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  Colorectal Cancer Treatment & Survival


SURGERY

Surgery is the primary treatment for patients with colon or rectal cancer. A team of experienced professionals work together to determine the most effective plan for each patient. Colorectal surgeons on staff at Memorial Hermann are fellowship-trained, which means they completed additional training to become especially well versed in the diagnosis, management and treatment of diseases and disorders of the colon and rectum.

Memorial Hermann offers traditional and minimally invasive surgical options:

  • Lymphadenectomy (lymph node dissection)
    Physicians often need to remove lymph nodes from the groin to determine the stage of the cancer. A minimum of 12 are needed for accurate results.
  • Local excision
    If found at a very early stage, the doctor may remove the cancer without cutting through the abdominal wall. This is done by inserting a tube through the rectum into the colon and cutting the cancer out. If the cancer is found in a polyp (a small bulging piece of tissue), the operation is called a polypectomy.
  • Laparoscopic-assisted colon surgery
    In this minimally invasive surgery, surgeons insert a miniature camera into the abdomen through a half-inch-long incision and display the images on a monitor in the operating room. Using other instruments, the physician then removes the diseased sections of the colon.
  • Colectomy (resection)
    This surgery involves removing the cancerous section of the colon and then rejoining the remaining section. The doctor will usually remove the lymph nodes near the colon and examine them for cancer.
  • Resection and colostomy
    If the doctor is not able to sew the ends of the colon (or the rectum) back together after removing the cancerous portion, a stoma (an opening) is made on the outside of the body. This is called a colostomy. A bag is placed around the stoma to collect the waste.
  • Transanal excision
    For this surgery, only the cancerous portion of the rectum is removed. No lymph node removal is involved.
  • Transabdominal resection
    During this surgery, the cancerous portion of the rectum is removed, along with surrounding tissue. Suspicious lymph nodes near the rectum are also removed and examined for cancer cells.
MEDICAL ONCOLOGY

A subspecialty of internal medicine, medical oncology focuses on the diagnosis and medical treatment of solid malignant tumors and malignant hematologic disorders.

Medical oncologists establish and evaluate the cancer diagnosis, determine the cancer’s stage and collaborate with surgeons, pathologists, radiation oncologists and other medical specialists to plan the optimal course of treatment.

Treatment plans may include surgery, chemotherapy, radiotherapy, biotherapy, stem cell therapy, hormonal therapy, antibody therapy or other investigational therapies, such as whole-body hyperthermia.

The medical oncologist makes important medical judgments throughout the cancer patient’s course, dealing with anemia, infection, pain control and other complications which may impact overall survival.

Biotherapy - Monoclonal Antibodies (Targeted Therapies) are used to destroy unique proteins present in certain types of cancers. Once the protein has been identified, it can be created artificially.

Chemotherapy
Memorial Hermann offers patients convenient, comfortable and private chemotherapy treatment services. Both outpatient chemotherapy services, and inpatient chemotherapy services are provided by experienced and compassionate oncology nurses.

Chemotherapy can be used to cure specific cancers, to control tumor growth when a cure is not possible, to relieve symptoms such as pain, to shrink tumors before surgery or radiation therapy, or to destroy microscopic metastases after tumors are surgically removed.

To combat the side effects of chemotherapy, Memorial Hermann patients receive the newest therapies, including medicines that increase blood counts and prevent nausea and vomiting. The use of these therapies, along with new delivery devices, makes chemotherapy much easier for patients to tolerate.

Outpatient Chemotherapy Services
Our outpatient chemotherapy services are available in convenient locations, close to our patients’ homes and families. Patients receive personalized treatment services using advanced technologies. Comfortable treatment areas, staffed by experienced, caring nurses, offer private recliner infusion chairs and entertainment materials.

Inpatient Chemotherapy Services
Inpatient chemotherapy services are provided in the patient’s private room. All of our oncology nurses have received training on the administration of chemotherapy, ensuring the best patient experience possible. Each patient receives personalized care, in a comfortable, caring environment.

