Colon cancer, Oncology FAQ

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Understanding Tumors Near the Anus: Signs, Risks, and Treatment Options

There is a tumor near the anus? Recently, I visited a cosmetic medical clinic to address a hemorrhoid issue. On the day of the surgery, the physician performed a digital examination and discovered a hard mass near the anus, which he believed was not hemorrhoids. Additionally, the...


Dr. Chen Sirong Reply:
Ms. Chen / 47 years old / Male (?) 1. Is the likelihood of colon cancer high? A: It is advisable to consult a physician for a biopsy to confirm whether it is cancer. 2. If it is indeed stage III colon cancer, is the survival rate high? A: The cure rate for stage 0 colon ca...

[Read More] Understanding Tumors Near the Anus: Signs, Risks, and Treatment Options


Understanding Advanced Colon Cancer Treatment Options and Challenges

Colorectal cancer treatment As a child seeking advice for my father: My father, in his seventies, was diagnosed with colon cancer that had metastasized to the liver at the time of discovery. After surgically removing the tumor at the junction of the colon and rectum, he began che...


Dr. Chen Yunfang Reply:
Hello: Some questions are not ones that I, as a general physician, can or should answer; you need to ask your father's primary physician. Therefore, I will only address some research-related inquiries: 2. All Ras gene mutations indicate that targeted therapies for a specific...

[Read More] Understanding Advanced Colon Cancer Treatment Options and Challenges


Exploring Advanced Treatment Options for Stage IV Colon Cancer Pain Management

Cancer treatment Hello Doctor: Last year, my mother was diagnosed with stage IV colorectal cancer. The doctor prescribed chemotherapy and targeted therapy, and for a while, her condition was well-controlled; she could eat, sleep, and move around like a normal person. However, I f...


Dr. Chen Yunfang Reply:
Hello: After reading the description, your mother was already diagnosed at stage IV, which is terminal, meaning it has essentially metastasized. All treatments for stage IV are merely to delay the inevitable; a cure is not possible. 1. Can monoclonal antibodies or bisphosphonate ...

[Read More] Exploring Advanced Treatment Options for Stage IV Colon Cancer Pain Management


Seeking Chemotherapy Port Removal Services Near My Home

Chemotherapy port removal Hello, doctor. I live in the Qingpu area of Zhongli. I have been diagnosed with colon cancer with metastasis to the liver and lungs, and I am currently receiving outpatient chemotherapy at Taipei Medical University Hospital. I need to carry a portable in...


Dr. Chen Sirong Reply:
MK / 56 years old / Female, please schedule an appointment for Wednesday with Dr. Kao Chung-Shu at the Radiation Oncology Department. Wishing you peace at Taoyuan Hospital. Chen Sih-Rong.

[Read More] Seeking Chemotherapy Port Removal Services Near My Home


Understanding Metastatic Colon Cancer Treatment and Emotional Support

Cancer treatment My husband has metastatic colorectal cancer and has undergone resection of the malignant tumor at Shuanghe Hospital. He had his third chemotherapy session on July 21, with a total of five sessions planned. A CT scan is scheduled for mid-August to assess the treat...


Dr. Hu Ziren Reply:
It is recommended to have a detailed discussion with the attending physician; if necessary, you can request a consultation with an oncology psychologist, social worker, or other holistic support services!

[Read More] Understanding Metastatic Colon Cancer Treatment and Emotional Support


Understanding Chemotherapy for Colorectal Cancer with Liver Metastasis

Cancer treatment My husband has metastatic colon cancer to the liver. The colon cancer has been surgically removed, and he underwent his second chemotherapy on July 7, which included 5-FU, Leucovorin, and Oxaliplatin. Before chemotherapy, his CEA level was 300, but after the firs...


Dr. Hu Ziren Reply:
During the treatment of colorectal cancer, follow-up CT imaging and CEA levels are monitored every 2-3 months. Chemotherapy typically lasts for 3-4 months (approximately 6-9 cycles) before treatment effects can be assessed. Therefore, since only two cycles have been completed, an...

[Read More] Understanding Chemotherapy for Colorectal Cancer with Liver Metastasis


Understanding Stage 4 Colon Cancer Treatment: Chemotherapy and Targeted Therapy

Cancer treatment Dear Dr. Chen, My husband, Cheng-Chung, was diagnosed with stage IV colorectal cancer (metastatic colorectal cancer) in May 2021. A CT scan on May 11 at National Taiwan University Hospital revealed liver metastases, with multiple small tumors, approximately 7-8 ...


