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Questions and answers

Questions and answers

Here you can ask a ques­tion about the treat­ment of col­orec­tal can­cer and hos­pi­tal­iza­tion at the Moscow City Oncol­o­gy Hos­pi­tal No. 62. The answer will come to the e‑mail address you spec­i­fied in the appro­pri­ate field. We guar­an­tee com­plete con­fi­den­tial­i­ty of your infor­ma­tion. Below you will find answers to fre­quent­ly asked questions.

By click­ing the but­ton you con­sent to the pro­cess­ing of per­son­al data and agree to the pri­va­cy policy
  • Col­orec­tal can­cer (or can­cer of the colon and rec­tum) is a malig­nant tumor of the colon
    or rec­tum. Can­cer is a tumor made up of atyp­i­cal (abnor­mal) cells that have
    the abil­i­ty to uncon­trol­lably divide and spread to oth­er organs and tissues.

  • In total, there are 4 stages of col­orec­tal can­cer (CRC). At stages 1 and 2 of the CRC tumor
    lim­it­ed only by the gut itself. Stage 3 means that the tumor has spread to
    near­by lymph nodes. At stage 4, there are tumor foci (metas­tases) in oth­er organs.

  • The main treat­ment for col­orec­tal can­cer of stages 1–3 is surgery. Some­times before surgery chemother­a­py or radi­a­tion ther­a­py is pre­scribed, depend­ing on var­i­ous fac­tors. Also patients may require post­op­er­a­tive chemother­a­py. Deci­sion on its imple­men­ta­tion is tak­en after the surgery accord­ing to the results of a his­to­log­i­cal exam­i­na­tion of the removed tumors.
    In patients with stage 4 CRC, every­thing is more com­pli­cat­ed — it all depends on the degree of preva­lence of the process.
    It is some­times pos­si­ble to per­form an oper­a­tion and remove both the tumor and its metastases.
    It also hap­pens that it is impos­si­ble to remove the tumor and / or its metas­tases. In this case, chemother­a­py is assigned.
    Any deci­sion regard­ing patient treat­ment tac­tics are tak­en at an onco­log­i­cal coun­cil, which includes an oncol­o­gist sur­geon, chemother­a­pist, radi­a­tion ther­a­pist and oth­er specialists.

  • The essence of the oper­a­tion is that the sur­geons remove the tumor along with the area of the intes­tine and adja­cent lymph nodes. Some­times, if a tumor grows into oth­er organs, it can cause its com­plete or par­tial removal.

  • No. How­ev­er, such oper­a­tions do occur. Most often, a colosto­my is formed when a patient
    has sequela in the form of intesti­nal obstruc­tion. Then the patient is deliv­ered from the house to the surgery on duty by ambu­lance, where his tumour is removed and the stoma is formed or just a stoma is formed with­out remov­ing the tumor.
    A planned oper­a­tion (not by ambu­lance) can also end with the for­ma­tion of a stoma -
    some­times tem­po­rary and some­times per­ma­nent. For some patients a surgery can sub­se­quent­ly be per­formed to remove stoma (restora­tion of intesti­nal con­ti­nu­ity). You need to con­sult with your doc­tor indi­vid­u­al­ly about all options.

  • Sur­geons can now per­form such oper­a­tions laparo­scop­i­cal­ly in 80–90% of cases.
    This means instead of a large inci­sion in the mid­dle of the abdomen, a few small
    cuts no more than 1.5 cm, are made through which sur­geons manip­u­late using
    spe­cial tools and cam­eras, and one sec­tion of a larg­er length (about 5–6 cm), is made to remove the tumor.
    For some patients it is impos­si­ble to per­form this type of surgery for one rea­son or orther (for exam­ple, the tumor is too large, many ear­li­er per­formed oper­a­tions, a large spread of the tumor, etc.). For such patient an oper­a­tion is per­formed with nor­mal mid­line abdom­i­nal inci­sion (open surgery), the essence of the oper­a­tion itself is not changing.

