The digestive system of the body consists of the colon and rectum, which together make up the long, muscular tube known as the large intestine. The rectum makes up the final 8–10 inches of the large intestine, while the colon makes up the first 6 feet. Colon and rectal cancers require different treatment strategies, which explains why they are covered individually. Rectal cancer has been given its section. When you need colon cancer treatment, turn to Alaska Oncology and Hematology, LLC in Anchorage, AK.
Adenocarcinoma is the term for cancer that starts in the cells lining the large intestine or colon, and it makes up more than 90%–95% of colon cancer cases. Although they also start in the colon, other cancers, such as carcinoid tumors and leiomyosarcoma, are not known as colon cancer. Only colon adenocarcinoma, also known as colon cancer, is covered in this treatment review.
Colon cancer is usually treated with surgery or chemotherapy, including a multidisciplinary team of clinicians such as a surgeon, medical oncologist, gastroenterologist, and other experts. The many treating physicians involved in the cancer management process need to coordinate therapy carefully.
Cells lining the colon are the source of colon cancer. The cells proliferate and extend outward, resembling a "napkin ring" surrounding the colon. Cancer cells may only be discovered in the colon if discovered early. If the cancer is not discovered in its early stages, it has the potential to invade nearby organs and spread to the liver, lungs, and other organs through the blood and lymphatic systems.
After the clinical staging examination is finished, surgery is done to remove the cancer and a portion of the healthy colon next to it in order to assess the extent of the cancer's spread throughout the colon and abdomen. Either a laparoscope or an abdominal incision is used to perform surgery. Less invasive laparoscopic surgery involves inserting surgical equipment through tiny abdominal incisions. In comparison to typical abdominal surgery, patients recover more quickly, and certain trials have demonstrated comparable results in terms of survival and cancer recurrence.1. Patients should talk to their doctor about the advantages and disadvantages of the two procedures because laparoscopic surgery is still considered experimental and is not yet the standard of care.
Tests will be conducted to ascertain the cancer's features and extent following a diagnosis of colon cancer. Each person's colon cancer treatment is customized based on the results of these tests.
Numerous tests are needed to determine the cancer's stage or the degree of its spread, and surgical removal of the tumor and abdominal cavity exploration are the final steps in confirming this information. The following examinations can be done to check for pelvic, abdominal, and chest cancer.
A computer synthesizes X-ray data to create detailed images from X-ray transmissions, which is used to image bodily tissues and organs. During a CT scan, a sizable device that is external to the body rotates to take precise pictures of the internal organs and tissues. Compared to an X-ray, this approach is more accurate and sensitive.
Instead of using X-rays, magnetic resonance imaging (MRI) employs a magnetic field and is frequently more accurate in differentiating between healthy and sick tissue. MRI is superior to CT for imaging cancers close to bone because it takes fewer radiation photos, is able to create a three-dimensional image of the tumor from many views, and does not require radiation.
Before surgery, a colonoscopy is usually advised to determine whether a second cancer is present in the colon because 3-5% of people with colon cancer may already have another cancer in their colon. A long flexible tube coupled to a camera is introduced through the rectum during a colonoscopy, which enables medical professionals to look for polyps or other abnormalities in the colon's interior lining. Medication is administered to patients to reduce discomfort. For a more thorough analysis, the doctor could do a biopsy to remove samples of questionable tissues or cells.
Ultrasound is a technique that uses sound waves to differentiate tissues based on varying tissue density. Ultrasound can be used transdermally (through the skin), transrectally (using a small probe inserted into the rectum) or intraoperatively (during surgery or during colonoscopy, which is called endoscopic ultrasound). Transrectal or endoscopic ultrasound may be used in conjunction with CT or MRI scans to help with staging.
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