After the colonoscopy, the endoscopist said that there was something growing in the intestines, and the shape was not good. A check on the Internet scared people to death.
If the endoscopist says that it is bowel cancer, then the following problems may have to be faced.
1) Is it bowel cancer?
Colonoscopy + biopsy pathology, pathological confirmation, then the diagnosis is confirmed.
2) Early or late?
Colonoscopy can be used to make a simple decision to determine whether the colonoscopy is in the early or advanced stages (see the description of colonoscopy and **).
To doCT of the chest and contrast-enhanced CT of the abdomen, imaging to assess whether it is early or late. Pelvic MRI may be done for rectal cancer.
3) How long will you live?
The prognosis is determined by the postoperative pathological stage (PTNM stage). Colorectal cancer is classified into stages I-IV. Therefore, if the tumor is found on the colonoscopy, the prognosis cannot be judged.
4) Do I need chemotherapy after surgery?
Chemotherapy is not required for early-stage bowel cancer (stage I) and stage II low-risk diseaseFollow-up is sufficient.
Stage II general risk, stage II high risk, stage III chemotherapy.
In advanced (stage IV), chemotherapy + targeted**or immunized**.
5) Rectal cancer, can it be saved?Do you want to do manual **?
The distance between the lower edge of the tumor is more than 5 cm, which can be insured.
The distance is 5 cm, the actual position is very low, and TATME (transanal total mesorectal excision) is performed.
The distance between the lower edge of the tumor is less than 5 cm, and it is necessary to be removed.
6) Do I need to do genetic testing?
Those who have a lot of money can ignore it. I did to have an understanding of my genes.
Most of them don't need to be done (as long as you do ** surgery) - you won't need to do it.
Advanced (stage IV, or postoperative**) requires genetic testing because targeted drugs are used.
7) Cost and length of hospital stay?
In Shanghai, the total cost is 6-70,000 yuan. Hospitalization: 1-2 days before surgery + day of surgery + 7-9 days after surgery.
8) Minimally invasive or open?
Minimally invasive is highly recommended. Unless intestinal obstruction, intestinal perforation, and abdominal adhesions cannot be done laparoscopically.
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