Colorectal Cancer

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What is colorectal cancer?

Colorectal cancer is one of the most common cancers affecting the digestive tract. Although it typically affects older adults, it may occur at any age. Regular screening for people at risk of developing colorectal cancer can help in early diagnosis and ensure prompt colon cancer treatment.

Colorectal cancer is cancer originating in your large intestine (colon). The colon is a part of the digestive tract that continues as an extension of the rectum. Cancer in the colon often combines with rectum cancer. Hence, many people also term it colorectal cancer.

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Why Colorectal Cancer diagnosed late in india?

Many people bleeding per rectum think it is piles and they go to quacks and general practitioners, they go to some untraditional method of treatments where diagnose is delayed. By the time it is diagnosed it would have spread to other parts of the body like liver, peritoneum, lymph nodes and other places where you can’t operate so like this 78% of colorectal cancer diagnosed in late stage where bread earner of the family is lost, and he is gone.

What Can lead to Colorectal Cancer?

  • lifestyle
  • obesity
  • Smoking
  • junk food
  • processed food
  • No daily activities

How is Colorectal Cancer Diagnosed?

Colon cancer, if detected early, is curable. Colon Cancer Specialist in Bangalore at Smiles Gastroenterology recommend regular screening for cancer for people over 50 years of age. Your doctor will perform the screening tests to look for signs of polyps and colon cancer.

If you have symptoms indicating a possibility of colon cancer, your doctor will recommend additional tests to confirm the diagnosis.

  • Lab tests – Blood and stool tests can detect any abnormalities in the functions of your digestive tracts. A study for biomarkers can help the doctor determine the prognosis and your response to treatments.
  • Imaging studies – Imaging studies (such as abdominal and pelvic CT scans) can help your doctor determine the stage of cancer. It will help them choose an appropriate treatment for you.
  • Colonoscopy – For a colonoscopy, your doctor will use a thin and flexible scope (fitted with a camera) to view the colon and rectum. It can help detect any polyps present in your colon. Your doctor can also simultaneously collect a sample for biopsy to determine if the cells are cancerous.

How is Colorectal Cancer Treated?

Treatment for colon cancer depends on the stage of cancer and your underlying health status. Colon cancer treatment typically involves surgery for tumor removal, chemotherapy, radiation therapy, and immunotherapy.

Surgery – In the early stages, the size of colon cancer is small; it allows easy excision. As the polyp is easy to localise and is contained, a colonoscopy can successfully remove the tumour. In such cases, the risk of recurrence is relatively low.

    • Larger polyps may need parts of the colon removed through a procedure known as endoscopic mucosal resection.
    • If a colonoscopy does not provide sufficient space for removing the polyp, laparoscopic surgery can be beneficial. The surgeon will make small incisions along specific locations on your abdomen to insert specialized surgical instruments.
    • Advanced colon cancer can extend into the surrounding tissues and organs. An aggressive surgical approach to respect the tumor may be necessary.
    • The surgeon can perform a colectomy to remove part of the colon with tumour and the surrounding healthy tissues. They may also create an incision in the wall of your abdomen after the resection. A colostomy bag is then fit securely over that opening to help with waste elimination.

Chemotherapy – It uses specific drugs to destroy cancerous cells. You can receive chemotherapy before the surgery to control the tumor size or post the surgery as an adjunct.

Radiation therapy – It uses targeted radiations to destroy cancerous cells. Just like chemotherapy, it can be an adjunct to surgery.

Immunotherapy – It involves the administration of drugs to activate your immune system. The drugs stimulate your immune cells to recognise and target cancerous cells.

Outlook of Colorectal Cancer Treatment?

Colorectal cancer is curable if discovered early. With early detection, the survival rate after five years is high. If cancer does reoccur, then it is likely fatal. However, if the tumour was in its early stages, the chances of recurrence are low.

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