to the lining of the inside of the colon.

What is the treatment for cancer?

Immunotherapy. Immunotherapy is a drug treatment that uses your immune system to fight cancer. Your body's disease-fighting immune system may not attack your cancer because the cancer cells produce proteins that blind the immune system cells from recognizing the cancer cells.

Is a colon ostomy permanent?

Sometimes the ostomy is only temporary, allowing your colon or rectum time to heal after surgery. In some cases, however, the colostomy may be permanent. Lymph node removal. Nearby lymph nodes are usually also removed during colon cancer surgery and tested for cancer.

What is colon cancer?

Key Points. Colon cancer is a disease in which malignant (cancer) cells form in the tissues of the colon. Health history affects the risk of developing colon cancer. Signs of colon cancer include blood in the stool or a change in bowel habits. Tests that examine the colon and rectum are used to diagnose colon cancer.

What are the risk factors for colon cancer?

Risk factors for colorectal cancer include the following: Having a family history of colon or rectal cancer in a first-degree relative (parent, sibling, or child). Having a personal history of cancer of the colon, rectum, or ovary.

Where does colon cancer spread?

Cancer has spread from the mucosa of the colon wall to the submucosa or to the muscle layer. In stage I colon cancer, cancer has formed in the mucosa (innermost layer) of the colon wall and has spread to the submucosa (layer of tissue next to the mucosa) or to the muscle layer of the colon wall.

How do you know if you have colon cancer?

Signs of colon cancer include blood in the stool or a change in bowel habits. These and other signs and symptoms may be caused by colon cancer or by other conditions. Check with your doctor if you have any of the following: A change in bowel habits. Blood (either bright red or very dark) in the stool.

Where are abnormal cells found in the colon?

Abnormal cells are shown in the mucosa of the colon wall. In stage 0, abnormal cells are found in the mucosa (innermost layer) of the colon wall. These abnormal cells may become cancer and spread into nearby normal tissue. Stage 0 is also called carcinoma in situ.

How does chemo work?

When chemotherapy is taken by mouth or injected into a vein or muscle , the drugs enter the bloodstream and can reach cancer cells throughout the body ( systemic chemotherapy ). When chemotherapy is placed directly into the cerebrospinal fluid, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas ( regional chemotherapy ).

Which system is cancer in?

Lymph system. The cancer gets into the lymph system , travels through the lymph vessels, and forms a tumor ( metastatic tumor) in another part of the body. Blood. The cancer gets into the blood, travels through the blood vessels, and forms a tumor (metastatic tumor) in another part of the body.

How is colorectal cancer treated?

Colorectal cancer can also be treated using drugs, which can be given by mouth or directly into the bloodstream. These are called systemic treatments because they can reach cancer cells throughout almost all the body. Depending on the type of colorectal cancer, different types of drugs might be used, such as: Chemotherapy for Colorectal Cancer.

What is local treatment for colorectal cancer?

Local treatments treat the tumor without affecting the rest of the body. These treatments are more likely to be useful for earlier stage cancers (smaller cancers that haven't spread), but they might also be used in some other situations. Types of local treatments used for colorectal cancer include:

What is complementary medicine?

Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctor’s medical treatment.

What kind of doctor treats colorectal cancer?

These doctors could include: A gastroenterologist: a doctor who treats disorders of the gastrointestinal (GI or digestive) tract. A surgical oncologist (oncologic surgeon): a doctor who uses surgery to treat cancer.

What is the difference between a radiation oncologist and a cancer oncologist?

A colorectal surgeon: a doctor who uses surgery to treat diseases of the colon and rectum. A radiation oncologist: a doctor who treats cancer with radiation therapy. A medical oncologist: a doctor who treats cancer with medicines such as chemotherapy ...

Why is communicating with your cancer team important?

Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life. Different types of programs and support services may be helpful, and can be an important part of your care. These might include nursing or social work services, financial aid, ...

Why is it important to discuss treatment options with your doctor?

Making treatment decisions. It’s important to discuss all of your treatment options, including their goals and possible side effects, with your doctors to help make the decision that best fits your needs. It’s also very important to ask questions if there's anything you’re not sure about.

What is colorectal cancer?

Colorectal cancer or colon cancer is cancer of the large intestine (colon), which is the final part of the digestive tract. Both colon cancer and rectal cancer can be referred to as colorectal or bowel cancer, but there is a slight difference between the two based on where the cancer begins.

