Colorectal Cancer

Colorectal Cancer

Overview

  • Colorectal cancer is the cancer of large bowel (colon) and rectum.
  • Most colorectal cancers develop with growths called polyps.
  • These polyps are noncancerous growths and usually harmless, however they can become cancerous if left undetected.
  • Colorectal cancer is the 3rd most common cancer in men and 2nd most common cancer in women worldwide. It is also the 10th most common cancer in India.

Risk Factors

  • Age: It is more common in older people (50 and above).
  • Sedentary lifestyle
  • Obesity
  • Previous history of colon polyps or cancer
  • Family History - Conditions like Familial Adenomatous Polyposis (FAP), Hereditary Nonpolyposis Colorectal Cancer (HNPCC), etc.
  • Personal history of cancer of the colon, ovary, endometrium or breast
  • History of ulcerative colitis for more than 8-10 years

What are the signs and symptoms?

Most patients do not have symptoms in early stages or ignore the symptoms.

The most common symptoms are -

  • Blood in stools - the most common symptom found in 60% of patients. It is often mixed with mucous.
  • Altered bowel habits - constipation and/or diarrhoea
  • Feeling of fullness or abdominal cramps
  • Unexplained weight loss
  • Unexplained anaemia
  • Fatigue Lump in the abdomen
  • Black coloured stools

Evaluation

The patient needs to undergo colonoscopy/sigmoidoscopy and biopsy from the suspicious lesion or polyp to confirm the diagnosis.Patient may need to undergo either a whole body PET scan or a CECT abdomen and CT chest for staging workup. Patient will need basic blood workup and tumour markers evaluation

Treatment options

Treatment for colorectal cancer depends on a number of factors like site of cancer, the size of the tumour, if it has spread, current fitness and general health as well as patient`s treatment preferences.

Common treatments include:

Surgery – removing all or part of the affected bowel

Radiation Therapy – uses radiation to target cancer cells and destroy them

Chemotherapy – uses specialist drugs that destroy cancer cells

Targeted therapies – this type of therapy aims to destroy only cancer cells, whilst leaving healthy cells intact

What we offer in our centre?

  • Surgeries which are being done for colorectal cancer in our centre are-
    • Laparoscopic/open surgery for colorectal cancers
    • Lap/open Right Radical hemicolectomy
    • Lap/ open Radical Left hemicolectomy
    • Subtotal colectomy
    • Lap/open Low anterior resection
    • Ultra Low anterior resection
    • Abdomino perineal resection
    • Anterior/posterior/total Pelvic exenteration with lymphadenectomy
    • Ileostomy/ colostomy for diversion/ obstruction
  • Chemotherapy regimens with minimal side effects
  • Targeted therapy for colorectal cancer patients based on genetic analysis
  • Radiotherapy for tumours of rectum and anal canal

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A consultation with our panel of doctors, specialists and surgeons will help you determine what kind of services you may need to help diagnose and treat your condition. If you or someone in your family or friend’s circle are facing any health issues, please get in touch with us, we are here for you.