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Q: Colonoscopy cancerous biopsy
asked by: JeannieMB on March 31st, 2008
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My dad had a colonoscopy on March 20th. He had a "mass" which after biopsy turned out to be cancerous. A CT scan done on March 26th. The doctor said the lymph nodes look fine, but they need to do an Ultrasound to confirm that the cancer has not spread outside the colon and determine the stage and how they will proceed. They scheduled the Ultrasound for April 3rd and then have an appointment set to meet with a "team" of surgeons on April 15th to determine exactly what they need to do.

My question is doesn't this seem like a long drawn out process? Isn't time of the essence? Shouldn't the time from the diagnosis to the surgery be quicker?

One of my reasons for concern is that my Dad is going to the VA Hospital and I am very unfamiliar with whether they provide the best treatment or not. From my Dad's impression, they are really busy. Does that mean his care will suffer? My parents are living on a very fixed income, but I would like to help be sure they are getting the best treatment possible.

Thank you for any info you can provide whether good or bad.

Jean
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MandMs
replied on April 1st, 2008
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Hi, Jean!
Patients treated at any hospital center, should receive effective therapy for colon cancer (there is a great improvement in diagnosis and treatment of colorectal cancer)

The most important thing to do before starting with treatment is to decide on the best treatment for patient's colorectal cancer, which depends on knowing its stage.
Doctors will do tests to 'stage' the cancer to determine how best to treat it.
And, in most cases, the actual size of the tumour is not the most important factor that determines outcome. More important is how much the tumour has spread.

What kind of symptoms your father had?
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JeannieMB
replied on April 1st, 2008
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Thanks for the response
My dad has had some blood in his stool, although not much. He originally though it was hemerroids which he battles often. He had a stool sample checked during a routine overall exam at the VA Medical Center. They confirmed blood in the stool about a month ago, then scheduled him for the colonoscopy.

From what they told him after the CT scan, the cancer doesn't appear to have spread to the organs and the lymph nodes looked good. Which is definitely reassuring.

My only concern at this point is whether they are continuing to move things along rapidly enough. An ultrasound is scheduled for the 4th of April and then he goes back on April 15th for a consultation with a "team" of surgeons. After that is when they schedule the surgery.

I haven't been able to find anything on the internet as to how quickly colon cancer spreads. The doctor told my dad last night that a few weeks won't matter - is he right? I know people have to be their own advocates, but we don't want to be unreasonable either.

The fact that my dad is going to the VA Medical Center and not getting any second opinions was a little bit of a concern as well, but I truly hope that what I've heard so far on the VA surgeons being very good is correct.
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MandMs
replied on April 14th, 2008
Extremely eHealthy
I was trying on several occasions to find some info about exact time needed for colon cancer to develop from first to second stage, but, in vain.
I agree with the doctor who told you that couple of weeks won't matter. For ex., it takes 3 to 7 years for cancer cells to divide to form a local cancer of 0,4 inch.
What are the ultrasound results like?
Please, write back about tomorrow's appointment!

Best wishes!
Marija
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