RADIATION THERAPY To Top

Radiation therapy is the use of ionizing radiation to treat cancer as well as some benign diseases. Ionizing radiation therapy injures or destroys cells in the areas being treated by damaging the cells’ genetic material, thus making it impossible for the cells to continue to divide and spread. Although radiation damages normal cells as well as cancer cells, we rely on the normal cells to repair themselves sufficiently for the tissues to recover.

External Beam Radiation Therapy (EBRT)
External beam radiation therapy is generally delivered in the form of either X-rays (photons) or electrons. This therapy can be used to treat cancer that lies deep in the body or close to the skin surface, adjusting the energy of the beam accordingly.

Memorial Hermann uses advanced treatment-planning computer technology and a radiotherapy simulator to pinpoint the areas to be irradiated. Lower-power lasers reproduce treatment setups on a day-to-day basis to accurately reproduce treatment fields. Adjacent normal structures are blocked with a lead shield to prevent damage to healthy areas.

SURVIVAL To Top

Delivering an exceptional patient experience helps make Memorial Hermann a premier community cancer network. Memorial Hermann knows that the relationship between the cancer patient, primary care physician, oncologist and cancer specialists is critical.

Our entire cancer-care team is available to provide emotional support during the course of each patient’s treatment. Specially trained oncology nurses, dietitians and social workers work with our physicians to assist our patients through recovery and healing.

We're committed to providing patients with the information and support they need to make informed decisions that increase their chances of living long, productive lives. Our patient-centered services promote education, early detection and positive outcomes.

Advanced Practice Nurse
Memorial Hermann’s Advanced Practice Nurse plays an important role in improving the inpatient treatment experience. With a master’s-level degree in clinical oncology and national certification in the field, the Advanced Practice Nurse helps cancer patients admitted to Memorial Hermann hospitals in many ways:

  • Provides direct patient care, including chemotherapy administration, helping to ensure that a patient’s treatment plan is clear to nurses
  • Serves as a resource for nurses and physicians regarding advanced oncology nursing knowledge, including the evaluation of specific care delivery needs for patients
  • Implements consistent chemotherapy administration policies and procedures for nurses across the hospital system, providing a patient experience consistent with national standards
  • Educates patients on cancer treatments and symptom management, as requested
  • Provides nurses with continuing oncology education, including chemotherapy certification classes
  • Promotes new program development and improvement opportunities, including the integration of the latest clinical capabilities that may benefit cancer patients at Memorial Hermann
The Advanced Practice Nurse in oncology, unavailable at many other institutions, is another important reason to choose Memorial Hermann for cancer treatment.

Cancer Treatment Planning Boards
A multidisciplinary team of medical oncologists, radiation oncologists, surgeons, radiologists and pathologists meets weekly to plan and discuss the specifics of care delivered to individual patients. Patient progress is reviewed each week, and treatment options are discussed to ensure the best possible outcome for each patient. In effect, these planning boards provide our patients with second and third opinions on their treatment. In addition, cancer registries track cases diagnosed and treated to evaluate and facilitate improved quality of care and patient outcomes.

Chaplaincy and Spiritual Care
Memorial Hermann recognizes that superior care involves treating the whole patient - body, mind and spirit. Upon request, professional chaplains are available at each hospital to offer both emotional and spiritual support to cancer patients and their families.

As an emotional and spiritual resource, hospital chaplains understand the personal concerns of cancer patients and help patients cope with the emotional stresses they are experiencing. Chaplaincy services include listening to patients, answering questions and offering short-term counseling, scripture and prayer, as requested. These services provide comfort to patients and their families during a difficult time.

Clinical Trials
Cancer patients at Memorial Hermann have access to appropriate clinical trials through their doctors. Any patient participating in a clinical trial at Memorial Hermann receives the standard-of-care treatment, in addition to the new therapy under consideration. When a proven standard-of-care treatment seems to provide insufficient attack against a patient’s cancer, qualified patients can be enrolled in ongoing community-based trials.

Genetic Counseling and Testing
Memorial Hermann offers cancer risk assessments, genetic testing, education and counseling for individuals at high risk for hereditary cancers such as breast, ovarian, colorectal and endometrial cancers.