Dr. Chen Yunfang Reply:
Hello: For stage IV colorectal cancer, according to current standard treatment, the first-line therapy consists of chemotherapy combined with the targeted drug Avastin. Based on previous research findings, the expected probability of tumor shrinkage is over 50%. The average durat...

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Understanding Rising CEA Levels During Chemotherapy for Colon Cancer

Elevated CEA levels in recurrent colorectal cancer? Hello Dr. Chen, I am from Taoyuan and currently in Canada. In May 2019, I was diagnosed with cancer located between the ascending colon and the transverse colon, which was classified as stage III. After an emergency surgery for ...


Dr. Chen Sirong Reply:
Tony Chen / 57 years old / Male Hello, medical condition: 1. Diagnosed with recurrent metastatic colorectal cancer in the lymph nodes near the aorta, measuring 17mm in diameter. 2. CEA levels have been consistently rising. The Canadian physician recommends continuing chemotherap...

[Read More] Understanding Rising CEA Levels During Chemotherapy for Colon Cancer


Understanding Side Effects of Ufur Capsules in Colorectal Cancer Treatment

The side effects of Ufur Rejuvenation Capsules? Hello, doctor. My mother is approximately 68 years old and was diagnosed with colon cancer during a health check last year. She underwent surgery to remove the tumor in August, and the pathology report classified it as stage 2A. She...


Dr. Chen Yunfang Reply:
Hello: 1. I cannot comment on traditional Chinese medicine as I am not familiar with it. 2. This is something you should discuss with the primary physician; I cannot answer on their behalf. 3. The answer is the same as above. Thank you.

[Read More] Understanding Side Effects of Ufur Capsules in Colorectal Cancer Treatment


Post-Surgery Challenges in Stage IV Colon Cancer Treatment: Key Insights

Postoperative treatment issues for colorectal cancer? My father is in his seventies and has stage IV colon cancer with liver metastasis (both lobes have tumors of varying sizes). After undergoing bowel resection, he received 8 cycles of chemotherapy and 5 cycles of targeted thera...


Dr. Hu Ziren Reply:
1. The thickening of the peritoneum indicates localized inflammation of the intestines, which may be a localized inflammatory response caused by chemotherapy. 2. The gallbladder issue was discovered incidentally and is not indicative of metastasis; the report suggests it may be...

[Read More] Post-Surgery Challenges in Stage IV Colon Cancer Treatment: Key Insights


Is PRP Treatment Safe for Patients with a Cancer History?

Is it appropriate for patients with a history of cancer to undergo PRP (Platelet-Rich Plasma) therapy? Hello, Doctor. I was diagnosed with stage I colon cancer six years ago and underwent surgical treatment without chemotherapy. My follow-up has been smooth since then. I am also ...


Dr. Chen Sirong Reply:
Ah Xiong / 47 years old / Male believes that the so-called PRP is an intra-articular injection, not a systemic blood injection. Therefore, I personally think it is acceptable. Wishing you swift recovery, Chen Si-Rong, Taoyuan Hospital.

[Read More] Is PRP Treatment Safe for Patients with a Cancer History?


Post-Surgery Treatment Considerations for Stage IVA Colon Cancer

Postoperative treatment issues for colorectal cancer? Hello Doctor: A senior in their seventies has undergone surgery for a malignant tumor in the rectum, confirmed to be stage IVA, with a CEA level in the fifties, and multiple tumors of varying sizes present in both lobes of the...


Dr. Chen Yunfang Reply:
Hello: The most suitable respondent to these questions is the attending physician responsible for the treatment (to clarify the responsibility). Medical care is not a mechanical job; each person's experience and skills vary. I will answer based on my approach. 1. Generally...

[Read More] Post-Surgery Treatment Considerations for Stage IVA Colon Cancer


Can Colon Cancer Surgery Patients Drink Chicken Essence?

Can patients who have undergone colorectal cancer surgery drink chicken essence? A family friend recently underwent a colon cancer resection surgery, and we are planning to visit them. We are unsure if it is appropriate to bring chicken essence for them to drink, considering they...


Dr. Chen Sirong Reply:
Li Ying / 18 years old / Female. A family friend recently underwent a colon cancer resection surgery, and I want to visit but I'm unsure if I can bring chicken essence for that friend to drink. A: Yes, you can. Taoyuan Hospital, Dr. Chen Sih-Rong.

[Read More] Can Colon Cancer Surgery Patients Drink Chicken Essence?


Mucus in Stool: Understanding Symptoms and Concerns for Teens

Mucus present in stool wiping? I am currently 14 years old. Recently, when I wipe after using the bathroom, there is mucus on the toilet paper (similar to clear nasal mucus). I'm not sure if the amount is a lot or a little, but the mucus usually surrounds the stool. I'm...


