Alvaro R. Bada, M.D.
Ask The Doctor
                FACTS ON COLON CANCER

The American Cancer Society estimates that over 98,000
cases of colon cancer and 37,000 cases of rectal cancer
will be diagnosed in theUnited States this year.  Colorectal
cancers account for about eight percent of new cancer
diagnoses.  In recent years death rates have declined due to
increased colonoscopy screening, polyp removal
(preventing the progression of polyps into invasive cancer)
and improved
treatment methods.

Q: What is the colon?
A: The colon and rectum form a muscular
tube called the large intestine or large
bowel.  Through a process called peristalsis, digested food
moves from the stomach and small intestine into the colon.
Once in the colon, all remaining water is absorbed into the
body, forming solid waste(stool) which leaves the body
through the anus.
Q: Am I at risk?
A: Colorectal cancer occurs most frequently  in people over
the age of 50.  Colonic polyps, inflammatory bowel disease
and a family history of colorectal cancer are factors of
increased risk of developing colorectal cancer.

Q: What are the symptons?
A:  Common symptons of colon cancer:
  *Diarrhea or constipation
  *Blood in or on the stool
  *Frequent gas pains
  *General stomach discomfort
  *A change in bowel habits
  *A feeling that the bowel does not
    empty completely
  *Unexplained weight loss
Because these  symptoms may be caused by  
other problems consult your Dr. for proper
diagnosing and treatment.
Q: How is colon cancer detected?
A: There are many symptoms that your doctor
  will consider during your initial office visit.  
  He may ask you about your personal and
  family history, perform a physical exam
  and other laboratory tests.

 Patients should take an active role in the
 early detection of colorectal cancer.
                  
  GUIDELINES
*HAVE REGULAR CHECKUPS
*BEGINNING AT AGE 50:

  - Have an annual fecal occult blood test
  - Have an initial sigmoidoscopy (exam of
    the rectum and lower colon) and one
    every three-to-five years thereafter.
          TREATMENT OPTIONS

 Q: Do I have a choice of treatment?
 A: There are several options for the treatment      
       of colon cancer, depending on your age,
      the size and location of the tumor, the
      stage of the disease (i.e., whether it has
      spread to other organs) and your general
      health.  You may also have concerns
      regarding the treatment process and
      potential side effects; therefore, it is
      essential for you and your doctor to
      discuss all available options leading to
      the development of a treatment plan
      that is specifically tailored to your
      needs and circumstances
.