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Colon Cancer

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Colon Cancer

  1. 1. Colorectal Cancer.. Let’s Talk About ItLauren Dansereau MS RN ANPHealth Educator, Western New England College Health Services
  2. 2. Colorectal Cancer
  3. 3. Colorectal Cancer
  4. 4. Colorectal Cancer
  5. 5. Colorectal Cancer
  6. 6. Colorectal Cancer
  7. 7. Colorectal Cancer
  8. 8. Colorectal Cancer
  9. 9. Colorectal Cancer
  10. 10. Colorectal Cancer
  11. 11. Colorectal Cancer
  12. 12. Colorectal Cancer
  13. 13. Colorectal Cancer
  14. 14. Colorectal CancerAre You At High High Risk?
  15. 15. Colorectal CancerAre You At High High Risk?
  16. 16. Colorectal Cancer Risk Factors
  17. 17. Colorectal Cancer Risk Factors
  18. 18. Colorectal Cancer Risk Factors
  19. 19. Colorectal Cancer Risk Factors
  20. 20. Colorectal Cancer Risk Factors
  21. 21. Colorectal Cancer Risk Factors
  22. 22. Colorectal Cancer
  23. 23. Colorectal Cancer
  24. 24. Symptoms
  25. 25. SymptomsEarly, usually has nosymptomsMore advanced disease:rectal bleeding, blood instool, change in bowelhabits, lower abdominalcramping, anemia, weightloss
  26. 26. Colon PolypsHyperplastic-noncancerousAdenomatous-90% precancerous
  27. 27. Progression of A Polyp to Carcinoma
  28. 28. Colon Cancer Stages
  29. 29. Colon Cancer Stages
  30. 30. Benefits of Colorectal Screening
  31. 31. Benefits of Colorectal ScreeningCancer Prevention-removal ofprecancerous polypsprevents cancerIncreased Survival- earlydetection increases chances oflong term survival.
  32. 32. Colorectal Cancer Tests
  33. 33. Colorectal Cancer TestsYearly Fecal occultblood test
  34. 34. Colorectal Cancer TestsYearly Fecal occultblood testYearly Fecalimmunochemical test
  35. 35. Colorectal Cancer TestsYearly Fecal occultblood testYearly Fecalimmunochemical testStool DNA test (intervaluncertain)
  36. 36. Colorectal Cancer TestsFlexible CT ColonographySigmoidoscopy every (virtual colonoscopy)5 yrs OR every 5yrsColonoscopy every 10yrs ORDouble Bariumcontrast Enema every5 yrs OR
  37. 37. ColonoscopyA procedure tovisualize the lining ofthe colon and rectum.Used to detectinflamed tissueulcerations andabnormal growths.
  38. 38. 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.
  39. 39. Colon PrepsWHICH ONE TO CHOOSE ???.....
  40. 40. 2008 New Screening Tests Available
  41. 41. 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
  42. 42. CTColonography
  43. 43. CTC Image Optical Colonoscopy
  44. 44. 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
  45. 45. What is Best For You?
  46. 46. What is Best For You?Discuss with your Health Care Provider.
  47. 47. What is Best For You?Discuss with your Health Care Provider.Unless high risk or symptoms age 50colonoscopy or discuss other screeningmethods.
  48. 48. 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.

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