Symptoms suggesting the suspicion of colon and rectal cancer are the presence of blood in stools, change in bowel movement and abdominal pain in people aged over 50.
Colorectal Cancer
What is laparoscopic surgery?
Laparoscopic surgery is a minimally invasive surgical technique in which the surgeon uses special fibre optics and specific instruments to carry out keyhole surgery. It has minimal pain and improved aesthetic results.
Can someone live without a colon?
Yes, without a doubt. Patients who receive surgery for colon disease and undergo partial or complete removal of colon may present changes in the consistency and frequency of bowel movements.
Can someone survive with colon cancer?
The prognosis of colon rectal cancer depends upon the stage at the time of diagnosis. As the stage advances, prognosis get worse. When the tumour has already led to distant metastasis (Stage IV), then the survival is poor.
What is colorectal cancer screening?
Colorectal cancer screening is any test that is able to examine the colon for the presence of colorectal polyps or cancers. There are many tests available to help detect colorectal cancer, and they all have their advantages and disadvantages. Colorectal cancer is extremely preventable and any form of colorectal cancer screening has been shown to be beneficial at improving the detection and survival for colorectal cancer. Screening tests include stool based tests, x-ray based tests, and colonoscopy.
Stool based tests include:
- Highly sensitive fecal immunochemical test (FIT) – annual
- Highly sensitive guaiac-based fecal occult blood test (gFOBT) – annual
- Multi-targeted stool DNA test (example: Cologard) – every 3 years
The most effective X-ray base study used today is the virtal colonoscopy or CT colonography. This test is a specialized CT scan able to examine the colon. A prep or colon cleanse is still required and at the time of the exam air is instilled into the colon so that it is distended for the exam.
The gold standard for colorectal cancer screening is the colonoscopy, because it is the best test available to detect small and large polyps and cancers. In addition to being diagnostic, it can also be therapeutic. If a polyp is detected, it can be removed and biopsied, and once removed, a cancer is prevented. The major drawback of colonoscopy is the prep. It can be challenging but there are several 2 dose low volume preps that make it more tolerable.
What are the stages of colorectal cancer?
There are 2 types of staging for colorectal cancer.
Prior to treatment, imaging with a CT scan or MRI can provide clinical staging. The goal of this is to determine if there is concern that the tumor has spread beyond the original site in the colon.
The pathologic staging is the most accurate and cannot be determined until after surgery. The pathologic stage is determined once a pathologist is able to examine the tumor and lymph nodes under a microscope, and it is based on the TNM system. The T is how far into or through the wall of the colon the tumor has grown. The N stage examines the lymph nodes and the M stage examines the presence of tumor in sites other than the colon or lymph nodes. The final stage is then a combination of three components.
Stage I cancers are those where the tumor is confined to the muscle layer of the colon wall and all lymph nodes are negative. Stage II tumors have grown through muscle layer and have negative lymph nodes. Stage III tumors can invade any layer of the colon wall but have one or more positive lymph node. A tumor is stage IV once it has grown in any site distant from the colon and its lymph nodes such as the liver or lung.
WHY KAIZEN ?
With a vision to extend World Class healthcare solutions to the community through advances in medical technology, medical research and by adopting best man power management practices , Kaizen hospital was established in Ahmedabad in 2011.
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