Can advanced colorectal cancer be cured?

Written by Sun Wei
Surgical Oncology
Updated on September 10, 2024
00:00
00:00

Complete cure is often difficult to achieve in the middle and late stages of colorectal cancer. Of course, it is possible to control the progression of the lesion and then prolong survival. For middle and late-stage colorectal cancer, if the treatment is reasonable or effective, it is possible to survive for more than three years, five years, or even longer. Clinically, surviving more than five years without recurrence is considered a clinical cure. Of course, there is still a possibility of recurrence after five years, but the probability of recurrence will be much lower. If one can survive more than ten years, or even 20 years without recurrence, it is basically considered a cure, but regular check-ups are still necessary afterward, as it cannot be guaranteed that there will be no recurrence. For the middle and late stages of colorectal cancer, surgical treatment should be pursued whenever possible, followed by a combination of chemotherapy, radiotherapy, and targeted therapy after surgery.

Other Voices

doctor image
home-news-image
Written by Sun Wei
Surgical Oncology
55sec home-news-image

Late stage survival of transverse colon cancer

Late-stage colon cancer can still potentially allow for a relatively long survival time, such as living more than one year, two years, or even three to five years. Of course, this also depends on the treatment provided. Generally, it may not be possible to perform curative surgery directly in the advanced stages, but preoperative neoadjuvant chemotherapy, targeted therapy, and so on, can be administered first. If these treatments can reduce the size of the tumor and lower its stage, there could still be a chance for surgical treatment later. Clinically, if there is no recurrence after more than five years, it is considered to have achieved a clinically curative effect. For instance, surpassing five years can possibly mean extending survival beyond ten years or even longer. However, treatment for late-stage patients needs to be adjusted as it proceeds, and it is impossible to specifically determine how long one can live.

doctor image
home-news-image
Written by Sun Wei
Surgical Oncology
48sec home-news-image

What to do about liver metastasis from transverse colon cancer?

Liver metastasis in transverse colon cancer is relatively common, especially in cases where the disease has progressed. Because the transverse colon is located close to the liver region, tumors in this area can potentially metastasize to the liver via the lymphatic or blood circulation, or through local infiltration. In cases where the liver metastasis is localized, there is still an opportunity for surgical treatment involving a radical resection of the transverse colon cancer combined with partial hepatectomy. If there are multiple metastases in the liver, radical surgery may not be feasible. Initially, preoperative neoadjuvant chemotherapy or targeted therapy is performed. If the liver metastatic lesions can be reduced or disappear, there may still be a chance for surgical treatment afterwards.

doctor image
home-news-image
Written by Sun Wei
Surgical Oncology
49sec home-news-image

Is minimally invasive surgery suitable for transverse colon cancer?

Transverse colon cancer can also be considered for minimally invasive surgical treatment. The main procedure involves a complete resection of the transverse colon, and sometimes, it may require the resection of part of other organs. For instance, if the cancer has invaded the splenic region of the colon, a splenectomy may be necessary. If there is invasion into the liver area, partial liver resection may be needed. In cases where minimally invasive surgery is not suitable or inconvenient, it is also possible to switch to open surgery. The goal is to completely remove the tumor. Whether minimally invasive or traditional surgery is used, it is just a method of operation. Additionally, postoperative adjunct chemotherapy and other comprehensive treatments are necessary.

doctor image
home-news-image
Written by Cui Fang Bo
Oncology
41sec home-news-image

What should be done after the complete removal of colon cancer?

After surgical removal of colon cancer, the postoperative treatment strategy should be determined based on the precise staging of the cancer according to the surgical pathology. If the colon cancer has invaded the mucosal layer and the submucosal layer, or the muscular layer, it is staged as stage I; postoperative adjuvant chemotherapy is not required, and regular follow-up is sufficient. If the colon cancer reaches stage II or III, postoperative adjuvant chemotherapy is needed to reduce the risk of postoperative recurrence and metastasis. Stage IV colon cancer does not fall under the aforementioned conditions of clean removal of the cancer.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
36sec home-news-image

Is dry, pellet-like stool a symptom of colon cancer?

Dry, granular stools are not necessarily symptoms of colon cancer, but patients with colon cancer may also experience dry, granular stools. Therefore, after exhibiting the above symptoms, patients need to promptly complete an electronic colonoscopy to confirm the diagnosis of the disease. For example, if the symptoms are due to colon cancer, aggressive surgical treatment should be taken, followed by comprehensive treatment including radiotherapy and chemotherapy. If the symptoms are due to functional indigestion causing constipation, treatment should involve using medications to regulate the intestinal flora and relieve constipation.