Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Surgical Gastroenterology · Colorectal Cancer
Colon Cancer Treatment in Hyderabad: Expert Surgical Care at Lux Hospitals
Colon cancer is among the most treatable of the common cancers when it is found early. Caught at stage I it is cured in the great majority of patients; caught at stage IV the picture is very different. Almost nothing else in oncology rewards early detection so directly.
Surgery is the mainstay, and modern surgery is done through keyhole incisions. Our gastrointestinal surgeon at Lux Hospitals, HITEC CITY performs laparoscopic colectomy with proper lymph node clearance, working alongside oncology for the chemotherapy that follows where it is needed.
- Laparoscopic Colectomy
- Accurate Staging
- Coordinated Oncology Care
What is Colon Cancer?
Colon cancer is a malignant growth arising from the inner lining of the large bowel. The overwhelming majority develop from adenomatous polyps over ten to fifteen years, which is why removing polyps prevents the cancer, and why screening works so well in this disease specifically.
Staging determines everything about treatment and outlook. Stage I is confined to the inner layers of the bowel wall. Stage II has grown through the wall but not reached lymph nodes. Stage III has spread to nearby lymph nodes. Stage IV has spread to distant organs, most often the liver or lungs.
The distinction between colon and rectal cancer matters surgically even though they are often grouped as colorectal cancer. Colon cancer is treated primarily with surgery, with chemotherapy afterwards for higher stages. Rectal cancer, sitting in the confined space of the pelvis, usually needs radiotherapy and chemotherapy before surgery.
Causes & Risk Factors
Most colon cancers are sporadic, arising without an inherited cause, but several factors substantially raise the risk, and a good number are modifiable.
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Age above forty-five
The dominant risk factor. Incidence rises steadily with age, which is why routine screening begins at this point.
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Adenomatous polyps
The direct precursor. Having had adenomatous polyps significantly raises your risk, and having them removed lowers it.
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Family history
A first-degree relative with colorectal cancer roughly doubles the risk and means screening should start earlier than forty-five.
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Inherited syndromes
Lynch syndrome and familial adenomatous polyposis carry very high lifetime risk and require dedicated surveillance from a young age.
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Inflammatory bowel disease
Long-standing ulcerative colitis or Crohn’s colitis raises risk substantially, requiring surveillance from eight years after diagnosis.
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Diet
High intake of red and processed meat with low fibre is consistently associated with increased risk.
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Obesity and inactivity
Both independently raise risk, and regular physical activity is one of the more reliably protective factors.
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Smoking and alcohol
Both increase risk in a dose-related way, and both are modifiable at any age.
Around a quarter of patients have a family history, and a smaller proportion an identifiable inherited syndrome. That is worth establishing, because it changes screening for your relatives as much as treatment for you.
Symptoms of Colon Cancer
Early colon cancer frequently causes no symptoms at all. When symptoms do appear, they are easily attributed to something more common, which is how the diagnosis gets delayed.
Common symptoms
- Blood in the stool, or dark blood mixed through it
- A persistent change in bowel habit lasting more than a few weeks
- Alternating constipation and diarrhoea
- Persistent abdominal pain, cramping or bloating
- A feeling that the bowel does not empty completely
- Narrowing in the calibre of the stool
Systemic and late symptoms
- Unexplained weight loss
- Persistent fatigue and weakness
- Iron deficiency anaemia with no obvious cause
- A palpable lump in the abdomen
- Complete inability to pass wind or stool: obstruction
- Jaundice or abdominal swelling, suggesting spread
Unexplained iron deficiency anaemia in any adult over forty warrants a colonoscopy, even with no bowel symptoms at all. A right-sided colon cancer often bleeds slowly and silently, and anaemia is its only sign.
How Colon Cancer is Diagnosed
Colonoscopy with biopsy makes the diagnosis. Imaging then establishes the stage, and the stage determines the treatment plan entirely.
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Colonoscopy with biopsy
The definitive test. It visualises the tumour, takes tissue for diagnosis, and examines the rest of the colon for synchronous tumours or polyps.
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CT chest, abdomen and pelvis
Staging imaging that assesses local extent and looks for spread to the liver, lungs and lymph nodes.
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Blood tests and CEA
Full blood count for anaemia, liver and kidney function, and the tumour marker CEA: most useful as a baseline for tracking response afterwards.
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Histopathology and molecular testing
Tumour type and grade, plus MSI and RAS/BRAF testing, which guide chemotherapy choice and can identify Lynch syndrome.
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PET-CT
Used in selected cases to clarify equivocal findings or to assess suitability for surgery on metastatic disease.
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CT colonography
Where a tumour obstructs the colon and the scope cannot pass, to assess the colon beyond the blockage before surgery.
Every case is discussed at a multidisciplinary meeting (surgeon, oncologist, radiologist and pathologist together) before a treatment plan is agreed. That discussion is standard practice, not an optional extra.
Treatment Options for Colon Cancer
Surgery is the primary treatment for colon cancer at every stage where the tumour can be removed. Chemotherapy is added according to stage and pathology.
