craycray wrote:My mother, who is 78 and is a lifelong smoker, was just diagnosed with adenocarcinoma from the biopsy of a large tumor in the sigmoid section of her colon. The tumor is so large that they could not even get a pediatric scope past it when doing a colonoscopy
Your mom is obstructing. Many patients have a circumferential mass that squeezes the colon closed.
Your need to do something before the colon squeezes shut and pressures up - dangerously complicating surgery, scary and unpleasant.
In my wife's case, there was a 6-7mm channel when CT scanned, causing dirrhea for a month but misdiagnosed.
We were able to immediatlely start things like high dose vitamin D3 (a very common, serious CRC deficiency), cimetidine (off label) and other goodies.
By surgery, my wife's sigmoid had opened up to about a 14 mm channel after 4 weeks of immune stimulation and anti-inflammatories, with a lot of tumor destruction.
You should study the links in my last post, Day1, Week 1
Also you might read about White Swan's aged mom
Gastroenterologist sent mom to a colorectal surgeon who recommended performing a sigmoid colectomy and potentially also left hemicolectomy.
that's usually the most favorable plan
I guess surgery would be done before any chemotherapy.
Your mom's age and condition are likely to limit chemotherapy harshness (MTD-M
ose) and duration, if used at all.
Again, you might read about White Swan's aged mom
The surgeon seems to have good online reviews, ...
but I am not sure if the surgeon has any experience with removing large tumors.
Primary colorectal cancer and GI problems are so common that they have their own specialty.
A board certified colorectal surgeon is THE surgical specialization for this surgery.
The surgical oncologist is more generalized for other less common cancers and will tackle distant mets.
I know surgery is required, but I want to ensure we are due diligent and first talk to an Oncologist.
The [medical] oncologist is really for chemo, typically after surgery for colon cancer. Before surgery you don't have all his desired information.
For large tumor removal, has anyone had experience with using a colorectal surgeon that does not specialize in surgical oncology?
Do you have a CT scan yet? An experienced colorectal surgeon has seen a lot.
Would we be missing the mark if we don’t look into doing HIPEC during the surgery that is offered at Sloan Ketter?
HIPEC is a later, demanding surgery for carefully selected, strong and fit mCRC patients dx'd with peritoneal mets.
Also one surgery at a time usually has better long results.