Colon Cancer
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Colon Cancer

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Colon Cancer Colon Cancer Presentation Transcript

  • Colorectal Cancer.. Let’s Talk About ItLauren Dansereau MS RN ANPHealth Educator, Western New England College Health Services
  • Colorectal Cancer
  • Colorectal Cancer View slide
  • Colorectal Cancer View slide
  • Colorectal Cancer
  • Colorectal Cancer
  • Colorectal Cancer
  • Colorectal Cancer
  • Colorectal Cancer
  • Colorectal Cancer
  • Colorectal Cancer
  • Colorectal Cancer
  • Colorectal Cancer
  • Colorectal CancerAre You At High High Risk?
  • Colorectal CancerAre You At High High Risk?
  • Colorectal Cancer Risk Factors
  • Colorectal Cancer Risk Factors
  • Colorectal Cancer Risk Factors
  • Colorectal Cancer Risk Factors
  • Colorectal Cancer Risk Factors
  • Colorectal Cancer Risk Factors
  • Colorectal Cancer
  • Colorectal Cancer
  • Symptoms
  • SymptomsEarly, usually has nosymptomsMore advanced disease:rectal bleeding, blood instool, change in bowelhabits, lower abdominalcramping, anemia, weightloss
  • Colon PolypsHyperplastic-noncancerousAdenomatous-90% precancerous
  • Progression of A Polyp to Carcinoma
  • Colon Cancer Stages
  • Colon Cancer Stages
  • Benefits of Colorectal Screening
  • Benefits of Colorectal ScreeningCancer Prevention-removal ofprecancerous polypsprevents cancerIncreased Survival- earlydetection increases chances oflong term survival.
  • Colorectal Cancer Tests
  • Colorectal Cancer TestsYearly Fecal occultblood test
  • Colorectal Cancer TestsYearly Fecal occultblood testYearly Fecalimmunochemical test
  • Colorectal Cancer TestsYearly Fecal occultblood testYearly Fecalimmunochemical testStool DNA test (intervaluncertain)
  • Colorectal Cancer TestsFlexible CT ColonographySigmoidoscopy every (virtual colonoscopy)5 yrs OR every 5yrsColonoscopy every 10yrs ORDouble Bariumcontrast Enema every5 yrs OR
  • ColonoscopyA procedure tovisualize the lining ofthe colon and rectum.Used to detectinflamed tissueulcerations andabnormal growths.
  • ColonoscopeThin flexible scopewhich is dial controlledand maneuverable withfiberoptic video camera.It also blows air to inflatethe colon, irrigates withwater, suctions, insertsinstruments for removal,biopsies, cauterization ofpolyps skin tissue.
  • Colon PrepsWHICH ONE TO CHOOSE ???.....
  • 2008 New Screening Tests Available
  • Stool DNA TestRationale behind:Detects blood in the stool – which is intermittent and non-specificColon cells are shed continuouslyPolyps and cancer cells contain abnormal DNAStool DNA tests look for abnormal DNA from cells that are passed in the stool*Drawbacks:Misses some adenomasStill in testing phaseCost ($300-400)Not covered by all insurance
  • CTColonography
  • CTC Image Optical Colonoscopy
  • CTColonography New Sources of Risk Colorectal cancer prevention largely focuses on finding polyps, but flatter, less visible lesions that are not polyps are also cancer risks.Limitations: PolypRequires full bowel prep (which most patients find Elevated to be the most distressing element of lesion colonoscopy)Colonoscopy is required if abnormalities Flat detected, lesion sometimes necessitating a second bowel prep Depressed lesionSteep learning curve for radiologistsLimited availability to high quality exams in The New York Times: Illustrations by JAMA many parts of the countryMost insurers do not currently cover CTC as a screening modalityCan miss flat, smaller lesions
  • What is Best For You?
  • What is Best For You?Discuss with your Health Care Provider.
  • What is Best For You?Discuss with your Health Care Provider.Unless high risk or symptoms age 50colonoscopy or discuss other screeningmethods.
  • What is Best For You?Discuss with your Health Care Provider.Unless high risk or symptoms age 50colonoscopy or discuss other screeningmethods.Early detection is key! Colon cancer ispreventable.