Loreto B. Ong, MD, FPSCRS Colorectal Surgery Department of General Surgery Vicente Sotto Memorial Medical Center
Colorectal Cancer Awareness Month
Brown / Blue Ribbon
Colorectal cancer ranks 2 nd in number and cause of mortality
In the Philippines, it now ranks third among cancers
What is it?
What is the cause?
How does it kill you?
Are you at risk?
What do I have to do?
Colon and Rectum
Genetic Changes / Alterations
Adenoma – Carcinoma Sequence MUTATIONS
Inflammatory Bowel Disease
50 years old and above
2x the risk
Hi fat, low fiber
Alcohol and smoking
Who is at risk?
Are you 50 years old or above?
Male = Female
Do you have a Family History of Colorectal Cancer?
Do you have Inflammatory Bowel Disease?
YOU are at risk for colorectal cancer !
What if I have…?
Changes in bowel habits
YOU might have colorectal cancer!
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
CT scan (for clinical staging)
Prognosis Cancer Staging 5 year survival Stage I 70 -95 % Stage II 54 – 65% Stage III 39 – 60% Stage IV 0 – 16%
Prognosis ……… UNFORTUNATELY Cancer Staging 5 year survival Stage I 70 -95 % Stage II 54 – 65% Stage III 39 – 60% Stage IV 0 – 16%
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%
Treatment Cancer Staging Treatment Stage I Surgery Stage II Surgery Stage III Surgery + Chemotherapy Stage IV Surgery + Chemotherapy; Palliation
Inflammatory Bowel Disease
Targets the general asymptomatic public for the risk of developing cancer
Fecal Occult Blood Test
Double Contrast Barium Enema
Computed Tomography Colonography
Fecal DNA Testing
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
Colorectal cancer is preventable
With proper screening, they help find precancerous polyps so they can be removed before they turn into cancer.
Is the key
Decreased mortality rates from CA deaths
Earlier detection for early stage CA for better prognosis
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.
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.
Because polyps or cancer in the colon or rectum don’t always cause symptoms, it is important to be screened regularly for colorectal cancer.