03/03/2017
Basic Facts About Colore**al Cancer
THE BASIC FACTS ABOUT COLORE**AL CANCER
Why is it so important?
Colore**al cancer -- cancer of the colon and re**um -is the second leading cause of cancer-related deaths in the United States for both men and women combined. The general population faces a lifetime risk for developing the disease of about 5 percent, while someone whose family has a history of colore**al cancer has a 10 to 15 percent chance of developing the disease. The risk rises to over 50 percent in people with ulcerative colitis and those whose family members harbor specific genetic mutations.
Approximately 140,000 new cases of colore**al cancer will be diagnosed and 56,000 people will die from the disease this year. Surpassing both breast cancer and prostate cancer in mortality, colore**al cancer is second only to lung cancer in numbers of deaths in the United States. Colore**al cancer strikes men and women with almost equal frequency.
What are the symptoms?
Colore**al cancer is often a silent disease, developing with no symptoms at all. When symptoms do occur they may include the following:
Blood in or on the stool
Change in bowel habits
Stools that are narrower than usual
General stomach discomfort (bloating, fullness, and/or cramps)
Vomiting
Diarrhea, constipation, or feeling that the bowel does not empty completely
Frequent gas pains
Weight loss for no apparent reason
Re**al bleeding
Constant tiredness, or new fatigue during activity that was previously tolerated
If you have any of these symptoms for more than two weeks, see your doctor or health professional immediately.
Can it be prevented?
YES! Polyp-related colore**al cancer can be prevented. The disease develops from benign polyps (mushroom-like growths on the lining of the colon and re**um). Removing these polyps before they become cancerous may prevent cancer from developing.
A low-fat diet, high in vegetable and fruit intake, and regular exercise can also lower your risk of developing colore**al cancer. Colore**al cancer can be cured in up to 90 percent of people when it is discovered in its early stages. It is estimated that approximately 40,000 lives a year could be saved through widespread adoption of colore**al cancer screening and early treatment in men and women.
Who is at risk?
The risk of developing colore**al cancer increases with age. All men and women aged 50 and older are at risk for developing colore**al cancer, and should be screened. Some people are at a higher risk and should be screened at an age younger than 50, including those with a personal or family history of inflammatory bowel disease; colore**al cancer or polyps; or ovarian, endometrial or breast cancer.
African Americans and Hispanics are more likely to be diagnosed with colore**al cancer in advanced stages. Incidence rates for colore**al cancer in these groups have been on the rise -colore**al cancer has increased 46 percent among African-American men and 10 percent among African-American women. video/hereditary-colore**al-cancerWatch the video for additional information about hereditary colon cancer.
(Sources: National Center for Health Statistics: Vital Statistics for the United States, 1993. Washington, DC, Public Health Service, 1998. American Cancer Society, Surveillance Research, 1996.)
Alaska Native women have the highest mortality from colore**al cancer of any other racial and ethnic group in the United States. (Source: Documentation of the Cancer Research Needs of Indians and Alaska Natives, Native American Monograph No. 1. National Institutes of Health, National Cancer Institute, 1994.)
How do I get checked for colore**al cancer?
Current screening methods include f***l occult blood testing (a simple chemical test that can detect hidden blood in the stool), flexible sigmoidoscopy (a visual examination of the re**um and lower portion of the colon, performed in a doctor's office), double contrast barium e***a (barium x-ray), colonoscopy (a visual examination of the entire colon) and digital re**al exam. Virtual colonoscopy, or CT colonography, is also being used in some specific situations, but is not recommended as a mainstream screening test as of this time. Colore**al cancer screening, including colonoscopies, costs are covered by Medicare and many commercial health plans.
What is a Colore**al Surgeon?
Colon and re**al surgeons are experts in the surgical and non-surgical treatment of diseases of the colon, re**um and a**s. They have completed advanced surgical training in the treatment of these diseases as well as full general surgical training.
Board-certified colon and re**al surgeons complete residencies in general surgery and colon and re**al surgery, and pass intensive examinations conducted by the American Board of Surgery and the American Board of Colon and Re**al Surgery. They are well-versed in the treatment of both benign and malignant diseases of the colon, re**um and a**s and are able to perform routine screening examinations and surgically treat conditions if indicated to do so.