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what the doctors read

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Guess this is the answer to the other question - (spread where?)

A site our son sent, very informative.

http://www.cancernetwork.com/textbook/morev17.htm

--copy--

The natural history and patterns of failure following " curative "

resection for colon cancer differ from those for rectal carcinomas.

Local-regional failure as the only or major site of recurrence is

common in rectal cancer, whereas colon cancer tends to recur in

the peritoneum, liver, and other distant sites, with a lower rate of

local failure. As a result, a local therapy such as radiation may

have a significant role in the treatment of rectal tumors but is not

routinely used for colon cancers. Nonetheless, investigators from

Harvard pointed out that certain patients with colon carcinoma, such

as those with B3 and C3 lesions (MAC), tumors associated

with abscess or fistula formation, and residual disease after

subtotal resection, may benefit from postoperative radiotherapy in

addition to systemic therapy [194]. Systemic chemotherapy plus

levamisole is the principal adjuvant therapy for colon cancer.

(however, Bob's surgery that he is going to get - belly wash- must

only be a few years old - and not well know all over - as local doc

never suggested it as well)Thank you internet! (found another 2 sites

mentioning it prior to landing here, to this great site as well! Betty

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