At Home Christian Jessen 2014 - 105

| bowel cancer|
The grade of the cells will also give your oncologist an
idea of your prognosis. low-grade cells look very similar
to normal cells, are slow growing and unlikely to spread,
while moderate-grade cells are more abnormal looking,
and high-grade very abnormal.

What to ask your doctor

WOrds: Marie Farquharson, eve Boggenpoel | PhOTOgrAPhs: getty iMages

being diagnosed with cancer is going to be a big shock,
so it's a good idea to prepare what you want to say to the
doctor in advance, to ensure you get all the information
you need. Don't be afraid to write down the answers, or
get a friend or family member to write them down for
you, as you may well be able to go away and decide on
which course of action you want to take. The following
questions may help you:
can you tell me the stage and grade of my cancer
and what it means?
Is there a clear prognosis?
what treatment do I need?
Are there side-effects to the treatment?
Is there a specialist nurse I can see?
what will happen at my follow ups?
Is there anything I should look out for?
what should I do if I am worried
between appointments?

Common yet effeCtive

Around 70,000 people are living with a
colostomy bag (a pouch type device) in the UK
If bowel cancer is diagnosed, it's often essential
to cut out a section of the colon. Because of this,
it's then necessary to find a new way for the
body to expel its excess waste.
One common solution is a colostomy operation.
This surgery involves diverting a section of the
colon and attaching it to an opening in the
abdominal wall, known as a stoma. A bag is
usually attached to the stoma to collect the waste
products that usually pass through the colon, out
of the body through the rectum and the anus.
Modern colostomy equipment is both discreet
and secure, and there is no reason why you can't
live an active, productive life afterwards.

a newer treatment for some cancers in the middle or
lower third of the rectum is brachytherapy, a high dose
of internal radiotherapy. again, it aims to shrink
the tumour to enable its complete removal. For this
Is it treatable?
procedure, a doctor will gently insert a tube into your
Yes. The earlier bowel cancer is
back passage, place it close to the site of the tumour and
diagnosed, the better. If it's detected
then deliver the correct dose of radiation.
at its earliest stage, the survival rate is
If you didn't have radiotherapy pre-operatively, you
greater than 93% over five years.
may need external radiotherapy after the operation,
For 80% of patients, surgery is the
particularly if the cancer
main treatment, and you may
wasn't completely removed,
be offered chemotherapy and
if it has grown through the
radiotherapy as well. 'The aim
'keyhole surgery Can
bowel wall or spread to
of surgery is to remove the
lead to a shorter
nearby lymph nodes.
affected bowel as well as the
while radiotherapy
surrounding lymph nodes
hospital stay, a faster
destroys cancer cells, it also
(glands) to allow assessment
affects normal cells nearby.
of the extent of the disease,'
reCovery and less
Some people only experience
says consultant laparoscopic
mild side effects, but for
and colorectal surgeon,
trauma for the patient'
others, reactions may be
Mr anthony antoniou (www.
severe. Generally, side effects
londongastroclinic.com). 'This
include tiredness, weakness, sore skin and loss of hair in
will determine the stage of the disease and whether or
the area treated. after radiotherapy to the pelvis, you
not further treatment with chemotherapy is required.'
may experience diarrhoea, sickness and bladder changes.
If it is at the early stage, the cancer will be removed
nHS hospitals are now using state-of-the-art
from the bowel lining. by using keyhole surgery,
radiotherapy technology, such as Truebeam, a device
practitioners can operate via small incisions, which leads
developed by Varian Medical Systems (www.varian.com)
to a shorter hospital stay, faster recovery and less trauma
to treat a moving tumour with speed and accuracy.
for the patient. A laparoscope, a thin, flexible, telescopeIt synchronises imaging, patient positioning, motion
like instrument with a light at one end, is passed through
management and treatment delivery during radiotherapy
a small incision in the abdomen and the images
or radiosurgery procedures. Such pioneering advances
displayed on a screen, allowing physicians to examine
help medical teams to view and treat tumours with precision.
abdominal organs or take tissue samples (biopsy).
where a tumour is larger or was diagnosed later,
patients may have a colectomy, which means part of
Follow-up appointments
the colon will be removed. The ends will then be joined
once you've completed your surgery and chemo, you'll
back together, and a colostomy bag will be fitted, and
need to attend regular appointments for several years
chemotherapy may be administered after surgery.
to check your cancer hasn't returned. Your care plan will
radiotherapy uses high energy rays to kill cancer cells.
be based on a holistic needs assessment (Hna), in which
It's usually given at the same time as certain types
you'll be asked about all areas of your life, including
of chemotherapy, as chemo makes cancer cells more
wound healing, changes in bowel habit, diet and energy
sensitive to radiation. Preoperative radiotherapy can
levels. Using this information, your care team will be
help to shrink tumours so they are easier to remove.
able to put in place a specific strategy to ensure you have
It also reduces the risk of the cancer coming back.
the best possible chance of recovery.
www.athomemagazine.co.uk JULY 2014 | 105


http://www.londongastroclinic.com http://www.varian.com http://www.athomemagazine.co.uk

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