Screening Procedure for Colon Cancer

Âfiberoptic endoscope. This gives a clear view of the
Another helpful technique in diagnosing colon cancer islining of the colon from the anus to the cecum (the
the stool-guaiac test or occult stool blood test whichbeginning of the large bowel located in the right lower
helps the doctor detect blood in your stool that isportion of the abdomen).
invisible to the naked eye. You should have oneThe endoscope also permits the physician to remove
annually after the age of 50.polyps and to search for a cause of chronic or acute
The results of this test will determine whether youbleeding when other tests have failed to do so.
need other screening procedures for colon cancerIn about half of cases, surgery can cure colon
such as proctosigmoidoscopy and colonoscopy. Whatcancer. How extensive this will be depends
are these tongue-twisters?on the location and size of the cancerous growth.
In the former, the doctor uses a flexible, lighted tubeThe surgeon may remove the tumor and rejoin
called a proctosigmoidoscope to examine the lowerhealthy pieces of the rectum so the patient can
portion of the colon and rectum - the area wherefunction normally. Or he may remove the entire
cancers are usually found. This should be done initiallyrectum and create an artificial opening called a stoma
at the age of 45 and every other year thereafteron the abdominal wall for stool to pass out. This
depending on your condition. For those with a familyhappens in about 20 percent of cases.
history of the disease, more frequent tests areAdditional treatment in the form of chemotherapy
required.and radiation may follow. For cancer that has spread
"Almost 50 percent of all colorectal cancer or polypsto the lungs, little can be done.
can be seen during such an examination. In addition,"In summary, remember, the key to the cure of
diagnosis of other diseases such as Crohn's orcolon cancer is early detection and immediate
ulcerative colitis can be made with this instrument.removal of the polyp or tumor. Follow-up
Samples of tissue can be taken through thechemotherapy and immunotherapy, even if
instrument for later examination under a microscopemalignancy appears to have been totally cut out,
(biopsy)," said Dr. David E. Larson, editor-in-chief ofhave also been shown to be effective," concluded Dr.
the “Mayo Clinic Family Health Book.”Isadore Rosenfeld of the New York Hospital -
Colonoscopy, on the other hand, examines the entireMemorial Sloan-Kettering Cancer Center in “The
colon using a somewhat similar instrument called aBest Treatment.