92306 wrote:
E) Resection of the colon tumor
this is stage IV colon ca.
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| dr in trouble
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In all type 1v cancers, chemotherapy is the best option.
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| amkhit
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theres an obstructing left sided lesion which will go into obstruction if not resected ( or atleast a colostomy be done ) . A solitary liver metastasis does not eliminate resection as a treatment modality for obstructing lesions . However it may be followed with a liver metastatectomy for the metastasis.Thispatient doesnot qualify for chemotherapy bcos of his age
A previous good health qualifies him for surgery.
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| r_albayunen
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widespread is chemotx
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| Justice
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His condition will be further complicated if Ch-therapy started before/without bowel decompression (trust an surgeon-oncologist, please). The choices do not include sigmostoma (needed in this case if primary tumor is unresectable; the age could be an contraindication to a major surgery), but we have an option E) Resection of the colon tumor. After recovery we then start CH with 5FU
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| ashfaque
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E resection of tumour( resection is the main stay of treatment for colon cancer) , relives his obstruction, colstomy will improve his quality of life than he can be sent for chemo this what we do in our surgical ward, I have never seen my consultant refering pt in intestinal obstruction sec to tumour to Oncology fo chemo
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