Treatment FAQ

what is treatment for colon cancer

by Marguerite Turcotte Published 2 years ago Updated 2 years ago
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Treatment for colon cancer usually involves surgery to remove the cancer. Other treatments, such as radiation therapy and chemotherapy, might also be recommended.Jun 11, 2021

Medication

Treatment for colon cancer is based largely on the stage (extent) of the cancer, but other factors can also be important. People with colon cancers that have not spread to distant sites usually have surgery as the main or first treatment. Chemotherapy may also be used after surgery (called adjuvant treatment). Most adjuvant treatment is given for about 6 months.

Procedures

Apr 06, 2022 · There are different types of treatment for patients with colon cancer. Seven types of standard treatment are used: Surgery; Radiofrequency ablation; Cryosurgery; Chemotherapy; Radiation therapy; Targeted therapy; Immunotherapy; New types of treatment are being tested in clinical trials. Treatment for colon cancer may cause side effects.

Therapy

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. Factors that Impact Surgical Technique

Nutrition

Colon cancer, also known as colorectal cancer or CRC, is one of the most common cancers in America, but it also has some of the best treatment options available. Colorectal cancer can be treated with surgery, chemotherapy, or radiation therapy. CRC treatments are tailored to each person’s specific situation and needs. What is Colon Cancer?

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Types of local treatments used for colorectal cancer include: Surgery for Colon Cancer Surgery for Rectal Cancer Ablation and Embolization for Colorectal Cancer Radiation Therapy for Colorectal Cancer Systemic treatments Colorectal cancer can also be treated using drugs, which can be given by mouth or directly into the bloodstream.

What are the best natural remedies for colon cancer?

Mar 15, 2022 · Open Surgery: the surgeon makes a large cut in the abdomen to remove the tumor, lymph nodes and portions of the intestine that are affected. Radiation: the use of targeted, high-energy rays to kill the cancer. This is rarely used for treatment of colorectal cancer.

How does chemotherapy help treating colon cancer?

Jun 11, 2021 · If colon cancer develops, many treatments are available to help control it, including surgery, radiation therapy and drug treatments, such as chemotherapy, targeted therapy and immunotherapy. Colon cancer is sometimes called colorectal cancer, which is a term that combines colon cancer and rectal cancer, which begins in the rectum.

What can I expect after colorectal cancer treatment?

Feb 17, 2022 · Colorectal cancer is a disease in which cells in the colon or rectum grow out of control. Sometimes it is called colon cancer, for short. The colon is the large intestine or large bowel. The rectum is the passageway that connects the colon to the anus. Sometimes abnormal growths, called polyps, form in the colon or rectum.

What are the cure rates for colon cancer?

Dec 15, 2021 · With recent advances in cancer treatment, and many new cancer drugs, such as targeted therapies and immunotherapy being studied in clinical trials, as well as treatments for oligometastatic (for example, colon cancer metastases to the liver) these numbers are expected to change. What Is Immunotherapy and How Does It Work?

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What is the most common treatment for colon cancer?

Surgery. 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.

How treatable 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. Recurrence following surgery is a major problem and is often the ultimate cause of death.Jan 21, 2022

Can colon cancer be cured if caught early?

“Overall, colorectal cancer is highly preventable, and if detected early, it's also one of the most curable types of cancer,” Dr. Lipman notes. Up to 85% of colorectal cancers could be prevented or successfully treated if everyone who is eligible for a colonoscopy got screened.Aug 18, 2021

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.

What are the symptoms of stage 1 colon cancer?

SymptomsA persistent change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool.Rectal bleeding or blood in your stool.Persistent abdominal discomfort, such as cramps, gas or pain.A feeling that your bowel doesn't empty completely.Weakness or fatigue.More items...•Jun 11, 2021

What is survival rate of 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%.

Why do people get colon cancer?

The exact cause of colorectal cancer is not known, but certain risk factors are strongly linked to the disease, including diet, tobacco smoking and heavy alcohol use. Also, people with certain hereditary cancer syndromes or a family history of colorectal cancer have a high risk of developing the disease.