  • If the oper­a­tion goes well, and the post­op­er­a­tive peri­od pro­ceeds with­out com­pli­ca­tions, then
    the patient is in the hos­pi­tal for about 5–7 days. Then the recov­ery is con­tin­ued at home and
    may take from a cou­ple of weeks to sev­er­al months (depend­ing on sev­er­al factors).

  • There are no mea­sures that could be guar­an­teed to pro­tect against CRC. How­ev­er, you can notice­ably reduce the risk of its occur­rence. An impor­tant fac­tor here is lifestyle. Cut­ting the fre­quent intake of red meat, eat­ing more veg­eta­bles, fiber; quit­ting smok­ing and hav­ing active lifestyle will help reduce the risks of the disease.

  • Yes, a set of mea­sures aimed at ear­li­er detec­tion of can­cer or pre­can­cer­ous conditions
    is called screen­ing. Col­orec­tal can­cer is a type of tumor for which screen­ing can achieve good results.
    One of the main risk fac­tors of CRC is age. There­fore, for peo­ple old­er than 50 (and not hav­ing a genet­ic pre­dis­po­si­tion for CRC, not suf­fer­ing from Crohn’s dis­ease, non-spe­cif­ic ulcer­a­tive col­i­tis) it is rec­om­mend­ed to per­form a colonoscopy every 5–10 years, if dur­ing the first colonoscopy no tumors were detect­ed, includ­ing benign ones.
    In our coun­try dur­ing a med­ical exam­i­na­tion an analy­sis of feces for occult blood is used, and with a pos­i­tive result, colonoscopy.
    This method is applic­a­ble but has a num­ber of lim­i­ta­tions and less sensitive.
    For an indi­vid­ual screen­ing plan, it is best to con­sult with a specialist.

  • CRC may be asymp­to­matic. How­ev­er, the dis­ease may man­i­fest itself. Con­sti­pa­tion, blood in stool, sig­nif­i­cant weight loss in a short peri­od of time, gen­er­al weak­ness (ane­mia) may be the symp­toms of col­orec­tal can­cer. If you have any of these symp­toms, you need to see a doctor.

  • We do not con­duct cor­re­spon­dence con­sul­ta­tions with patients. Since the treat­ment of can­cer is com­plex, it is like­ly that a con­sul­ta­tion of sev­er­al spe­cial­ists will be required — an oncol­o­gist sur­geon, radi­ol­o­gist, chemother­a­pist. Besides, the need for a coun­cil is not ruled out. Thus pres­ence of the patient is required.

  • Pay­ment for out­pa­tient manip­u­la­tions and inpa­tient treat­ment for indi­vid­u­als is pos­si­ble in cash, by cred­it card at the cash desk of the hos­pi­tal, as well as by bank trans­fer on bills for orga­ni­za­tions and insur­ance companies.

    Cash desks are open Mon­day through Friday:
    Cash desk No. 1 of the Main build­ing 7.45–15.00;
    Cash desk No. 3 and No. 4 of the Main build­ing 8.00–15.20;
    Cash desk of the Sur­gi­cal build­ing 8.00–15.20.

  • Hos­pi­tal patients can be vis­it­ed on week­days from 4 p.m. to 7 p.m., and also on week­ends from 10 a.m. to 2 p.m. and from 4 p.m. to 7 p.m.

  • A car can be parked in a paid guard­ed park­ing lot (near­by the hos­pi­tal main entrance). If you plan to be hos­pi­tal­ized, you can leave your car in the park­ing lot for the entire dura­tion of treat­ment at our clin­ic. Hourly pay­ment (50 rubles / hour) is made direct­ly in the park­ing lot through the ter­mi­nal, dai­ly pay­ment (200 rubles / day) or month­ly pay­ment (3,000 rubles) — at the cash desk of the hospital.

Impor­tant: to get diag­no­sis, to devel­op a treat­ment reg­i­men, to give rec­om­men­da­tions for tak­ing med­ica­tions, etc. the doc­tor can only after a face-to-face con­sul­ta­tion! To make an appoint­ment, please call: +7 495 536 02 22, +7 495 536 02 24 or fill out an online appli­ca­tion. Stay healthy!

Make an appointent with Dr. Chernikovskiy I.L. at MCOH №62