Hi Team, I need your help in this poll.[color=#000000][/color]
I need your opinions with a permanent colostomy VS/ a REVERSAL My tumor is cancerous and as large as a walnut and 1.9 cm away from the Anal verge. Per MRI Report.
If this was your report would you have a restructure or a colostomy.
If you have experience with a colostomy which one do you use and what are the pros and cons of the device.
Endosonographic Finding
A mass was found in the rectum 4 cm from the anal verge per Ultra Sound Report. The mass measures 50 mm in length and 12 mm in width. No evidence suggesting invasion into the musculari propria (Layer 4) without breakthrough in the perirectal fat. No evidence of invasion into the adjacent structure
MRI PELVIS WO/W IVCON-DETAILS
Impression
Anal Neoplasm with Transmural invasion through Anterior-left lateral aspect of in internal anal sphincter into intersphincteric fat.
Lesion contacts the left external anal sphincter complex and posterior wall of vagina' perineal body, but without gross intramuscular tumor signal.
No suspicious Lymphadenopathy
By Mri this would be a T2 No Lesion
My understanding once the Sphincter is involved with the mass it is better to have a colostomy especial with a 1.9 cm Anal Verge on other report is 4 cm away from anal verge.
If I opted for the restructure I would have to have Chemo and Radiation and who knows what other issues could arise. With the colostomy, my surgeon said I would be CANCER FREE.
I WOULD APPRECIATE YOUR HELPING ME UNDERSTAND WHAT THE SPHINCTER INVOLVEMENT IS AND WOULD IT BE WORTH ALL THAT IS I NVOLVED FOR THE REVERSAL.
I AM 73 YEARS OLD NOT LOOKING FOR A RELATIONSHIP. I AM MARRIED. if I WERE 35 MY ATTITUDE WOULD PROBABLY BE DIFFERENT
THANK YOU,
GLORIA