Primary tumor and surgery
Colon location, surgery report, margins, lymph nodes and complications are reviewed.
A structured review for colon cancer cases, organizing pathology, stage, molecular profile, liver or peritoneal involvement, prior systemic therapy and current surgical or medical oncology questions.
Colon cancer evaluation depends on whether the disease is localized, recurrent or metastatic, and whether metastases are potentially resectable, liver-dominant, peritoneal or widespread. Molecular status also matters for interpreting systemic treatment history.
The coordination file turns separate reports into a practical medical summary: what was removed, what remains, what drugs were used, how the tumor responded and what question requires specialist input.
Colon location, surgery report, margins, lymph nodes and complications are reviewed.
Liver, lung, peritoneal, nodal or other metastatic sites are documented with recent imaging.
MSI/MMR, KRAS/NRAS, BRAF and other available markers are included.
FOLFOX, FOLFIRI, CAPOX, biologics, immunotherapy or other regimens are summarized by date and response.
Obstruction, bleeding, infection, stoma complications, pain and nutrition are documented.
The file clarifies whether the patient wants second opinion, post-progression review, surgery evaluation or supportive plan.
Each item below affects how the file is interpreted, what the physician can answer and whether additional documents are needed before a responsible response.
MSI/MMR and RAS/BRAF status can influence interpretation of prior and potential systemic options.
Liver or lung metastases require imaging and surgical opinion before assuming a route.
Peritoneal spread changes symptom risk, imaging interpretation and specialist routing.
Neuropathy, blood counts, diarrhea, liver function and performance status are checked.
Most delays happen when the diagnosis is described verbally but the file lacks dates, reports, imaging, pathology or the current specialist recommendation. The documents below are requested before the file is considered ready for review.
The page does not present a hospital visit or travel plan as automatically suitable. Any Cuba-related discussion remains conditional on physician review of the current file.
Treatment or travel is not discussed until staging and molecular context are organized.
Surgery, systemic therapy, radiation in selected cases and supportive care remain physician-led.
CHA prepares records, translations and next steps; physicians determine suitability.
International coordination should never delay emergency care. If any of the following are present, the patient should be assessed locally first.
No. It explains how the file is organized for review. Suitability, route, timing and safety can only be determined by physicians after reviewing the complete current record.
A summary helps, but it is not enough for most oncology reviews. Pathology, imaging, treatment history, lab results and the latest oncology note are usually needed.
No. Cuba Health Assist coordinates records, communication, translation support and logistics. Medical decisions remain with licensed physicians and the patient’s treating team.
The team will request missing reports before presenting the case as ready. This protects the patient from receiving a weak or unrealistic response.
No. Severe or rapidly worsening symptoms require local emergency or oncology care first. International coordination is not an emergency service.
A coordinator will organize the medical information and guide the next step according to specialist review. The process is designed to be transparent, clinically cautious and written.