Colon Cancer Types

Colon cancer, also called colorectal cancer, starts in the colon (large intestine), a long tube that helps carry digested food from your stomach to your rectum. It most often develops from polyps or growths in the inner lining of your colon and rectum. Screening tests can find these precancerous polyps before they become cancerous, and treatment can stop the tumor from spreading to other parts of your body.

If a colon cancer is found early, it may be possible to cure it with surgery and other treatments. But your doctor will recommend that you have routine follow-up evaluations of your colon and rectum to check for signs of the cancer, such as blood in your stool, weight loss and diarrhea.

What are the types of Colon cancer?

There are several types of colon cancer. The most common type is adenocarcinoma, which begins in the cells of the lining inside your colon or rectum. Adenocarcinomas often start as a benign polyp called an adenoma, which can turn into cancer. Polyps can be removed during a colonoscopy before they develop into cancer.

Most people with stage 0 or stage I colon cancer are cured by surgical removal of the tumor. Some people with this type of colon cancer receive chemotherapy after surgery to kill any remaining cancer cells. The medicines used in chemotherapy are drugs that travel through your bloodstream to destroy cancer cells. The chemotherapy can be given by mouth or through an intravenous (IV) line. Some people with colon cancer also get radiation therapy after surgery to help control the spread of the disease and improve their chances of a good outcome.

For people with stages II and III colon cancer, doctors treat the area of their tumor by removing some or all of your colon and rectum. They may also remove nearby lymph nodes and use radiation therapy to help control the cancer and reduce your chance of it coming back. Chemotherapy is usually given after surgery and for 3 to 6 months, even if you have undergone a total colon removal. This is called adjuvant chemotherapy.

For people with stage IV colon cancer, the disease has spread to other areas of your body. This can be diagnosed by physical exam, blood tests and other diagnostic tests such as CT scan or PET scan. You can manage this stage of the cancer by getting regular exams with your colonoscopist, gastroenterologist and oncologist. This includes a colonoscopy and blood work every one to three years. Your doctor will also do a chest X-ray and a liver function test. If you have this type of colon cancer, you may also need other therapies such as hormone therapy and chemotherapy. In some cases, you may also need to have a colony-stimulating factors injection. These are drugs that stimulate the growth of healthy colon cells to help them grow away from cancerous colon cells. This can be done as part of your adjuvant chemotherapy or separately from it.

Colon cancer treatment

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