Treatment for Metastasized Colorectal Cancer The liver is the most frequent site for colorectal cancers to spread (metastasized). Here, treatments may slow the spread of cancer and even prolong survival. Cure is very rare. Surgery When cancer has spread, surgery to remove or bypass obstructions in the intestine may be performed. In these circumstances, surgery is considered palliative in that it may improve symptoms but will not lead to cure. In rare cases, metastatic colon cancer may be cured with surgical removal of tumors in areas to which the cancer has spread, such as the liver, ovaries, and lung. The liver is the most common site of spread. Only selected patients may be eligible for such surgery, but in such patients, 5-year survival has been 25% or higher. Chemotherapy Chemotherapy may help improve symptoms and possibly prolong survival in metastasized colorectal cancers. Several investigational drugs are being tested. Doctors are also testing chemotherapy administered directly into...
Ever since they first appeared in this country, some hundred
years ago, professional baseball games have been a quintessential
opportunity for millions of American fathers to bond with their
children. On June 16th, in commemoration of Fathers Day,
Major League Baseball altered one of the games most storied
traditionsthe seventh-inning stretchas a public service
to these same fathers. To raise awareness for prostate cancer, fans
in baseball stadiums across the country sang Take Me Out to
the Ballgame last Sunday after the sixth inning, a symbolic
gesture that refers to the fact that one in six American men will
develop prostate cancer at some point in their life. A public
service message, promoting regular prostate exams as well as
general cancer awareness, was displayed on the big screen during
the stretch. The players wore blue wristbands, and the
uniforms of coaching staff, ball-boys, ball-girls, and grounds-crew
featured the blue ribb...
I was recently evaluating a patient for an elevated prostate specific antigen (PSA) of 5.0 ng/ml with no other medical problems. He was 55 years old and only complained of occasional urinary frequency. His PSA was obtained during his yearly physical and his prostate exam was unremarkable. As to be expected, he was concerned and asked me if there were any symptoms associated with prostate cancer . Symptoms of prostate cancer range from nothing to severe back pain and blood in the urine often depending on the severity of the cancer. When men have a small focus of prostate cancer, for example the size of a pea, there are usually no symptoms related to the cancer. These men tend to have a PSA less than 10 ng/ml. On rare occasions, some of these men may experience mild urinary frequency and urgency and the urologist might see microscopic blood in the urine. As the cancer grows to a larger size, men can experience signs of urinary blockage from the cancer obstructing the flow ...
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