Colon Related Diseases
Colon Polyps and Colon Cancer Surveillance
About Colon Cancer
Colon cancer is a type of cancer that begins in the large intestine (colon). The colon is the final part of the digestive tract. Colon cancer typically affects older adults, though it can happen at any age. It usually begins as small, noncancerous (benign) clumps of cells called polyps that form on the inside of the colon. Over time some of these polyps can become colon cancers.
Polyps may be small and produce few, if any, symptoms. For this reason, doctors recommend regular screening tests to help prevent colon cancer by identifying and removing polyps before they turn into cancer.
If colon cancer develops, many treatments are available to help control it, including surgery, radiation therapy and drug treatments, such as chemotherapy, targeted therapy and immunotherapy. Colon cancer is sometimes called colorectal cancer, which is a term that combines colon cancer and rectal cancer, which begins in the rectum.
Polyps in the colon or rectum- Most colorectal cancers start as a growth on the inner lining of the colon or rectum. These growths are called polyps.
Some types of polyps can change into cancer over time (usually many years), but not all polyps become cancer. The chance of a polyp turning into cancer depends on the type of polyp it is.
- Adenomatous polyps (adenomas):These polyps sometimes change into cancer. Because of this, adenomas are called a pre-cancerous condition. The 3 types of adenomas are tubular, villous, and tubulovillous.
- Hyperplastic polyps and inflammatory polyps:These polyps are more common, but in general they are not pre-cancerous. Some people with large (more than 1cm) hyperplastic polyps might need colorectal cancer screening with colonoscopy more often.
- Sessile serrated polyps (SSP) and traditional serrated adenomas (TSA):These polyps are often treated like adenomas because they have a higher risk of colorectal cancer.
Symptoms of Colon Cancer
Signs and symptoms of colon cancer include:
- A persistent change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool
- Rectal bleeding or blood in your stool
- Persistent abdominal discomfort, such as cramps, gas or pain
- A feeling that your bowel doesn’t empty completely
- Weakness or fatigue
- Unexplained weight loss
Diagnosis of Colon Cancer
Screening tests play a key role in detecting polyps before they become cancerous. These tests can also help find colorectal cancer in its early stages, when you have a good chance of ecovery. Screening methods include:
- Colonoscopy,Using a scope to examine the inside of your colon (colonoscopy). Colonoscopy uses a long, flexible and slender tube attached to a video camera and monitor to view your entire colon and rectum. If any suspicious areas are found, your doctor can pass surgical tools through the tube to take tissue samples (biopsies) for analysis and remove polyps.If polyps are found, your doctor may remove them immediately or take tissue samples (biopsies) for analysis.
- Flexible sigmoidoscopy,in which a slender, lighted tube is inserted in your rectum to examine it and the last third of your colon (sigmoid) and rectum. If a polyp is found, you’ll need a colonoscopy to have it removed.
- Stool-based tests.This type of test works by checking for the presence of blood in the stool or assessing your stool DNA. If your stool test is positive you will need a colonoscopy.
Treatment of Colon Cancer
The most common treatment for early stage colon cancer is surgery. There are several options to provide patients with better outcomes and quicker recoveries:
- Laparoscopic : With this approach, a tiny camera and surgical tools are inserted
through small incisions to remove the cancer. - Open surgery.
Depending on how far the cancer has spread, your surgeon may need to remove certain parts of your digestive tract, including the anus and rectum. If you fit into that category, groundbreaking reconstructive methods are available to optimize your quality of life following the procedure. - Some patients with early stage disease may also receive chemotherapy after surgery. For patients with localized colon cancer, the five-year survival rate is 90 percent.