Where is the first place colon cancer spreads?

Colon cancer most often spreads to the liver, but it can also spread to other places like the lungs, brain, peritoneum (the lining of the abdominal cavity), or to distant lymph nodes. In most cases surgery is unlikely to cure these cancers.Jun 29, 2020

How does colon cancer start?

Most colorectal cancers start as a growth on the inner lining of the colon or rectum. These growths are called polyps. Some types of polyps can change into cancer over time (usually many years), but not all polyps become cancer. The chance of a polyp turning into cancer depends on the type of polyp it is.

What are signs that colon cancer has spread?

What are the symptoms of metastatic colorectal cancer?a change in bowel habits, such as constipation, diarrhea, or narrow stools, lasting more than a few days.blood in the stool, possibly making the stool look maroon or black.rectal bleeding of bright red blood.More items...•Apr 3, 2019

Where does colon cancer hurt?

If there are symptoms, the following may indicate colon cancer: Abdominal pain and tenderness in the lower abdomen. Blood in the stool. Diarrhea, constipation, or other change in bowel habits.

Can you live a long life after colon cancer?

Quality of life (QoL) among patients in the first 3 years after diagnosis is generally decreased, although it may improve with time since diagnosis [2]. Yet, many CRC survivors continue to live with long-term side effects of having had the cancer [3], especially related to its treatment.Jun 26, 2012

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...

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 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.

Is a stoma permanent?

A stoma is usually temporary, but is sometimes permanent. If the cancer has grown into or through your colon, your surgeon may recommend: Partial colectomy. During this procedure, the surgeon removes the part of your colon that contains the cancer, along with a margin of normal tissue on either side of the cancer.

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.

Can colon cancer be treated with surgery?

If your cancer is very advanced or your overall health very poor, your surgeon may recommend an operation to relieve a blockage of your colon or other conditions in order to improve your symptoms. This surgery isn't done to cure cancer, but instead to relieve signs and symptoms, such as a blockage, bleeding or pain.

What is radiation therapy?

Radiation therapy uses powerful energy sources, such as X-rays and protons, to kill cancer cells. It might be used to shrink a large cancer before an operation so that it can be removed more easily.

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.

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.

Why do we do clinical trials?

Clinical trials are done to find out if new cancer treatments are safe and effective or better than the standard treatment.

Where does cancer go in the body?

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 .

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.

How many lymph nodes does cancer spread to?

Cancer has spread to one to three nearby lymph nodes or cancer cells have formed in tissue near the lymph nodes; or. through the mucosa (innermost layer) of the colon wall to the submucosa (layer of tissue next to the mucosa). Cancer has spread to four to six nearby lymph nodes. Enlarge.

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.

What kind of doctors treat 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.

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 was Stefanie Joho's last treatment?

After learning that her metastatic colon cancer was not responding to standard treatments, Stefanie Joho came to Johns Hopkins for one last option: anti-PD-1 immunotherapy. It saved her life. Watch Stefanie’s inspiring story.

Why is it important to know the stage of a disease?

The stage will help determine when and how various treatment methods are used.

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.

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 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 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 a radiation oncologist?

A radiation oncologist: a doctor who treats cancer with radiation therapy. A medical oncologist: a doctor who treats cancer with medicines such as chemotherapy or targeted therapy. You might have many other specialists on your treatment team as well, including physician assistants (PAs), nurse practitioners (NPs), nurses, psychologists, ...

Can you continue cancer treatment?

Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.

What is clinical trial?

Clinical trials are one way to get state-of-the art cancer treatment. In some cases they may be the only way to get access to newer treatments. They are also the best way for doctors to learn better methods to treat cancer. Still, they're not right for everyone. If you would like to learn more about clinical trials that might be right for you, ...

Is treatment information given here official policy of the American Cancer Society?

The treatment information given here is not official policy of the American Cancer Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor.

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

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.

How to prevent colon cancer?

