Colon cancer - Colorectal neoplasia

Low urgency
-Moderately severe

Growth of a malignant tumour in the large intestine.

Risk factors include polyps in the colon, presence of another cancer, a family history of colorectal cancer, smoking, inflammatory bowel diseases, a diet rich in protein and poor in fibre, sedentary lifestyle, viral infection due to human papillomavirus, etc. It usually appears between the age of 50 to 60 years old.

Its manifestations are progressive, with few symptoms. The most common ones are gastrointestinal bleeding, changes in the characteristics of the stools, weight loss, and abdominal pain.

It is diagnosed through a detailed clinical history and physical examination which includes a digital rectal examination. The study will be completed with a faecal occult blood test, colonoscopy, a barium study, CT-scan and/or an MRI.

Treatment is surgical and, depending on each case, it can go alongside chemotherapy.

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 diarrhoea


    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 intestine or pass gases
Vomit with faeces
Blood in stools

Self-care

Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Maintain hydration of 2 litres per day.
Engage in regular physical activity, adapted to age and physical condition, at least 3 times a week.
Reduce situations that produce psychological stress.