What is
Colorectal Cancer?
Colorectal
cancer is a term that is used to describe both colon cancer and rectal
cancer. While there are differences between the two types of cancer
(mostly in treatment options), the two cancers share many things in common.
Both cancers begin in the digestive system, responsible for processing eaten
food. The colon and the rectum make up approximately the last 6 inches of the
digestive system, after the small and large intestines.
Colorectal cancer, then, begins in the colorectal tissue that makes up the
walls of the colon and the rectum. The abnormal cell growths begin in the inner
layer of tissue and can potentially grow into the surrounding layers of tissue.
Depending on how far the cancer has spread, the cancer will grow. Most
colorectal cancers begin as a polyp and develop relatively slowly compared to
other cancers.
The overwhelming majority of colorectal cancers are classified as
adenocarcinomas, or cancers that begin in the cells that line the colon and rectum.
However, there are many other types of colorectal cancer, each of which are
very rare.
Causes of
Colorectal Cancer
Colorectal
cancer is caused by polyps, or tissue that is over grown anywhere in the lining
of the colon. These polyps can grow due to many different reasons. Some of the
causes can be controlled, such as one's diet, lifestyle and whether or not the
patient smokes cigarettes. However, the patient does not have control over
other symptoms, such as their age, race, personal and family medical history,
and whether or not they suffer from diabetes or obesity.
Colorectal
Cancer Prevention
The
best prevention techniques of colorectal cancer, also known as colon cancer,
have been debated for years. While most health care providers agree that a
healthy diet and lifestyle are the best ways to prevent the disease, doctors
have always disagreed about the affects of supplements, like calcium and
aspirin. Many studies have been conducted through out the years to test if
these and other supplements actually can prevent colon cancer at all. While
most of the methods used to help prevent colorectal cancer pertain to dietary
changes, there are alternative ways to aid prevention of the disease as well.
Many colorectal cancer specialists recommend those at risk to sit for long
periods of time. Sitting, or sedentary activities can make it easier for polyps
to grow. It is not suggested that one should always avoid sitting, but studies
have suggested that those who have sedentary jobs or who spend lots of time
sitting, have a higher risk for colorectal cancer. These methods can help one
achieve negative results from colorectal cancer screening. Colorectal cancer is
most common in males, age forty to fifty years old. However, no one is immune
to the disease and everyone should practice as many suggested methods of
colorectal cancer prevention as possible.
Colorectal
Cancer Symptoms
As
with most cancers, symptoms are not produced until the cancer advances to later
stages of the disease. Symptoms of colorectal cancer can range from a typical
fever and excessive tiredness, to blood in the patient's stool, irregular bowel
movements and other types of abdominal problems. Common symptoms of colon
cancer include various changes in bowel movements, such as persistent
constipation or diarrhea, the feeling of not being able to empty the bowel
completely, an urgency to move the bowels, rectal cramping, or rectal bleeding.
You should see your health care provider if you experience any of the common
warning signs, such as blood in the stool, as well as long or thin stools. Also
if you feel unexplained fatigue, loss of appetite or loss of weight.
Since colon cancer does not produce symptoms during the early stages,
it is recommended that all men, age fifty and older, go for routine colorectal
cancer screening tests. These various tests can detect the disease before
symptoms are noticed. The most common methods of colorectal cancer screening
are the sigmoidoscopy and the fecal occult blood test. A sigmoidoscopy is a
test that uses advanced technology in order to detect infections or abnormal
growths in the colon. The advantage of sigmoidoscopy is that it can detect colorectal
cancer much better than some other methods of colorectal cancer screening.
However, sigmoidoscopy can not detect abnormalities in the upper colon, which a
regular colonoscopy can do. The fecal occult blood test is commonly used for
screening of colorectal cancer, however, it is not used as the primary test for
detecting the disease. The fecal occult blood test is conducted by taking a
stool sample from the patient and placing it on a special medicated pad. Next,
a specific chemical compound is inserted at the top of the fecal sample. If the
stool sample turns blue, then that indicates that there is blood present in the
patient's stool. A positive result from the fecal occult blood test, means
there is reason for further testing, as blood in the stool could indicate colon
cancer or other various infections or diseases. Further testing is almost
always suggested after a positive result in this test.
Colorectal
Cancer Diagnosis
There are multiple ways to detect, or diagnose colon cancer, such as
the colonoscopy and virtual colonoscopy examinations. The ladder being more
comfortable for the patient, but the regular colonoscopy has been proven to be
much more accurate. Both exams require certain preparations from the patient
before the exams take place. The patient must only drink clear liquids during
the forty eight hours prior to the exam and must not eat any solid foods twenty
four hours before the exam. Certain liquid or pill form drugs might be given to
the patient in order to maintain a completely clean and clear colon.
