The following are treatment options for stage II colon cancer. The types of treatments given are based on the unique needs of the person with cancer.
Surgery is the primary treatment for stage II colon cancer. Surgery usually involves a bowel resection to remove the tumour and a margin of healthy tissue on each side of the tumour. The remaining 2 ends of the colon are joined together (anastomosis). The type of bowel resection depends on the location of the tumour and could include:
A temporary colostomy may be necessary if the colon cannot be reconnected because of stool contamination. It could also be used to let the lower colon rest and heal before being reconnected. A temporary colostomy is usually reversed within 3–6 months.
Most people with stage II colon cancer will not need chemotherapy. AdjuvantAdjuvantTreatment given in addition to the first-line therapy (the first or standard treatment) to help reduce the risk of a disease (such as cancer) coming back (recurring). chemotherapy may be offered for stage II colon cancer when there is a high risk that the cancer will come back. High-risk colon cancer includes those that:
People with high-risk stage II colon cancer have a greater chance that the cancer has spread microscopically (but has not yet developed into visible tumours elsewhere in the body). They may benefit from adjuvant chemotherapy.
The types of chemotherapy treatment that may be offered for stage II colon cancer are:
Most people with stage II colon cancer will not receive radiation therapy. Radiation therapy may be offered for stage II colon cancer to reduce the risk of the cancer recurring if the doctor thinks cancer cells may have been left behind after surgery. Radiation therapy may be given if:
People with colon cancer may be offered the opportunity to participate in clinical trials. For more information, go to clinical trials.