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General Surgery News

 

Department of Surgery

 

Highland Hospital Surgery

Highland Hospital Surgeons Who Treat Colon Cancer

Thad Boss, M.D.

Vincent D. Chang, M.D.

Tulsi Dass, M.D.

T. Jeffery Dmochowski, M.D.

Asim Farid, M.D.

Michael Graney, M.D.

Joseph A. Johnson, M.D.

Mary Lou O'Neill, M.D.

 

Conditions We Treat

Colon Cancer

What is Colon Cancer

Colon cancer is a cancer which occurs on the lining of the large intestine (also called the bowel or colon).

Symptoms of Colon Cancer

Most cases of colon cancer have no symptoms, but any of the following symptoms may indicate colon cancer

  • diarrhea, constipation, or a change in bowel habits that does not go away
  • blood in the stool
  • anemia with no known reason
  • abdominal pain and tenderness in the lower abdomen
  • intestinal obstruction
  • weight loss for no known reason
  • stools narrower than usual

Detecting Colon Cancer

Colon cancer can almost always be caught in its earliest and most curable stages with a colonoscopy exam. Almost all men and women age 50 and older should have a colonoscopy.

Certain people (listed below) should have a colonoscopy exam before the age of 50:
  • people with a history of colon polyps
  • people with inflammatory bowel disease
  • people with a first degree relative (mother, father, brother or sister) who developed colon cancer before the age of 60

Stages of Colon Cancer

The severity of colon cancer is described in stages.

  • Stage 0 - considered a precursor to cancer
  • Stage 1 - cancer is on the inner layer of the colon
  • Stage 2 - cancer has through the muscle wall of the colon
  • Stage 3 - cancer has has spread to the lymph nodes
  • Stage 4 - cancer has spread to distant organs

Treatment

The treatment of colon cancer depends on the stage it has progressed to at the time of detection:

Stage 0 colon cancer may be treated by simply cutting out the lesion (this is normally done as soon as it is discovered - during a colonoscopy exam). In some cases of stage 0 colon cancer, more extensive surgery may be needed - similar to the treatment for stages 1, 2, and 3 colon cancer.

Stages 1, 2 and 3 colon cancer usually require the removal of the section of colon with the tumor and reattachment of the ends of the healthy portion. This procedure only rarely requires a colostomy.

Stage 3 colon cancer almost always will be treated with chemotherapy after surgery. An oncologist will determine the best treatment for each individual case.

Stage 4 colon cancer will usually be treated with chemotherapy to shrink the tumor, lengthen life, and improve the quality of life.