Get to know colon cancer.

Colorectal cancer

Colorectal cancer is a cancer that ranks in the third of cases and can be treated. How do we know if it falls under the category of There is a risk. The author will begin to present the same story as before, as if the patient had told his own story of knowing about the disease. Starting from a female patient aged about 50 years old who went to eat spicy boat noodles and thought that she had stomach pain from spicy food but endured the pain for about 3 days, it appeared that she had abnormal difficulty in excreting stool.

Patients feel shocked and confused because just the process of detecting the disease requires many preparations. Start by abstaining from food and water 6 hours before CT scan. An opaque substance is given through the saline line and intestinal enema to look at the area of intestinal obstruction. When performing a CT scan, the doctor will be able to give a rough idea of whether the patient has a chance of developing bowel cancer and may be able to give a rough idea of the stage of the disease, but most importantly, the doctor may consult a surgeon urgently for surgery to correct the intestinal obstruction, as well as allow us to take a biopsy to confirm that it is indeed cancer and may send it to the gene level for accurate treatment.

This female patient after facing the misfortune of having an intestinal obstruction and a biopsy that was confirmed to be cancerous. But fortunately in this misfortune, this patient underwent surgery to remove all the biopsies, and the surgeon removed the lymph nodes to examine 12 glands, without finding any cancer spreading to the lymph nodes. After 3 days of recovery, the patient got better and was able to go home and make an appointment to cut the sutures to see the wound the next week, and the surgeon made an appointment to see the oncologist or the age of the oncologist. It can be said that it is completely cured of cancer if it is a farang. He will be called Cancer Survivor.

The author would like to rewind the tape or if it is the present day, I would like to go back to the clip when I first met the oncologist who reported the biopsy results or the bad news along with telling me that it was cured as a psychological healing just a few minutes later. If you have colon cancer, it does not include the rectum or rectum. Mainly, if the treatment is in the early stages or there are emergency symptoms, the first treatment that must be done is surgery. Chemotherapy is followed by the following stages:

Stage 1 may be detected by symptoms related to fecal excretion or caused by cancer screening, and it may be found that does not penetrate deep into the intestinal muscles. After surgery that is correct according to the principles of cancer surgery. Patients will not need to receive chemotherapy after surgery because they are considered cured. However, they have to strictly monitor the appointment with the doctor.

Phase Two There are two cases: the risk of recurrence is high, such as intestinal obstruction like this doctor’s patient, or the biopsy is removed and looks ugly. Fighting blood vessels or capillary lymph tubes In this case, it is necessary to give chemotherapy for six months, which is oral. The name of capecitabine and the injection form of the drug name 5FU are for patients to choose from, which is equally effective. However, if the risk is low, the symptoms must be monitored closely like in stage one, or confirmed by genetic stability or microsatellite testing. If it is unstable, chemotherapy is not required.

The third stage is actually conditional on the period of time to give. The mandatory flight phase of chemotherapy lasts six months, but if it is a low-risk third stage, There is an option to administer the drug for only three months without the risk being really low, such as not having many symptoms, and the biopsy does not look ugly. The dosage depends on the age of the patient. If you are over 70 years old, your doctor will give you the same type of chemotherapy as in the second stage. The medicine given usually has the name of the formula from the doctor’s mouth to hear FOLFOX or CAPOX (pronounced FOLFOX and CAPOX respectively).

The fourth stage is a delicate stage that requires meetings. Genetic biopsy to find a backup plan for treatment because, in addition to administering two chemotherapy drugs on the ground, Having more targeted drugs will increase the effectiveness of treatment, for example, if a gene that is not resistant to drugs is detected, there is a chance that the targeted drug can be given as well. This can give patients a handicap to survive cancer for longer. Including a handicap that may lead to surgery that can cure cancer. As for other drugs that are the newest group of drugs that have just been invented and won the Nobel Prize in 2016, namely immunotherapy, cancer genetic testing or special biopsy staining, it can tell whether patients with stage four cancer have other options than chemotherapy.

The patient that the author told me about was a patient with stage 2 colon cancer who received chemotherapy. While receiving the medicine, the author must challenge people who pass by or work with patients to see if they can see if this is the case. Cancer patients who are undergoing chemotherapy because in addition to smiling and helping doctors to promote people at work to be screened for cancer, they also have to pay attention to the needs of their patients. This girl also looks like an energetic supervisor girl who doesn’t lose her hair. He did not answer with a thin face, no nausea and vomiting to be seen, and he could work normally.

In the end, Or if a direct family member such as a parent, brother, sister, or child has a history of colon cancer, it is recommended to have endoscopic screening at an age 10 years earlier than the age of a family member who has cancer, such as a mother who has colon cancer at the age of 50.

Source: NCCN Guidelines for Patients: Colon Cancer

And thank you for the information from:

Dr. Panuch Eiamprapaporn, Medical Oncologist