Dr. Hu Ziren Reply:
There are anal glands located near the anus, which secrete mucus responsible for lubricating the rectal and perianal tissues. Therefore, this is a normal physiological phenomenon and should not cause excessive concern.

[Read More] Mucus in Stool: Understanding Symptoms and Concerns for Teens


Choosing Between Erbitux and Vectibix for Stage IV Colon Cancer

Targeted therapy options for stage IV colorectal cancer? In the case of stage IV colorectal cancer, both Erbitux (cetuximab) and Vectibix (panitumumab) require RAS gene testing to ensure there are no mutations before they can be used. What are the differences between the two? How...


Dr. Lai Yicheng Reply:
Dear Mr. Chen, Regarding your inquiry, the National Health Insurance has specific reimbursement regulations: 1. Cetuximab (e.g., Erbitux): a. For the treatment of metastatic colorectal cancer: i. First-line treatment for patients with RAS wild-type metastatic colorect...

[Read More] Choosing Between Erbitux and Vectibix for Stage IV Colon Cancer


Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients

Oral chemotherapy drugs Hello Dr. Chen, my mother is 86 years old and underwent a right hemicolectomy for a tumor at the end of March. She has now been discharged and is back home. However, the pathology report indicates that although it is stage II, the cell differentiation is p...


Dr. Chen Sirong Reply:
Mr. Zhang / 47 years old / Male Hello, 1. I would like to ask the doctor about the differences between not taking oral chemotherapy drugs and taking them for a stage II colorectal cancer postoperative patient. A: Personally, I believe that the differences in taking or not taki...

[Read More] Oral Chemotherapy for Stage II Colon Cancer: Risks and Benefits for Elderly Patients


Understanding Post-Chemotherapy and Radiation Side Effects in Colorectal Cancer

Chemotherapy and radiation therapy side effects? My sister is 39 years old and has stage III colon cancer. The doctor recommended a five-week course of chemotherapy and radiation therapy, after which the tumor shrank by 80% or disappeared. She is currently resting at home for abo...


Dr. Chen Yunfang Reply:
Hello: I cannot answer this because there are too many possible causes for the pain, such as pain from the tumor itself, pain from intestinal perforation, or pain from a wound infection or abscess (which, if not treated, could lead to sepsis and be fatal)... She needs to see a ph...

[Read More] Understanding Post-Chemotherapy and Radiation Side Effects in Colorectal Cancer


Addressing Lung Metastasis in Colorectal Cancer: Treatment Options and Concerns

The issue of colorectal cancer metastasizing to the lungs? Dear Doctor, I would like to ask a few questions. My father was diagnosed with colon cancer 4-5 years ago, which was staged from 1 to 2. He underwent surgery for tumor resection and received approximately 8 months of che...


Dr. Chen Sirong Reply:
Hello Doctor, Borgy / 39 years old / Female 1. Could you please change the medication? 2. If your esteemed father is physically able, there are injectable options available, as well as targeted therapies that can be used in conjunction with chemotherapy. Thank you for your cor...

[Read More] Addressing Lung Metastasis in Colorectal Cancer: Treatment Options and Concerns


Is Local Radiation Necessary After Total Mastectomy for Stage IIB Triple-Negative Breast Cancer?

The necessity of total mastectomy and adjuvant radiotherapy? My mother, who is 77 years old, underwent a right total mastectomy and axillary lymph node dissection on January 20. The postoperative pathology report indicated triple-negative breast cancer, stage IIB T3N0M0, with a t...


Dr. Lai Yicheng Reply:
Dear Ms. Jojo, Thank you for your letter. I would like to respond as follows: Your mother has been diagnosed with right-sided breast cancer, T3N0M0, with a tumor size of 10 cm, grade 3, triple-negative, and stage IIB. 1. Adjuvant chemotherapy and radiotherapy are the standard ...

[Read More] Is Local Radiation Necessary After Total Mastectomy for Stage IIB Triple-Negative Breast Cancer?


Understanding Lateral Tumors and Malignant Adenomas in Colorectal Health

There are laterally developing tumors within the intestine and a malignant intestinal adenoma on the intestinal wall? My father was found to have a lateral type of developing adenoma in the left colon during a colonoscopy on January 28 of this year. The report indicated: "A ...


Dr. Lai Yicheng Reply:
Dear Ms. He, I have read your letter several times, but I still do not fully understand your content. I will attempt to answer your questions. 1. Your father's intestinal malignancy refers to colorectal cancer. From your letter, I cannot determine the stage; please consult...

[Read More] Understanding Lateral Tumors and Malignant Adenomas in Colorectal Health


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