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bowel cancer and rare ...

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hi. i had a tumour found on my vaginal wall which contained cells that should be in my intestines. this turned out to be cancerous and was told it was bowel cancer and rare because of where it was found. they told me ill have a scan to see if its spread and if it has they'll have to remove my bowels bladder and womb. ive done a bit of research? is called total pelvic exenteration? is this necessary without any treatment first? what are the survival rates if it is done?


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replied December 4th, 2010
Cancers Answer A17567
Hi, welcome to the ehealth forum and I am glad to help you.
You seem to be concerned about the bowel cancer and treatment options available especially the relevance of total pelvic exenteration in your case with the spread of cancer to vagina with a CT scan and other investigations pending to evaluate the total spread of the cancer.
Total Pelvic exenteration removes the bladder, urethra, rectum, anus, and supporting muscles and ligaments, together with the reproductive organs. Total pelvic exenteration is performed when there is no opportunity to perform a less extensive operation, because of the location and size of the cancer. A urinary stoma and a colostomy stoma will be created to collect waste.
The evaluation before pelvic exenteration includes a thorough physical examination with rectal and pelvic examination. Endorectal ultrasound and imaging studies such as computed tomography scans ( CT scans ) and magnetic resonance imaging (MRI) can be used to obtain pictures of the abdominal and pelvic areas and evaluate the spread of the cancer.
There is an option in your case to begin treatment with chemotherapy and/or radiation before the procedure. Surgery is typically performed approximately six weeks later.This decision is not possible online and must be taken by the team of your treating doctors how to proceed about the management of bowel cancer in your case after taking into account all the factors.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.





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