Treatment FAQ

what treatment for colon cancer

by Dr. Priscilla Morissette Published 3 years ago Updated 2 years ago
image

Medication

Some of the most commonly used regimens include: FOLFOX: leucovorin, 5-FU, and oxaliplatin (Eloxatin) FOLFIRI: leucovorin, 5-FU, and irinotecan (Camptosar) CAPEOX or CAPOX: capecitabine (Xeloda) and oxaliplatin FOLFOXIRI: leucovorin, 5-FU, oxaliplatin, and irinotecan One of the above combinations ...

Procedures

Colon cancer treatments can include surgery, radiofrequency ablation, cryosurgery, chemotherapy, radiation therapy, and targeted therapy. Learn more about the diagnosis, prognosis, and treatment of colon cancer in this expert-reviewed summary.

Therapy

Treatment for colon cancer includes: Endoscopic Treatment. Often, polyps are safely removed during a colonoscopy. Some very large polyps may be removed without surgery by specially ... Surgery. Chemotherapy.

Nutrition

Depending on the type of colorectal cancer, different types of drugs might be used, such as: Chemotherapy for Colorectal Cancer. Targeted Therapy for Colorectal Cancer. Immunotherapy for Colorectal Cancer.

See more

May 04, 2020 · In general treatment for colon cancer requires surgery and/or systemic therapy with chemotherapy, immunotherapy or precision cancer medicines. The specific treatment for each person is individualized and is based on the stage of the cancer, its genomic profile and the age, condition and preferences of the patient.

What are the best natural remedies for colon cancer?

Apr 21, 2022 · Lately, due to the changes in cancer findings, screening, and treatment processes, there has been more count in the total colon cancer symptoms, patient numbers, and colon cancer survival rate.Due to more people, there is a need for safety measures like lifestyle modifications regarding physical stress, obesity, smoking, and diet.

Who is the best doctor for colon cancer?

Surgery is often the recommended treatment for stage 0 colon cancer. Polypectomy — snaring and removing polyps containing cancer during a colonoscopy Local excision — removal of flat colon growths “piecemeal” during colonoscopy

What drugs are used to treat colon cancer?

Apr 11, 2022 · Just because active treatment of your colon cancer ends, it does not mean that you will not have any treatments. Palliative care for colon cancer addresses comfort rather than cure, but may, at times, include radiation therapy, chemotherapy, or even surgery.

How to treat colon cancer naturally with home remedies?

Colon cancer is more likely than other residents of advanced advanced economies. One of the reasons for this pattern lies in the nature of the diet: people eat a lot of food rich in animal fats, flour and fried foods, and forget about cereals, vegetables and fruits rich in fiber. This negatively affects the condition of the colon.

image

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.

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.

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 is a sigmoidoscope?

A sigmoidoscope is inserted through the rectum into the sigmoid colon. A sigmoidoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a tool to remove polyps or tissue samples, which are checked under a microscope for signs of cancer. 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 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 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 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 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 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.

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.

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 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 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.

What does a doctor test for in blood?

Your doctor may also test your blood for a chemical sometimes produced by colon cancers (carcinoembryonic antigen, or CEA). Tracked over time, the level of CEA in your blood may help your doctor understand your prognosis and whether your cancer is responding to treatment.

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.

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:

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 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.

How is colon cancer treated?

In general treatment for colon cancer requires surgery and/or systemic therapy with chemotherapy, immunotherapy or precision cancer medicines. The specific treatment for each person is individualized and is based on the stage of the cancer, its genomic profile and the age, condition and preferences of the patient. In certain instances radiation or liver directed therapies may also be used. (1-7) Individuals with early stage cancer are curable and the outcomes of individuals with advanced disease have improved significantly over the past several years.

What is systemic treatment?

Systemic treatment is any substance that travels through the bloodstream, reaching and affecting cells all over the body. Traditionally systemic treatment was mainly chemotherapy but increasingly consists of precision cancer medicines and immunotherapy administered alone or in combinations to target specific cancer driving genetic mutations.

Is radiation therapy a treatment for colon cancer?

Radiation therapy uses high-powered energy beams, such as X-rays or protons, to kill cancer cells. Radiation therapy is not a common way to treat colon cancer, though it may be used in certain circumstances. Radiation therapy, often with chemotherapy, is frequently used in the adjuvant or neoadjuvant setting for the treatment of rectal cancers, whereas chemotherapy alone is more common for the adjuvant and neoadjuvant treatment of colon cancers.

What is Xeloda 5FU?

Xeloda® (capecitabine) — oral “prodrug” which is converted to 5-FU in the tissues. 5-FU and leucovorin. Your doctor can discuss the advantages and disadvantages of the different chemotherapy regimens for your individual needs.

What is nivolumab used for?

This drug may be used in combination with nivolumab as a treatment option for metastatic colorectal cancer ( mCRC) with microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) cancer following the progression on a fluoropyrimidine, oxaliplatin, and irinotecan.

What are the treatments for metastatic disease?

Often, chemotherapy and radiation are combined with surgery to shrink tumors.

What is the treatment for stage 1 colon cancer?

STAGE I COLON CANCER. For stage I colon cancer, surgery is also often the recommended treatment. It will typically be either: Colectomy (resection) — removal of all or part of your colon through one incision.

What is MSI-H treatment?

This treatment is indicated for adult and pediatric patients with unresectable or metastatic solid tumors that have been identified as having a MSI- H or dMMR biomarker, including patients with solid tumors that have progressed following prior treatment and who have no alternative treatment options.

What is stage IV CRC?

Treatment for stage IV or recurrent colorectal cancer is complex, and generally requires consultation with medical, surgical and radiological doctors.

What is the purpose of immunotherapy?

Immunotherapy uses certain parts of a person’s immune system to fight disease. Immunotherapy for colorectal cancer has been shown to be effective in a small subset of patients with a certain biomarker, microsatellite-instability (MSI) or mismatch repair deficiency (MMR).

What is it called when you have only a few metastases?

In medical lingo, a single or only a few metastases are referred to as "oligometastatic" with the term "oligo" meaning few. For those who have metastatic colon cancer with only a few metastases to the liver or lungs, removing the metastases can sometimes result in long-term survival. 3 .

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 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.

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.

Is stage 4 colon cancer treated the same as stage 4 colon cancer?

In the past, stage 4 colon cancers were all treated the same. Treatments were directed at cancer in general, no matter where the cancer had spread. This has, thankfully, changed. Now, when a person has only a few or small areas of metastases, say to the liver, treatment of the metastases may be considered.

Is colon cancer better than two years ago?

When people comment on others who have had the disease—which will almost certainly occur—you may want to gently remind them that treatments are changing. Better treatments are available for colon cancer than we had even two years ago, and long-term survival rates—even with stage 4 disease are improving.

Is stage 4 colon cancer bad?

Stage 4 colon cancer is frightening, and until very recently had a very poor prognosis. We have many more treatments available at this time, with even more available in clinical trials. This is wonderful in many ways, but unlike the past, people need to be a very active part of their cancer care team.

image

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

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9