Your SlideShare is downloading. ×
0
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Defeating colorectal cancer
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Defeating colorectal cancer

1,986

Published on

0 Comments
5 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,986
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
5
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Loreto B. Ong, MD, FPSCRS Colorectal Surgery Department of General Surgery Vicente Sotto Memorial Medical Center
  • 2. MARCH
    • is considered
    • Colorectal Cancer Awareness Month
    • Brown / Blue Ribbon
  • 3. Epidemiology
    • Colorectal cancer ranks 2 nd in number and cause of mortality
    • In the Philippines, it now ranks third among cancers
  • 4. Awareness!
    • What is it?
    • What is the cause?
    • How does it kill you?
    • Are you at risk?
    • What do I have to do?
  • 5. Definition
    • Colon and Rectum
    • Cancer
  • 6. Cause
    • Genetic Changes / Alterations
  • 7. Adenoma – Carcinoma Sequence MUTATIONS
  • 8. Factors
    • Aging
    • Hereditary
    • Environmental
    • Dietary
    • Inflammatory Bowel Disease
    • Others
    • 50 years old and above
    • 2x the risk
    • Obesity
    • Hi fat, low fiber
    • FAP, HNPCC
    • Alcohol and smoking
  • 9. Who is at risk?
    • Age
      • Are you 50 years old or above?
    • Gender
      • Male = Female
    • Do you have a Family History of Colorectal Cancer?
    • Do you have Inflammatory Bowel Disease?
  • 10.
    • YOU are at risk for colorectal cancer !
  • 11. What if I have…?
    • Changes in bowel habits
    • Rectal bleeding
    • Abdominal pain
    • Bloating; vomiting
    • Unexplained anemia
    • Weight loss
    • Poor appetite
  • 12.
    • YOU might have colorectal cancer!
  • 13. What should I do?
    • Seek consult to your doctor
    • Inquire about the prevention and treatment methods against colorectal cancer
    • Promote the habit of screening to increase awareness of the disease
  • 14. Diagnosis
    • Colonoscopy
  • 15. Diagnosis
    • Colonoscopy
    • Biopsy
  • 16. Diagnosis
    • Colonoscopy
    • Biopsy
  • 17. Diagnosis
    • Colonoscopy
    • Biopsy
    • CT scan (for clinical staging)
  • 18. Prognosis Cancer Staging 5 year survival Stage I 70 -95 % Stage II 54 – 65% Stage III 39 – 60% Stage IV 0 – 16%
  • 19. Prognosis ……… UNFORTUNATELY Cancer Staging 5 year survival Stage I 70 -95 % Stage II 54 – 65% Stage III 39 – 60% Stage IV 0 – 16%
  • 20.
    • In the Philippines, the 5 year survival rate of patients with colon cancer is only 47.72% ; while that of rectal cancer is only 19.45%
  • 21. Treatment Cancer Staging Treatment Stage I Surgery Stage II Surgery Stage III Surgery + Chemotherapy Stage IV Surgery + Chemotherapy; Palliation
  • 22. Prevention
    • Aging
    • Hereditary
    • Environmental
    • Dietary
    • Inflammatory Bowel Disease
    • Others
    • Screening, Surveillance
    • Screening, Surveillance
    • Modification
    • Modification
    • Surveillance
    • Modification
  • 23. Screening
    • Targets the general asymptomatic public for the risk of developing cancer
  • 24. Screening
    • Fecal Occult Blood Test
    • Sigmoidoscopy
    • Colonoscopy
    • Double Contrast Barium Enema
    • Computed Tomography Colonography
    • Fecal DNA Testing
  • 25. Screening Guidelines Population Initial Age Recommended Screening Tool Average Risk 50 yo Annual FOBT Flexible sigmoidoscopy every 5 years Annual FOBT with Flexible sigmoidoscopy every 5 years Air contrast barium enema every 5 years Colonoscopy every 10 years
  • 26. Colorectal cancer is preventable
    • With proper screening, they help find precancerous polyps so they can be removed before they turn into cancer.
  • 27. Early Detection
    • Is the key
    • Decreased mortality rates from CA deaths
    • Earlier detection for early stage CA for better prognosis
  • 28. Truths about Colorectal Cancer Screening
    • Colorectal cancer is the second leading cancer killer in the United States, affecting both men and women, especially those over age 50.
    • If you’re over 50, see your doctor and get screened for colorectal cancer.
    • Screening for colorectal cancer saves lives.
  • 29.
    • Screening helps prevent colorectal cancer.
    • Screening helps find colorectal cancer early, when treatment can be very effective.
    • Currently, the Philippines has no national screening program for colorectal cancer.
    • Increased awareness through promotion of screening programs.
  • 30.
    • Because polyps or cancer in the colon or rectum don’t always cause symptoms, it is important to be screened regularly for colorectal cancer.
    • Be Screened for Life!

×