Colorectal
Cancer Prognosis
The prognosis for colorectal cancer can vary from patient to patient
based on what actually caused the disease. Like many other cancers, the earlier
the disease is detected, the better the chances are of survival for the
patient. Aside from when the disease is detected there are other factors that
can affect the prognosis. These factors include the patient's overall medical
health as well as whether or not there is a family history of the disease.
While these factors are important, the stage at which the cancer is detected
has the biggest influence on the survival rate.
Colorectal
Cancer Staging
Staging for colon cancer is similar to most other cancers.
Specialists use the common TNM system to determine how advanced the disease is
in the patient. This staging process includes four stages. Each stage is
limited to different ranks of each letter (T,N and M). The "T", which
stands for tumor, is used to determine how large or small the actual tumor is,
and whether or not it has grown large enough to penetrate surrounding tissue.
The "N", which stands for node (as in lymph node), is used to
determine how many local lymph nodes are affected by the tumor. Finally the
"M", which stands for metastasis, is used to determine whether or not
the cancer has grown from it's origin to other organs of the body.
Colorectal
Cancer Treatment
Colorectal cancer treatment methods vary depending on when the
disease is detected. If the cancer is found during the early stages and is small
enough, the doctor will most likely remove it through surgery. Up until about
thirty years ago, colon cancer surgery was conducted by the surgeon making one
long incision and removing the cancer through the one incision. This resulted
in a long and very painful recovery. However, advancements in medical
technology lead health care providers to discover a more productive method to
remove colorectal cancer. Laparoscopic surgery indicates surgery with a
laparoscope. Instead of one long incision, in laparoscopic surgery, the surgeon
makes up to six small incisions in order to remove the tumor. The several
smaller incisions result in a much quicker and less painful recovery process as
opposed to the recovery from the one long incision. The laparoscope is a small
unique camera which allows the surgeon to see inside the colon, making it
easier to remove both the tumor and both sides of the colon that are infected.
The two sides of the colon are stitched back into the colon once the tumor is
removed.
Colorectal cancer chemotherapy is usually used as a last resort option of
treatment for colorectal cancer. Chemotherapy refers to drugs that help
eliminate cancer cells. The decision to use chemotherapy as treatment for
colorectal cancer is usually made after the cancer has grown to the point where
it can not be surgically removed.
Colorectal
Cancer Statistics
Colorectal cancer is ranked as the second leading cause of death
(from cancer) in the United States. Although the number of individuals diagnosed
with colorectal cancer each year remains the same; colorectal cancer related
deaths have significantly decreased. This success can be attributed to the
constant awareness and funds raised in support of treatment and research for
the disease. According to American Cancer Society, last year, an estimated
148,000 individuals were diagnosed with colorectal cancer, and over 55,000 men
and women died from the disease. For any individual diagnosed with colorectal
cancer, the five-year survival rate is 64.1 percent. The survival rate has
risen over the past few years, due to the fact that over 40 percent of
colorectal cancer is caught within the confined primary site.
Colorectal
Cancer Research
Recent research in colorectal cancer deals mainly with alternative
methods of screening, prevention and as with research for most cancers, an
ultimate cure for the disease. Recent clinical trials for colon cancer have
tested various vitamin supplements affects on the disease. Some studies have
suggested that people who regularly use multi-vitamins that include a source
folate, as well as vitamin D and calcium, have a reduced risk for colorectal
cancer. Since these studies are new, there are many tests currently being
conducted to either back up or disprove these claims.
Colorectal
Cancer Awareness
Up until the the 1990s, colorectal cancer did not get much public attention.
Within the last two decades, multiple celebrities have helped raise awareness
for the disease. This has caused much more money to be donated towards
research. In 1998, the famous CBS journalist co-founded the Jay Monahan Center
for Gastrointestinal Health. This organization was named after Katie's husband
who died from colorectal cancer. The idea behind starting the organization was
that if more was known about the disease, than more could be done in order to
prevent or possibly cure it. It was only eleven years ago, since March became
known as Colorectal Cancer Awareness Month. This annual tradition came to
fruition with the help of several major cancer organizations. The first
Colorectal Cancer Awareness Month was March of 2000. This year will be the
tenth Colorectal Cancer Awareness Month. While many organizations have helped
raise untold sums of money for colorectal cancer research, awareness and
development of treatments, there are still an outstanding amount of deaths each
year related to colorectal cancer. Deaths related to colorectal cancer rank
among the top of cancer related deaths. In order to fix this epidemic, multiple
celebrities have donated money, started organizations and done everything in
their power to help raise awareness for colorectal cancer.
While there have been many advancements in colorectal cancer research, such as
methods of prevention, screening and surgery; there is still much need for
further research. The screening methods available for detecting colorectal
cancer are not as accurate as medical experts would like them to be. Awareness
for colorectal cancer has risen dramatically within the last two decades, which
has lead to an increase in successful clinical trials as well as more
productive methods of surgery. Colorectal cancer still remains as one of the
most common cancers as well as one of the most deadliest. This is why further
research and development of treatment is necessary.