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What is the treatment for cancer of the caecum?

Q: My relative underwent laparotomy and a 4 x 3 cm mass was found in caecum with hard mesenteric lymph nodes. He was diagnosed with adenocarcinoma. What are the post operative treatments available for this disease so that it does not occur again? At present, no metastasis is seen. Which are best hospitals and doctors for post operative prevention of cancer in Delhi?

A:Your relative has cancer of the caecum. You have not mentioned whether the lymph nodes were involved by cancer or not on histopathology. If the nodes are involved, then your patient needs six cycles of adjuvant chemotherapy using 5FU and leucovorin. The facility of administering chemotherapy is available in many hospitals in Delhi, including AIIMS, Sir Ganga Ram Hospital, Apollo Hospital, RGCRI, etc.

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