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Gastroenterology MCQ Bank Forum Hot - Unasnwered
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saleem199Send an Instant Message to saleem199  




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Quick Scroll Treatmentof anal cancer 02.02.06 (2 years ago) #1

- Anal cancer is BEST treated by CHEMOTHERAPY + RADIOTHERAPY because:

- It gives better cure rate than surgery

- Usually anal sphincter and fecal continence is preserved

.
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Quick Scroll 07.09.06 (1 year ago) #2

if is is stade 4 so yes/ if no meta/ not in lymph nodes must DELETE the tumor (surgery)
NB: and what about tumor stenosis , treated also with Chemio/Radiotherapy ? icon_smile.gif
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Quick Scroll 07.28.06 (1 year ago) #3

tell about staging also icon_lol.gif
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Quick Scroll 07.29.06 (1 year ago) #4

Surgery is the mainstay of treatment for colorectal cancer. Unfortunately, despite the improvements in surgical and anaesthetic techniques and the increase in operability rates, 5-year survival rates have remained relatively static over the last 50 years. Improvement in survival is only likely to be achieved, therefore, with the use of adjuvant therapy.
Provided distant metastases have been excluded, the aim should be to make as curative an excision of the tumour as is possible. This entails excision of the colon or rectum bearing the carcinoma, together with the associated draining lymph nodes. If the lesion appears to extend into local structures, these should be excised en bloc if at all feasible. After excision, function must be restored to as near normal as possible.
Even if it is considered that an operation is only likely to be palliative, excision of the primary tumour should nearly always be attempted, as it may prevent the development of intestinal obstruction and other distressing symptoms.
For patients with a rectal carcinoma who are otherwise unfit for surgery, other forms of local therapy may provide relief of symptoms
/ from book


Surgical Management of Stage IV Disease

For a select group of patients with metastatic colorectal cancer, complete surgical resection of stage IV disease may be an option and can provide a long-term survival advantage. This is especially true with respect to metastatic sites in the liver and lung. Numerous regional approaches have also been explored for the treatment of stage IV colon cancer depending on the organ or body cavity involved. Organ-specific infusional therapy, isolated or continuous perfusion therapy, radiofrequency ablation or cryotherapy, surgical debulking, and radiation therapy are all technical approaches that have been used. Many of these regional strategies as well as surgical metastasectomy are discussed in separate chapters and therefore are not specifically addressed here.
/ from book

if u asked staging - there are Duke's or TNM staging.
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Quick Scroll 06.11.07 (1 year ago) #5

if its 4 th stage then yes
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Quick Scroll 06.13.07 (1 year ago) #6

like the others; my answeris depends on stage...
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Quick Scroll 09.27.07 (9 months ago) #7

I have a suggestion for my dear friends, if I am allowed. Whould you please quote the page of the sentence that you write here? So that we can figure out that this answer should be a corect and acurate one and anybody who doesn't belive it, could find the answer in the mentioned book. As far as I am concerned, it will save the time of us all. I would appreciate it if you take stapes to qoute it. Wish all the best for you all. Mohsen.H.N
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Quick Scroll anal cancer 12.14.07 (6 months ago) #8

folks the treatment for anal cancer is always chemoirradiation as any standard text of surgery will tell you (Nigro regimen )....even 24th ed bailey gives u that....treatment of rectal ca is primarily surgical.......but if unresectable or if sphincter is compromised then anterior RT / Chemo may be tried to downstage the disease before surgery.....
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