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.
What is colorectal cancer?
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.
What are the stages of colorectal cancer?
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.
What are the treatments for colorectal cancer?
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.
What is the essence of surgery for colorectal cancer?
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.
Is it necessary to insert a colostomy during such operations?
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.
How are such operations performed? Laparoscopically?
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.
How long is the recovery period after surgery?
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).
How not to get CRC?
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.
Are there ways for early cancer diagnosis?
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.
What in my condition can alert me?
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.
Is it possible to conduct an absentee consultation of a patient with medical documents?
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.
How can I pay for services? Only in cash or is it possible to pay by bank transfer?
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.
When can friends and relatives visit hospital patients?
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.
Is there a parking for patient’s cars nearby the hospital?
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