Ileum Cancer Treatment | Apollo Cancer Centres

Surgery
Radiation
Medical Oncology

Most of the Ileal tumors except Lymphoma are treated by surgical resection of the tumor. Surgery is the curative option for Ileal adenocarcinoma, GIST and neuroendocrine tumors. Patients additionally require chemotherapy and targeted therapy based on the type and stage of the tumor
Open or Laparoscopic resection of Ileal Tumors – This involves the resection of the involved part of the ileum along with the adjacent group of lymph nodes. Laparoscopic resection can be done in selective patients with early and localized tumors. It offers the advantage of a minimally invasive approach, less pain and early recovery.
Open or Laparoscopic Right Hemicolectomy - Hemicolectomy surgery is the treatment of choice for terminal Ileal tumors. The surgery involves the removal of the terminal ileum, caecum, ascending colon, proximal transverse colon and adjacent group of lymph nodes, followed by ileo-colic anastomosis (surgical joining of the remaining ileum and colon).
Laparoscopic Right Hemicolectomy can be done in selective patients with early and localized terminal Ileal tumor. It offers the advantage of less pain and early recovery.
Surgery for Palliative care-In certain cases of advanced tumor, the lesion cannot be surgically resected, and in such cases, surgery is done to relieve intractable symptoms like persistent vomiting or bowel obstruction. The aim of palliative procedures is to relieve the symptoms and improve the quality of life. These procedures may not completely remove the tumor or cure the patient.
Endoscopic Stenting - In certain advanced cases of Ileal cancer, the tumor infiltrates the adjacent bowel and causes bowel obstruction. In such cases, endoscopic stenting can be done to help relieve the symptoms of bowel obstruction.
Bypass - In a few cases, a bypass procedure like ileoileal anastomosis or ileocolic anastomosis may also be offered to relieve the symptoms of bowel obstruction.
Stoma - In cases of bowel obstruction where the lesion cannot be bypassed or stented, a colostomy is done to relieve the obstruction and allow the passage of feces.
Ileostomy means surgically, the ileum is brought out through the abdominal wall and attached to the skin. A special pouch or bag is placed over this opening to collect the feces passing through it.

Radiation therapy is not routinely used as a treatment option for Ileal cancer.
The doctor sometimes prescribes radiation as palliative therapy to relieve symptoms of advanced cancer. If recommended, Radiation therapy may be given by external beam therapy. Sophisticated forms of intensity modulated radiation therapy (IMRT) may be used to treat cancer of the Ileum. This is done by directing a radiation beam at the affected area of the body (external beam radiation therapy).

Chemotherapy drugs are cytotoxic drugs used to kill cancer cells. The type of tumor decides the possible chemotherapy option. Chemotherapy may be used in post-operative and metastatic settings. In the post-operative scenario, after complete resection of tumor chemotherapy is given to reduce the risk of recurrence. The consulting medical oncologist decides the number of sessions based on the stage of tumor and the clinical condition of the patient.
In metastatic disease, chemotherapy is given to control the disease and reduce the symptoms. They prolong the life of the patient and decrease the symptoms related to cancer.