Dr. Arshad Hussain Shah
Medical oncology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
What personalized treatment plan and considerations should be prioritized for my 68-year-old grandfather diagnosed with stage 2 colorectal cancer? Given their age and the stage of cancer, what are the optimal treatment options available, considering factors such as potential comorbidities, overall health, and quality of life? How should the treatment strategy be tailored to minimize potential side effects, balance the benefits of treatment against the risks, and ensure the most effective outcomes? Additionally, what multidisciplinary approaches, including surgery, chemotherapy, radiation therapy, immunotherapy, or targeted therapies, should be considered, and how can the patient be supported emotionally, physically, and psychologically throughout their treatment journey, taking into account their age-related concerns and specific health needs?
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern. The treatment for colon and rectal cancers differs; rectal cancer patients typically require chemoradiation, while colon cancer patients usually do not need radiotherapy. Stage 2 colon cancer necessitates radical surgery, and the decision for post-surgery chemotherapy depends on histopathology reports. If the risk is low, no chemotherapy is required, and neither immunotherapy nor targeted therapy is necessary for stage 2 colorectal cancer. In cases where patients have comorbidities and a poor performance status but are classified as high-risk stage 2 colorectal cancer, a low dose of Capecitabine can be administered after surgery, as it is generally well-tolerated.
I hope this helps you.
Thank you.
Regards.
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Medical oncology
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