Low but rising. Rectal cancer rates are low in the young age groups but recent seer data analysis suggests that the rate of rectal cancer in people under 40 is rising. The recommendation for patients in the under 40 age group is to not ignore rectal bleeding or pain or change in bowel habits and to have a physician evaluate any such symptoms.
Common. Treatable by surgical resection. Often requires abdominal resection, but trananal excision used selectively.
It can be. This is where the cancer does not go past the muscle layer. Surgery can cure this but there are risks. Surgery can be through the abdomen with or without surgery on the anus. The first way might need a temporary or permanent colostomy, an opening for expulsion of waste. The other way requires a permanent colostomy. Surgery may be done that just involves the anus, but that risks recurrence.
Yes. All colon and rectal cancers can be serious especially if not diagnosed or treated promptly, and good follow up is not maintained.
Yes. Recurrences are always possible, even up to 10 years out, but the majority of rectal cancers recur within 3-5 years. You should continue getting exams and colonoscopies, especially since you are young and healthy!
Yes but unlikely. In order to give a complete answer I would need much more information such as how was it treated. A major cancer operation including removal of lymph nodes or not, such as a transanal excision with no lymph nodes removed. In general however, we consider this cancer cured at the five year mark based upon research that shows there are very few recurrences after 5 years of follow up.
Through abdomen/anus. This is where the cancer does not go past the muscle layer. Surgery can cure this but there are risks. Surgery can be through the abdomen with or without surgery on the anus. The first way might need a temporary or permanent colostomy, an opening for expulsion of waste. The other way requires a permanent colostomy. Surgery may be done that just involves the anus, but that risks recurrence.
Removal of the tumor. If the rectal cancer is very small and near the anus, some specialized surgeons can remove the tumor through the anus with special instruments - this is unusual to do. Most will use open or laparoscopic surgery to remove the piece of colon containing the tumor and reconnect the colon to itself using stitches or staples. If the tumor is too close to the sphincter it may not be reconnected.
What CEA value conisdered a risk of rectal cancer stage 1 recurr. Preoper the value is 2.2 and since two years its arround. 7?
Be careful. Do not put too much value on a blood test by itself. CEA of 3 or less is considered "normal". Smokers have higher CEAs; up to 5, maybe 10. Anything higher than that is suspicious but by no means diagnostic of recurrence. So called "tumor markers" sometimes go up in non malignant diseases or even for no detectable reason at all. Scans and sometimes biopsies are needed to confirm cancer. Best 2U!
What does slight increase from. 7 to 1 CEA level indicates after resecting rectal cancer stage 1 two years back. The preope value 2.2?
It is normal. Your CEA is normal, so why bother checking it. I would advise not to check it unless there is clear cut indication. It can only cause you more anxiety and little benefit!