Stage III Colon Cancer and Post-Surgery Concerns - Surgery

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Stage III melanoma with lymphatic metastasis?


A family member underwent a colonoscopy, which revealed polyps in the intestines.
A biopsy confirmed the presence of cancer cells.
They had surgery to remove a small section of the intestine and nearby lymphatic tissue, resulting in a diagnosis of stage III cancer.
Originally, the belly button was located in the center of the abdomen, but after the surgery, it has shifted four centimeters to the left.
Additionally, there is frequent swelling around the belly button after meals.
Is this normal? Could this be considered medical negligence, or was the surgery not performed correctly?

Xiwang, 30~39 year old female. Ask Date: 2016/01/18

Dr. Li Zhonghuai reply Surgery


Hello! Please return to your original physician for follow-up.
The most likely diagnosis is an incisional hernia, which is often caused by the patient not properly using an abdominal binder.
Wishing you a speedy recovery from Changhua Hospital!

Reply Date: 2016/01/18

More Info


Understanding Stage III Colon Cancer and Post-Surgery Concerns
Stage III colon cancer is characterized by the spread of cancer to nearby lymph nodes but not to distant sites. This stage indicates that the cancer has progressed beyond the primary tumor in the colon, necessitating a more aggressive treatment approach, often involving surgery followed by chemotherapy. The surgical procedure typically involves the resection of the affected segment of the colon along with any nearby lymph nodes that may contain cancer cells.
In your case, it appears that your family member underwent surgery to remove a segment of the colon and nearby lymph nodes due to the presence of cancerous polyps. The fact that the cancer was found in the lymph nodes classifies it as Stage III. Following surgery, the standard treatment protocol usually includes adjuvant chemotherapy to eliminate any remaining cancer cells and reduce the risk of recurrence.

Regarding the post-operative concerns you mentioned, it is not uncommon for patients to experience changes in their abdominal anatomy after surgery. The displacement of the navel (belly button) and the sensation of fullness or bulging in the area around the navel can occur for several reasons:
1. Surgical Technique: The surgical approach may have involved manipulation of the abdominal wall, which can lead to changes in the position of the navel. If the surgery involved significant resection or reconstruction, the anatomy may not return to its original state.

2. Swelling and Healing: Post-operative swelling is a normal part of the healing process. As the body heals, it can take time for swelling to subside, and this may cause temporary changes in the appearance of the abdomen.

3. Hernia Formation: In some cases, a bulging sensation near the surgical site could indicate the development of an incisional hernia, where the abdominal contents push through the weakened area of the abdominal wall. This is a potential complication of any abdominal surgery.

4. Scar Tissue: The formation of scar tissue (adhesions) can also lead to changes in the abdominal structure and sensation. This scar tissue can sometimes cause discomfort or a feeling of fullness.

It is essential to communicate these concerns with the surgical team. They can assess whether the changes in the navel's position and the sensation of fullness are within the normal range of post-operative recovery or if further investigation is warranted.
As for whether this situation constitutes medical negligence, it is crucial to understand that surgical outcomes can vary widely among patients. While complications can arise, they do not automatically imply negligence. Medical negligence typically involves a failure to meet the standard of care that a reasonably competent medical professional would provide under similar circumstances. If there are significant concerns about the surgical outcome, seeking a second opinion or consulting with a medical malpractice attorney may be appropriate.

In summary, while changes in the position of the navel and sensations of fullness can be concerning, they are not uncommon after colon surgery. It is vital to follow up with the healthcare provider to ensure proper healing and address any complications that may arise. Regular follow-up appointments are crucial for monitoring recovery and managing any potential recurrence of cancer.

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