You can take steps to reduce your risk of colon cancer by making changes in your everyday life. Take steps to: 1 Eat a variety of fruits, vegetables and whole grains. Fruits, vegetables and whole grains contain vitamins, minerals, fiber and antioxidants, which may play a role in cancer prevention. Choose a variety of fruits and vegetables so that you get an array of vitamins and nutrients. 2 Drink alcohol in moderation, if at all. If you choose to drink alcohol, limit the amount of alcohol you drink to no more than one drink a day for women and two for men. 3 Stop smoking. Talk to your doctor about ways to quit that may work for you. 4 Exercise most days of the week. Try to get at least 30 minutes of exercise on most days. If you've been inactive, start slowly and build up gradually to 30 minutes. Also, talk to your doctor before starting any exercise program. 5 Maintain a healthy weight. If you are at a healthy weight, work to maintain your weight by combining a healthy diet with daily exercise. If you need to lose weight, ask your doctor about healthy ways to achieve your goal. Aim to lose weight slowly by increasing the amount of exercise you get and reducing the number of calories you eat.

How to reduce the risk of colon cancer?

Take steps to: Eat a variety of fruits, vegetables and whole grains. Fruits, vegetables and whole grains contain vitamins, minerals, fiber and antioxidants, which may play a role in cancer prevention.

What is the final part of the digestive tract?

The colon is the final part of the digestive tract. Colon cancer typically affects older adults, though it can happen at any age. It usually begins as small, noncancerous (benign) clumps of cells called polyps that form on the inside of the colon. Over time some of these polyps can become colon cancers.

What does it feel like to have colon cancer?

A feeling that your bowel doesn't empty completely. Weakness or fatigue. Unexplained weight loss. Many people with colon cancer experience no symptoms in the early stages of the disease. When symptoms appear, they'll likely vary, depending on the cancer's size and location in your large intestine.

Can colon polyps turn into cancer?

Over time some of these polyps can become colon cancers. Polyps may be small and produce few, if any, symptoms. For this reason, doctors recommend regular screening tests to help prevent colon cancer by identifying and removing polyps before they turn into cancer.

What are the risk factors for colon cancer?

Risk factors. Factors that may increase your risk of colon cancer include: Older age. Colon cancer can be diagnosed at any age, but a majority of people with colon cancer are older than 50. The rates of colon cancer in people younger than 50 have been increasing, but doctors aren't sure why. African-American race.

Do African Americans have colon cancer?

African-American race. African-Americans have a greater risk of colon cancer than do people of other races. A personal history of colorectal cancer or polyps. If you've already had colon cancer or noncancerous colon polyps, you have a greater risk of colon cancer in the future.

What is the name of the cancer that occurs in the colon?

Colorectal cancer is cancer that occurs in the colon or rectum. Sometimes it is called colon cancer, for short. As the drawing shows, the colon is the large intestine or large bowel. The rectum is the passageway that connects the colon to the anus. Sometimes abnormal growths, called polyps, form in the colon or rectum.

Can polyps turn into cancer?

Over time, some polyps may turn into cancer. Screening tests can find polyps so they can be removed before turning into cancer. Screening also helps find colorectal cancer at an early stage, when treatment works best. Page last reviewed: February 8, 2021.

What is the prognosis of colon cancer?

Prognosis refers to the possible course of the disease and how much time you have. Some people want very specific information regarding how long they might live with stage 4 colon cancer. Other people prefer not to know these details.

How long can you live with stage 4 colon cancer?

People can live many months and even years with stage 4 colon cancer. 1 . How long a person lives after the diagnosis depends on many things, including how the colon cancer cells behave, where the cancer has spread, and how the individual responds to available treatments.

What is the first thing you discuss with your healthcare team?

Among the first things you will discuss with your healthcare team is how much information you want about your prognosis. Prognosis refers to the possible course of the disease and how much time you have.

Does hospice care mean giving up?

What it's important to know , however, is that choosing hospice care does not mean that you are giving up. With hospice care, people are still treated. Instead of focusing on treatments to attack cancer, hospice care focuses on treatments to control the symptoms of cancer, and hopefully improve your quality of life.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

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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