Lymphedema Services
Lymphedema is a chronic condition characterized by swelling of the patient’s extremities due to abnormal accumulation of lymph fluids. The lymphedema management program offers noninvasive therapies to help patients reduce limb swelling, attain maximum limb function and maintain limb health. Memorial Hermann-Texas Medical Center offers the only comprehensive lymphedema management program in Houston.

Palliative Care
Palliative care is active total care for patients with serious illness. Care is provided for patients and families by an interdisciplinary team working collaboratively with the patient’s attending physician, who focuses on pain and symptom control, management of psychosocial and spiritual issues and grief/bereavement support. Palliative care is provided with other appropriate medical care and is not reserved only for patients at end of life. The goal of palliative care is to help the patient achieve the best possible quality of life.

Integrative Medicine
Integrative medicine, part of palliative care, is associated with our S.P.I.R.I.T. Program: Supportive, Patient, Integrative, Rehabilitative, Intervention, Therapies.

Research shows that integrating medical science with gentle complementary therapies may accelerate the healing process. These therapies are aimed to help individuals achieve a balance between the physical, mental, emotional and spiritual aspects of health.

Therapies can elicit the relaxation response; ease anxiety, pain or other distressing symptoms by bringing about measurable physiological changes; and increase a sense of well-being. They do not interfere with any ongoing medical treatment, only enhance it.

Our palliative-care nurse is highly trained in therapeutic massage, healing energy work such as therapeutic touch, Reiki, guided imagery, mind/body therapies, meditation techniques, conscious breathing and aromatherapy. We also offer a wide selection of healing music.

Oncology Nurse Navigator
A specially trained registered nurse serves as an oncology nurse navigator and is available to patients and their families as a primary contact throughout a patient’s cancer diagnosis and course of treatment. Since a diagnosis of cancer is often overwhelming, the oncology nurse navigator helps to simplify the maze of cancer services required. Services provided by the navigator include:

  • Navigating patients through the entire medical experience, including diagnosis, treatment plan, appointments, billing, and all tests and procedures
  • Coordinating patient care to ensure that tests and procedures are conveniently scheduled
  • Facilitating referrals to surgeons and other cancer specialists
  • Explaining lab and test results
  • Offering patients one-on-one informational instruction about cancer, definitions of treatment and information about cancer services available at their hospital and throughout the Memorial Hermann system
  • Providing educational materials on cancer, which helps to empower patients throughout the treatment process
  • Serving as a contact once the patient is home
By looking after the best interests of the patient, the oncology nurse navigator makes the patient’s transition from diagnosis to treatment smoother and simpler.

Patient Resource Center
Obtaining information about health, illness and treatment options can increase a patient’s ability to make informed decisions and ease the fear of the unknown. Resource centers at each of our hospitals provide an easy-to-access environment where resource experts can help find the information that patients and their families need. Free and open to the public, our resource centers help to promote education and improve patient outcomes.

Psychosocial Assessment, Counseling and Support
Experienced oncology social workers are available to help patients with lifestyle changes, discharge planning and referrals to support groups and community agencies. Throughout its network of hospitals, Memorial Hermann offers support groups for breast cancer support groups, prostate cancer support groups and others for cancer patients.

Other Patient Services
Memorial Hermann is committed to enhancing our patients’ quality of life through services such as wellness programs, nutritional counseling, smoking cessation classes, dance and exercise therapy, and on-site rehabilitation services. Our Wellness Center offers a variety of programs to help promote healing. To register for a class, please call 713-222-CARE (2273). English- and Spanish-speaking representatives are available seven days a week to help you.

To Top

  Memorial Hermann Cancer Centers
•  Memorial Hermann-Texas Medical Center*
•  Memorial Hermann Katy Hospital
•  Memorial Hermann Memorial City Medical Center*
•  Memorial Hermann Northeast Hospital*
•  Memorial Hermann Northwest Hospital*
•  Memorial Hermann Southeast Hospital*
•  Memorial Hermann Southwest Hospital*
•  Memorial Hermann The Woodlands Hospital

For more information or physician referral call 713-222-CARE (2273) or find a physician online.

(*) Approved by the American College of Surgeons Commission on Cancer. All Memorial Hermann Cancer Programs are either approved by the ACOS/COC or are seeking approval.

 
 Cancer Services

 Learn More
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