What is the best treatment for stage 3 colorectal cancer?

Question

Hello doctor,

I have attached the CT report of my mother. Could you please verify the reports and suggest the best treatment for her?

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

I understand that you must be very upset while seeing these reports.

The CT (computed tomography) scan findings are raising the possibility of colorectal cancer, although it needs to be proven in the biopsy (attachments removed to protect the patient’s identity). You did not upload the colonoscopy report since it will help decide the treatment she is supposed to undergo.

It seems to be stage 3 colorectal cancer on a CT scan, and the treatment would be surgery followed by chemotherapy for at least four cycles. Now the type of surgery depends on the rectum involvement. For that reason, I need you to share with me the colonoscopy report.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Both of your uploads are not colonoscopy reports. One is a biopsy requisition form, and another is a CT scan requisition form. Ask your doctor to provide you a printed report of the colonoscopy and share it with me.

Regards.

Answer 3

Hello,

Welcome back to icliniq.com.

Yes, I have seen the report. It seems the rectum is not involved. However, the CT scan is showing rectum involvement. I am not satisfied with the colonoscopy report quality since the endoscopist did not mention the length of the tumor. It is essential to know if the upper part of the rectum is spared from cancer or not.

The recommendation for her further treatment is as follows;

She should go for a colectomy with lower anterior resection (LAR) and lymphadenectomy to remove more than ten lymph nodes and colostomy. It should be followed by chemotherapy.

I hope this helps.

Thank you.

Answer 4

Hi,

Welcome back to icliniq.com.

I have seen the attached biopsy report. It shows adenocarcinoma, meaning cancer of the sigmoid colon. The treatment plan remains the same as previously advised. She should go for colectomy surgery with lower anterior resection (LAR) and lymphadenectomy, removing 10 plus lymph nodes, with a colostomy (bag) followed by chemotherapy (if Ro achieved) plus-minus radiotherapy (in case of Ro not achieved). So above is my recommendation for her.

I hope she will recover soon after the above treatment.

Thank you.