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To understand colon cancer, we first have to understand
what the colon is. The colon is also called the large bowel or a
portion of the large intestine. The large intestine is five or six
feet long, with the first five feet comprising the colon. The colon
connects to around half a foot of rectum, finally ending at the anus.
It takes about three to eight hours for food that's eaten
to reach the colon. By then, nutrients are absorbed with the rest
being converted to liquid waste. The purpose of the colon is to
convert this liquid into solid matter called "stool."
The stool spends somewhere between ten hours to a few days inside the
colon before it's expelled via the anus. Some have theorized that
when stool stays in the colon for a longer time, there's a higher risk
for colon risk. However, this has never been proven.
When malignant tissue grows in the colon's walls, it
becomes what we know as colon cancer. Most of these tumors start
as the colon wall's normal tissue forms a polyp. A polyp is a pre-cancer
growth that projects from the wall of the colon. The tumor forms
as the polyp grows larger and larger. Sometimes this growing process takes
place over a period of several years. This is fortunate, because
it allows time for the patient and doctor to detect it before it becomes
irreversibly deadly.
In the Western world, colon cancer is the third most
commonly found cancer, both in men and women. For some reason, it's
been found that there is a higher incidence of this cancer within the
African American community.
There are several risk factors that make a person more
likely to develop colon cancer. For instance, there is a substantial
rise in the number of cases among people above age 50 (Still, there is
a significant number who get the disease each year below this age).
Also, people with a family history of colon cancer or polyps have a higher
likelihood of developing the cancer, as do those with family members with
Crohn's disease or ulcerative colitis.
It's important to remember that this does not mean those
without a previous family history of colon history need not worry about
it. According to one report, around 80 percent of new cases of colon
cases are in those not considered "high risk."
Some other factors that raise a person's risk of developing
colon cancer include a high-fat diet that is also low in vegetables and
fruits; a high calorie intake; little physical activity; obesity; smoking;
and drinking excessive amounts of alcohol. Even people who avoid
all of these factors sometimes develop colon cancer, so screening is important
for everyone, especially as they approach age 50.
There are things people can do to lower their risk of
colon cancer, even if it doesn't eliminate it altogether. These
include following a low-fat diet which is high in vegetables and fruits;
eat red meat only rarely; get regular exercise; keep your weight at a
healthy level; and of course, get screening.
Since some polyps or tumors bleed intermittently, a test
called fecal occult blood testing can detect this blood in stool samples.
The American Cancer Society recommends that this test be done annually,
along with a flexible sigmoidoscopy, which is done every five years after
a person reaches age 50. Together, these tests detect around 76
percent of tumors in the colon.
The sigmoidoscope is a thin, flexible tube with an ability
to view a third of the colon. If a polyp is detected, the patient
is referred to have a complete colonoscopy done to remove the polyp and
test it for cancer. The device used for this, a colonoscope, resembles
the sigmoidoscope, but it's longer and can examine the whole colon.
If a polyp is located, the doctor is able to remove it for examination
at a pathology lab. If it's found to be cancerous, treatment begins.
The American Cancer Society suggests the colonoscopy be done every ten
years following a person's 50th birthday.
Armed with the right information and a regular system
of having the colon examined, the patient's chances are good for beating
the defeatable monster of colon cancer.