Document 19
Document 19
Document 19
Colorectal cancer is a disease in which cells in the colon or rectum grow out of control. Sometimes it is
called colon cancer, for short. The colon is the large intestine or large bowel. The rectum is the
passageway that connects the colon to the anus. Sometimes abnormal growths, called polyps, form in
the colon or rectum. Over time, some polyps may turn into cancer. Screening tests can find polyps so
they can be removed before turning into cancer. Screening also helps find colorectal cancer at an early
stage, when treatment works best.
Most colorectal cancers start as 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.
There are different types of polyps.
1. 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.
2. 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.
3. 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
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
-Weakness or fatigue
Treatment
Removing polyps during a colonoscopy (polypectomy)- If your cancer is small, localized, completely
contained within a polyp and in a very early stage, your doctor may be able to remove it completely
during a colonoscopy.
Endoscopic mucosal resection- larger polyps might be removed during colonoscopy using special tools to
remove the polyp and a small amount of the inner lining of the colon in a procedure called an
endoscopic mucosal resection.
Minimally invasive surgery (laparoscopic surgery)- Polyps that can't be removed during a colonoscopy
may be removed using laparoscopic surgery. In this procedure, your surgeon performs the operation
through several small incisions in your abdominal wall, inserting instruments with attached cameras that
display your colon on a video monitor. The surgeon may also take samples from lymph nodes in the area
where the cancer is located.