Colon cancer surgical methods

Written by Gong Chun
Oncology
Updated on September 29, 2024
00:00
00:00

The surgical approach for colon cancer should be tailored based on the specific circumstances of the patient, involving a rational, comprehensive treatment strategy. The surgical principle is that early-stage cancers should undergo curative resection, while more advanced cancers should be treated with radical surgery or extended radical surgery. Once the treatment plan is determined, the choice of surgical methods should be made comprehensively based on the patient's specific conditions. For example, in the surgery of rectal cancer in the middle and lower segments, it should be considered whether to preserve the anus or perform abdominoperineal resection based on the tumor's biological characteristics, patient's age, overall health, and any concurrent diseases. It is not that there is one fixed type of surgery; the approach should be specifically tailored based on the detailed analysis of the issues at hand.

Other Voices

doctor image
home-news-image
Written by Sun Wei
Surgical Oncology
48sec home-news-image

What to do about liver metastasis from transverse colon cancer?

Liver metastasis in transverse colon cancer is relatively common, especially in cases where the disease has progressed. Because the transverse colon is located close to the liver region, tumors in this area can potentially metastasize to the liver via the lymphatic or blood circulation, or through local infiltration. In cases where the liver metastasis is localized, there is still an opportunity for surgical treatment involving a radical resection of the transverse colon cancer combined with partial hepatectomy. If there are multiple metastases in the liver, radical surgery may not be feasible. Initially, preoperative neoadjuvant chemotherapy or targeted therapy is performed. If the liver metastatic lesions can be reduced or disappear, there may still be a chance for surgical treatment afterwards.

doctor image
home-news-image
Written by Cui Fang Bo
Oncology
43sec home-news-image

Is stage II-III colon cancer considered late stage?

Patients with stage II and III colon cancer are not yet considered to be in the classic advanced stages. Current oncology believes that colon cancer is categorized as stage IV and considered advanced when distant metastases occur. Common sites of metastasis for colon cancer include the liver, lungs, and bones. Stage II colon cancer patients do not have metastases to the pericolic lymph nodes, which is relatively early; stage III colon cancer patients have metastases to the pericolic lymph nodes, which is later than stage II, but as long as there are no distant metastases, it does not reach the advanced stage IV.

doctor image
home-news-image
Written by Yan Chun
Oncology
54sec home-news-image

What are the early symptoms of colon cancer?

The early symptoms of colon cancer mainly include discomfort and pain in the lower abdomen, which does not necessarily become more pronounced after eating and generally occurs intermittently. Some patients may also experience changes in stool shape, primarily manifested as narrower stools, or an increased frequency of bowel movements per day, leading to diarrhea. Some patients in the early stages may experience worsening of pre-existing constipation, or alternating symptoms of diarrhea and constipation. Some colon cancer patients in the early stages may experience bloody stools, or the presence of mucus, pus, and blood in the stool, which are some atypical gastrointestinal symptoms of colitis. Some patients may also experience nausea.

doctor image
home-news-image
Written by Sun Wei
Surgical Oncology
45sec home-news-image

What are the symptoms of transverse colon cancer?

Transverse colon cancer is a type of colon cancer, belonging to malignant tumors of the digestive system. The main symptoms may include rectal bleeding, narrower stools, increased frequency of defecation, diarrhea, and it may also cause constipation. For instance, if the tumor in the transverse colon is large enough to block the intestinal lumen, it could lead to difficulty in defecating. Constipation or even signs of intestinal obstruction could occur. Generally, a diagnosis can be confirmed through an endoscopic biopsy. After diagnosis, transverse colon cancer can be treated surgically, primarily through curative surgery, followed by adjuvant chemotherapy and other comprehensive treatments.

doctor image
home-news-image
Written by Cui Fang Bo
Oncology
53sec home-news-image

What is the likelihood of metastasis for colon cancer with a certain Ki-67 index?

Currently, the Ki67 index in colon cancer cannot be used as a predictive factor for metastasis. Ki67 reflects the proliferation index of the tumor and is related to the malignancy level of the tumor, but it is not possible to judge the risk of subsequent metastasis based on the Ki67 value. The factors that can be used to assess the risk of postoperative metastasis in colon cancer mainly include the depth of local invasion of the colon cancer, whether there is lymph node metastasis, and the presence of certain specific gene mutations. The deeper the invasion, the higher the risk of metastasis. Patients with lymph node metastasis have a higher risk of distant recurrence and metastasis compared to those without detected lymph node metastasis.