Colon cancer - Colorectal neoplasia

Low urgency
-Moderately severe

Colorectal cancer is the growth of a malignant tumor in the large intestine.

There are risk factors including polyps in the colon, presence of another cancer, family history of colorectal cancer, smoking, inflammatory bowel diseases, diet rich in protein and poor in fiber, sedentary lifestyle, viral infection by the human papillomavirus, etc. It usually appears between 50 and 60 years of age.

It manifests itself in a progressive manner with few symptoms. The most frequent symptoms are digestive bleeding, change in stool characteristics, weight loss and abdominal pain.

It is diagnosed by a detailed clinical history and physical examination including a digital rectal examination. The study will be completed with a fecal occult blood test, colonoscopy, barium study, computed tomography and/or magnetic resonance imaging.

Treatment is surgical, accompanied by chemotherapy depending on each case.

Bibliographic references
  1. Miguel A Rodriguez-Bigas, Axel Grothey. Overview of the management of primary colon cancer. UpToDate Jul 11, 2016.
  2. Finlay A Macrae, Johanna Bendell. Clinical presentation, diagnosis, and staging of colorectal cancer. UpToDate Apr 11, 2016.
  3. Finlay A Macrae. Colorectal cancer: Epidemiology, risk factors, and protective factors. UpToDate Sept 09, 2016.
  4. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin 2016; 66:7.
  5. J M Piqué. Cancer Colorrectal. Farreras Rozman. Medicina Interna. Volumen 1. 12º edición. 187:192.
  6. Stapley S, Peters TJ, Sharp D, Hamilton W. The mortality of colorectal cancer in relation to the initial symptom at presentation to primary care and to the duration of symptoms: a cohort study using medical records. Br J Cancer 2006; 95:1321.
  7. Caldarella A, Crocetti E, Messerini L, Paci E. Trends in colorectal incidence by anatomic subsite from 1985 to 2005: a population-based study. Int J Colorectal Dis 2013; 28:637.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Alternate between constipation and diarrhea


    Increase in abdominal size


    Weight loss


    Urge to defecate without being able to do so


    Total absence of stools

Symptoms to watch out for

Abdominal pain that increases rapidly
Inability to evacuate the bowel or pass gas
Vomit with feces
Blood in stool

Self-care

Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Maintain a fluid intake of 6 - 8 cups per day.
Get regular physical activity at least 3 times a week that is appropriate for your age and physical condition.
Reduce situations that cause psychological stress