What are the types of colorectal cancer treatments available?

If a screening test detects a polyp that is potentially cancerous, surgery is the first treatment. However, if cancer has already developed, treatment is based on the stage to which it has advanced: Stage 0: The cancer has not grown past the inner lining of the colon and surgery is generally all that is needed.

What are new colon cancer treatments and how can I access them?

Several medicines have been approved for the treatment of colon cancer around the world. Here are some of the latest chemotherapy drugs for colon cancer.

Why access a colon cancer medication with TheSocialMedwork?

TheSocialMedwork is registered in The Hague with the Dutch Ministry of Health (registration number 6730 BEM) as an independent medicines intermediary. We have helped patients in more than 85 countries to access life saving treatments including colon cancer drugs.

What is the name of the doctor who treats colon cancer?

Medical Oncologist. A medical oncologist specializes in treating cancer with chemotherapy and other targeted therapies. Previously, pathology reports were the only indication of a cancer diagnosis in the colon. Now, medical oncologists can go further into the molecular content of a tumor. This molecular testing helps with treatment decisions.

How long do people with colon cancer live?

In fact, 40-60 percent of patients treated for isolated colon cancer liver metastasis are still alive five years after treatment .

What is the role of a radiologist in cancer?

A radiologist inserts a catheter and delivers chemotherapy agents or radiation into blood vessels of the tumor to starve it of blood and deliver a targeted treatment . “The goal of your team of cancer specialists is to work together to consider all options and methods of treatment,” explains Murphy.

Why is it important to have a radiology team for colon cancer?

Radiologists work with the team to determine the exact location of tumors in the liver in order to help treatment planning in individual cases.

Why is it important to see a pathologist for cancer?

For example, when they examine tissues from a liver biopsy, pathologists can help make the diagnosis that cancer cells originated from the colon. This is an important diagnosis that helps ensure that you receive the correct type of treatment . Pathologists also use their extensive knowledge of cancer biology to run complex molecular testing ...

What is Johns Hopkins doing to prevent colon cancer?

At Johns Hopkins, researchers such as Dr. Burkhart are conducting clinical trials to find ways to slow or prevent the spread of colon cancer . These trials, coupled with a multidisciplinary, or team, approach using molecular testing, surgical techniques, chemotherapy and radiation, have greatly improved life expectancy for patients in ...

What is the best doctor for cancer?

Radiation Oncologist. A radiation oncologist specializes in treating cancer with radiation. If your tumor is too large and surgery alone is not an option, surgery combined with other procedures, such as radiation therapy, may be recommended.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves surgery and chemotherapy.
Medication

Targeted drugs: The specific sites which can be cancerous are targeted and the drugs are administered.

Bevacizumab . Ramucirumab


Chemotherapy: To destroy the cancer cells and relieve symptoms.

5-Fluorouracil . Capecitabine . Irinotecan . Oxaliplatin


Immunotherapy: To treat the type of cancers which might respond to the antibodies.

Nivolumab . Pembrolizumab

Procedures

Colonoscopy: To visualize and remove/biopsy the polyps.

Laparoscopy: To remove the polyps which can not be removed using colonoscopy.

Endoscopic mucosal resection: Procedure where a small section of the colon lining that has cancerous tissue is removed.

Bowel resection with colostomy: Involves creating another way for elimination of connecting healthy tissue to a pouch attached to skin and removing the cancerous tissue.

Lymphadenectomy: Nearby lymph nodes are removed and tested for malignancy so as to ensure the death of all the cancerous cells.

Partial colectomy: Removal of the part of colon with cancer and then reconnecting it with healthy tissue.

Therapy

Radiation therapy:Therapy involves the usage of high energy beams like X-rays to destroy cancer cells.

Nutrition

Foods to eat:

  • low-fat high-fiber diet – fruits and vegetables
  • Antioxidants – kidney beans, goji berries, wild berries

Foods to avoid:

  • high fat fast foods
  • Red meat

Specialist to consult

Oncologist
Specializes in the diagnosis and treatment of cancer.
Gastroenterologist
Specializes in the digestive system and its disorders.
Colon and rectal surgeon
Specializes in dealing with disorders of the rectum, anus, and colon.

Preparing For Your Appointment

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