Surgical
Surgical treatment
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Laparoscopic colectomy
Removal of the affected segment with its lymph node basin through keyhole incisions. Oncologically equivalent to open surgery, with less pain and faster recovery.
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Right or left hemicolectomy
Removal of the right or left half of the colon depending on tumour position, with the healthy ends rejoined.
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Extended and subtotal colectomy
A larger resection for tumours at flexures, multiple synchronous tumours, or in patients with Lynch syndrome.
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Robotic-assisted colectomy
The same operation with robotic instrumentation, offering enhanced precision in confined anatomical spaces.
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Liver resection for metastases
Removing colon cancer that has spread to the liver can still be curative in carefully selected patients, and is worth assessing for.
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Emergency surgery
For obstruction or perforation, sometimes with a stoma initially. A colonic stent may relieve obstruction and allow planned surgery instead.
Oncological
Chemotherapy and systemic treatment
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Adjuvant chemotherapy
Given after surgery for stage III and high-risk stage II disease, to eliminate microscopic cells and reduce recurrence.
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Palliative chemotherapy
For stage IV disease, to control the cancer, relieve symptoms and extend life, often for a considerable period.
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Targeted therapy
Anti-EGFR and anti-VEGF agents used in advanced disease, selected on the basis of RAS and BRAF mutation testing.
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Immunotherapy
Highly effective in the subset of tumours with microsatellite instability, which is why MSI testing is done routinely.
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Radiotherapy
Rarely used for colon cancer specifically, in contrast to rectal cancer where it is central. Reserved for selected situations.
Stage I disease usually needs surgery alone. Stage III needs surgery plus chemotherapy. Stage II sits in between, and the decision there depends on pathology features discussed with you individually.
What Laparoscopic Colectomy Involves
A two to three hour keyhole operation removing the tumour together with its blood supply and lymph nodes, with a five to seven night stay.
Laparoscopic colectomy
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Pre-operative preparation
Staging complete and the case discussed at the multidisciplinary meeting. Bowel preparation, antibiotics, and anaesthetic and nutritional assessment.
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Anaesthesia and access
General anaesthetic. The abdomen is inflated with carbon dioxide and four to five ports are placed.
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Assessing the abdomen
The liver and peritoneal surfaces are inspected for deposits that imaging may not have shown, before the resection is committed to.
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High vascular ligation
The feeding artery is divided at its origin. This is what harvests the full lymph node basin: an oncological principle, not a technical preference.
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Mobilising and resecting
The colon segment is freed with adequate margins either side of the tumour and removed through a small incision, protected in a bag.
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Creating the anastomosis
The healthy ends are rejoined with a stapler or by hand, and the join tested for leaks. A stoma is formed only where an immediate join would be unsafe.
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Recovery and pathology
Enhanced recovery protocol with early feeding and mobilisation. Home after five to seven nights, with final pathology in about a week.
At least twelve lymph nodes must be examined for the staging to be reliable. If fewer are retrieved, the pathological stage is uncertain, which is why the extent of the resection matters as much as removing the tumour itself.
Why Choose Lux Hospitals for Colon Cancer Treatment?
Colon cancer surgery is judged on margins and lymph node yield, and on the recovery that follows. Here is why patients trust us:
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Experienced GI surgeon
Led by Dr. Tagore Mohan Grandhi, with fellowships in robotic surgery (Korea) and 28 years of gastrointestinal surgical experience.
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Complete staging and MDT review
Full staging with molecular testing, and every case discussed by surgeon, oncologist, radiologist and pathologist together.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Recovery from surgery takes six to eight weeks. Where chemotherapy follows, the overall pathway extends across six months or more.
- Days 1–3
Enhanced recovery protocol: sips of fluid the same evening, out of bed the next day, and diet advanced progressively.
- Days 4–7
Bowel function returns, usually by day three or four. Home once eating, mobile and comfortable on oral painkillers.
- Weeks 2–4
Final pathology discussed and the stage confirmed. The need for chemotherapy is decided at this point. Desk work resumes from around three weeks.
- Weeks 6–8
Full physical recovery from surgery. Chemotherapy, where indicated, usually begins six to eight weeks after the operation.
- Years 1–5
Structured surveillance: clinical review and CEA every three to six months, annual CT, and colonoscopy at one year then at intervals.
Aftercare
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Attend all surveillance
Most recurrences occur within the first three years, and many are treatable when found early. Surveillance is what finds them.
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Nutrition and protein
Adequate protein and calories support healing and help you tolerate chemotherapy. Dietitian input is part of the pathway.
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Rebuild activity gradually
Walking from day one, building progressively. Regular exercise after treatment is associated with better long-term outcomes.
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Tell your family
First-degree relatives need screening earlier than the general population. This is one of the most useful things you can do for them.
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When to call us
Fever, worsening abdominal pain, vomiting, no bowel movement with distension, or wound discharge.
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Keep the surveillance colonoscopy
At one year after surgery, then at intervals. A new primary cancer can develop elsewhere in the colon.
Five-year survival is above ninety per cent for stage I disease and falls with each stage. That gradient is the whole argument for screening, and for taking a change in bowel habit seriously rather than waiting.
When Should You Get Checked?
