Post-Colon Cancer Surgery: Should We Change Hospitals for Lung Tumor Surgery?

Inquiry about lung surgery after colorectal cancer surgery?

Hello, doctor.
I would like to ask about my family member who has recently undergone surgery for colon cancer and has also developed tumors in the lungs.
Despite having received preoperative chemotherapy, new lung tumors have still emerged.
The colorectal surgeon has suggested removing the lung tumors first to determine if they are metastatic.
Initially, the surgery was to be performed at the original hospital, but the thoracic surgeon there did not explain the condition thoroughly and had a dismissive attitude, which has caused a lack of trust.
My family member is considering seeking surgery at another hospital.
If the tumors are indeed metastatic, we plan to bring the medical reports back to the colorectal surgeon for further treatment.
Would it be better to find another thoracic surgeon at the same hospital, or to seek care at a different hospital altogether?

Qianyu, 20~29 year old female. Ask Date: 2022/05/09

Dr. Xu Kaixi reply Surgery

Your family member has a condition of post-colon cancer surgery, with suspected lung tumors that may have metastasized from the colon cancer.
If the lung tumors are indeed suspected to be metastatic from the colon cancer and are operable, it is certainly worth considering a surgical resection by a thoracic surgeon.
In principle, as long as the thoracic surgeon you choose is someone you and your family trust, it does not matter whether the surgery is performed at the original hospital or another facility.
There is no conflict with the physician responsible for postoperative follow-up and subsequent treatment.
The convenience of discussions among physicians within the same hospital is beneficial, and the exchange of patient medical information between different hospitals is currently quite common and not an issue.
Ultimately, the deciding factor should be whether there is mutual trust with the chosen thoracic surgeon.

Reply Date: 2022/05/09

More Info

When considering whether to change hospitals for lung tumor surgery after a family member has undergone colon cancer surgery, there are several factors to weigh. The situation you described involves a patient who has had prior chemotherapy and is now facing the possibility of lung tumors that may be metastatic from the colon cancer. The recommendation from the colorectal surgeon to remove the lung tumor is a critical step in determining the nature of the lung lesions.

Firstly, trust in the medical team is paramount. If the current thoracic surgeon at the original hospital has not provided satisfactory explanations or has exhibited a dismissive attitude, it is understandable that you would seek a second opinion or consider a different hospital. Effective communication between the patient, family, and healthcare providers is essential for informed decision-making, especially in complex cases like cancer treatment.

If you decide to seek care at a different hospital, ensure that the new facility has a reputable thoracic surgery department with experienced surgeons who specialize in lung tumors, particularly those related to metastatic disease. It may also be beneficial to look for a center that has a multidisciplinary approach, where oncologists, surgeons, and other specialists collaborate on treatment plans.

On the other hand, staying within the same hospital and seeking another thoracic surgeon can also be a viable option. This approach allows for continuity of care and easier access to the patient's medical records. If you choose this route, consider requesting a consultation with a different surgeon who can provide a fresh perspective on the case. It is important to feel comfortable and confident in the surgeon's expertise and approach to treatment.

In terms of the surgical procedure itself, if the lung tumor is indeed metastatic, the surgical team will need to assess the extent of the disease and whether complete resection is possible. The pathology results from the lung tumor will guide further treatment decisions, including whether additional chemotherapy or targeted therapies are necessary.

Ultimately, the decision to switch hospitals or seek a different surgeon should be based on the level of trust and comfort you feel with the medical team, as well as the quality of care and expertise available. It is crucial to advocate for your family member's health and ensure that they receive the best possible care tailored to their specific needs.

In conclusion, whether you choose to change hospitals or seek another surgeon within the same facility, prioritize finding a team that communicates effectively, demonstrates expertise in lung cancer treatment, and provides a supportive environment for both the patient and family. This will help ensure that your family member receives the best possible care moving forward.

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