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Doctor insights on: Ulcerative Colitis Colon Cancer

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Dr. Barry Rosen
4,214 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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How can you distinguish between the symptoms of colon cancer and ulcerative colitis?

How can you distinguish between the symptoms of colon cancer and ulcerative colitis?

You can't always.: Symptoms for colon cancer and ulcerative colitis can be similar. These include weight loss, changes in bowel habits, diarrhea, and sometimes blood in the stool. The only way to rule out colon cancer is with a colonoscopy. If you have a diagnosis of ulcerative colitis, you are at a higher risk of getting colon cancer. So see a doctor for any of these symptoms! ...Read more

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How can I reduce the risk of getting colon cancer? I have ulcerative colitis so i understand i'm already at a higher risk.

How can I reduce the risk of getting colon cancer? I have ulcerative colitis so i understand i'm already at a higher risk.

Examination: Having active medical care, proper medical treatment of the ulcerative colitis & having gastroenterologist who does serial colonoscopy with biopsy to watch for potential cellular dysplasia. Control the colitis with assistance of your doctors. ...Read more

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What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon ?

What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon ?

High risk of cancer: Recurrence risk given cancer is a function of the stage of cancer when diagnosed, independent of uc. However, uc patients have an approximately 1% per year risk of new cancer appearing. Because of this high risk, total colectomy has been the standard of care for uc. If you have any colon left, it should be examined and biopsied periodically looking for dysplasia, the precursor of cancerous change. ...Read more

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Outside of being screened often for colon cancer (colonoscopies), what can I do to lower my colon cancer risk as an ulcerative colitis patient?

Most important: is polyp removal through recommended colonoscopy screenings. The longer you have had UC/inflammatory bowel disease, and if more than 1/3 to 1/2 of your colon is involved, the greater your risk of developing colorectal cancer. Controlling bowel inflammation by complying with your medication regimen is likely to be preventive. Avoid alcohol, tobacco, obesity. Low fat/high fiber diet, NSAIDs +/- ...Read more

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Is there solid science behind low fat/high fiber diet to lower risk of colon cancer for ulcerative colitis patients? Anything else preventative?

Is there solid science behind low fat/high fiber diet to lower risk of colon cancer for ulcerative colitis patients? Anything else preventative?

I am not aware: of such data. It is generally accepted that risk of malignancy is proportional to duration of active colitis, so it follows that it is most important to keep the disease under control as much as possible. Confer with your gi specialist for specific advice in your case. ...Read more

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Red blood and mucus in stool.Very strong history of colon cancer. Intense lower abdominal pain. Mother also has ulcerative colitis. Suggestions?

Red blood and mucus in stool.Very strong history of colon cancer. Intense lower abdominal pain. Mother also has ulcerative colitis. Suggestions?

See a GI doc!: You are describing the symptoms of ulcerative colitis, which causes an increased risk of colon cancer. Other things could be going on, but any time you have bloody stool you must see a doctor! you will likely need a colonoscopy for diagnosis. ...Read more

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On average, how long before low grade dysplasia of the colon becomes cancer for patients with ulcerative colitis 9 years.

On average, how long before low grade dysplasia of the colon becomes cancer for patients with ulcerative colitis 9 years.

Dyplasia: That is a great question for your gastroenterologist or surgeon. Who is taking care of you? It is impossible to say for sure. You deserve to have the advice of a physician who knows you and the specifics about your condition. ...Read more

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I have had ulcerative colitis for 13 yrs getting routine colonoscopies every 2 years. Last one showed cancer tumor. Full or partial colon removal ?

I have had ulcerative colitis for 13 yrs getting routine colonoscopies every 2 years.   Last one showed cancer tumor.  Full or partial colon removal ?

Probably : Best is total colon removal because leaving diseased colon in place would keep you at risk for more colon cancers in the future, and you would need frequent colonoscopy. Can get off colitis medications with surgery. Best to see a colon rectal surgery specialist, maybe at a university, who has extensive experience in ileo-anal pouch surgery. ...Read more

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I have had ulcerative colitis for 13 years. A recent colonoscopy showed a cancer tumor in the right side of colon. Should i go for a full or partial colon removal ?

I have had ulcerative colitis for 13 years. A recent colonoscopy showed a cancer tumor in the right side of colon. Should i go for a full or partial colon removal ?

Probably : Best is total colon removal because leaving diseased colon in place would keep you at future risk for more colon cancers in the future, and you would need frequent colonoscopy. Can get off colitis medications with surgery. Best to see a colon rectal surgery specialist, maybe at a university, who has extensive experience in ileo-anal pouch surgery. ...Read more

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Dr. Jonah Essers
523 doctors shared insights

Ulcerative Colitis (Definition)

Ulcerative colitis (ul-sur-uh-tiv koe-lie-tis) is an inflammatory bowel disease (ibd) that causes long-lasting inflammation in part of your digestive tract. Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum.There's no known cure for ulcerative colitis, but therapies are available that may dramatically reduce the signs ...Read more


Dr. Eric Kaplan
921 doctors shared insights

Colon Cancer (Definition)

Final few yards of your intestine, between the terminal ileum (small bowell) and rectum. It squeezes water and solidifies waste to stool. It is subject to outpouching (divertics) polyps, and these can become cancers. The cells are abnormal, invade into the muscle and travel ...Read more