Book a consultation if any of the following apply.
- Blood in the stool, whatever you think the cause is.
- A change in bowel habit lasting more than a few weeks.
- Unexplained weight loss or persistent fatigue.
- Unexplained iron deficiency anaemia.
- Persistent abdominal pain or a lump in the abdomen.
- Being over forty-five and never screened, or having a family history.
Cost of Colon Cancer Treatment in Hyderabad
Cancer treatment is a pathway rather than a single procedure. These are the ranges for its main components.
| Procedure | Estimated Cost |
|---|---|
| Consultation & assessment Per visit | ₹1,000 – ₹2,000 |
| Colonoscopy with biopsy Including histopathology | ₹15,000 – ₹30,000 |
| Complete staging workup CT, bloods, CEA and molecular testing | ₹30,000 – ₹70,000 |
| PET-CT, where indicated Selected cases only | ₹25,000 – ₹45,000 |
| Laparoscopic colectomy Five to seven nights’ stay | ₹3,00,000 – ₹5,50,000 |
| Robotic-assisted colectomy Five to seven nights’ stay | ₹4,50,000 – ₹7,50,000 |
| Adjuvant chemotherapy Per cycle; typically 6–12 cycles | ₹40,000 – ₹1,20,000 |
What changes the estimate
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Stage at diagnosis
Stage I usually means surgery alone. Stage III adds months of chemotherapy, and stage IV involves prolonged systemic treatment.
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Extent of surgery
A segmental colectomy, an extended resection, and surgery combined with liver resection differ substantially in complexity and stay.
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Targeted therapy
Targeted agents and immunotherapy are considerably more expensive than standard chemotherapy, and are used where testing indicates them.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Bariatric Treatments
Our Surgeons
Colon Cancer Specialists at Lux Hospitals
The gastrointestinal and colorectal surgeon who treats colon cancer at our HITEC CITY hospital.
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Dr. Tagore Mohan Grandhi
Senior Consultant: Bariatric & Gastrointestinal Surgery
MBBS, MS, FRCS (UK), DLS (France)
28 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for colorectal and gastrointestinal conditions at Lux Hospitals, Hyderabad.
From the Blog
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Got Questions?
Frequently Asked Questions
Common questions about colon cancer, its treatment, and what care costs at Lux Hospitals.
What are the stages of colon cancer?
Stage I is confined to the inner layers of the bowel wall. Stage II has grown through the wall but not reached lymph nodes. Stage III has spread to nearby lymph nodes. Stage IV has spread to distant organs such as the liver or lungs. The stage determines both treatment and outlook.
What is the difference between colon cancer and colorectal cancer?
Colorectal cancer is the umbrella term covering both colon and rectal cancer. The distinction matters surgically: colon cancer is treated primarily with surgery, while rectal cancer, sitting in the confined pelvis, usually needs radiotherapy and chemotherapy before an operation.
Is colon cancer curable?
Yes, particularly when found early. Five-year survival is above ninety per cent for stage I disease, and remains good for stage II and III with surgery and chemotherapy. Even stage IV disease confined to the liver can sometimes be cured with combined surgery and chemotherapy.
Can colon cancer be prevented?
To a considerable extent, yes: more so than most cancers. Because almost all colon cancers arise from adenomatous polyps over ten to fifteen years, removing those polyps at colonoscopy prevents the cancer from ever developing. Screening from forty-five is the single most effective step.
Which doctor should I consult for colon cancer?
A gastrointestinal or colorectal surgeon leads the surgical treatment, working alongside a medical oncologist for chemotherapy. What matters is that your case is discussed at a multidisciplinary meeting rather than managed by one specialty in isolation.
Will I need a colostomy?
For colon cancer, usually not. The healthy ends of the bowel can normally be rejoined during the same operation. A temporary stoma is sometimes needed in emergency surgery for obstruction or perforation, and it can usually be reversed later.
Do I need chemotherapy after surgery?
It depends on the final pathology. Stage I disease generally needs surgery alone. Stage III needs adjuvant chemotherapy. Stage II sits in between, and the decision rests on features such as lymph node yield, tumour grade and whether the bowel was obstructed or perforated.
Should my family be screened?
Yes. First-degree relatives of someone with colon cancer are at roughly double the average risk and should begin screening earlier than forty-five, usually at forty, or ten years before your age at diagnosis. Where an inherited syndrome is identified, genetic counselling is offered.
What is the cost of colon cancer treatment in Hyderabad?
Laparoscopic colectomy at Lux Hospitals ranges from about ₹3,00,000 to ₹5,50,000 including the stay. Complete staging is ₹30,000–₹70,000, and adjuvant chemotherapy ₹40,000–₹1,20,000 per cycle over six to twelve cycles. Most cancer treatment is covered by insurance, and we assist with the claim.
How can I book an appointment for colon cancer treatment in Hyderabad?
You can book an appointment by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. Bring any scan reports, biopsy results or previous colonoscopy findings with you.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book Your Colon Cancer Consultation in Hyderabad
Complete staging, multidisciplinary planning and laparoscopic surgery, with costs and insurance confirmed before treatment begins.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032