Yes, if early enuf. Like other cancers, rectal cancer has better prognosis (outlook) if diagnosed and treated at an earlier, rather than later stage. Very early cancers can be cured with burning the tissue. More advanced will likely need radiation/chemo/surgery in varying combinations and timing. Can be cured, but unfortunately, not always.
Yes. If small it can be directly resected. If larger and on imaging not spread to other organ then preoperative chemo and radiation followed by surgery can cure rectal cancer.
Yes. Treatment for rectal cancer depends on the stage of the disease. It involves surgery and sometimes chemotherapy and/or radiation. Rectal cancer can be cured if it is localized or has only spread to regional lymph nodes. In general it is not felt to be curable if it has spread to distant organs.
Yes. Depends on the extent or stage of the rectal cancer. Many options available, but it is definitely curable.
Absolutely! It primarily depends on the stage, or whether the cancer is only in the rectum or has spread to lymph nodes or other organs. Every patient diagnosed with rectal cancer should have CT scan of the chest abdomen and pelvis and an ultrasound or MRI of rectum. If cancer is not spread everywhere MANY patients are cured with appropriate combinations of surgery, radiation and chemotherapy.
Early? Yes. Early cancer is usually curable. Later stages often not.
Surgical resection. 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.
Possible. Either transanal wide excision of the tumor with or without radiation and chemotherapy could avoid the need for more major surgery.
Not without surgery. If by medical you mean with medication alone, then no. Early stage rectal cancer can be treated by transanal excision followed by radiation in some cases. Careful evaluation by an experienced surgeon and radiation oncologist is recommended.
YES, curative intent. For stage 3 rectal cancer- the goal of therapy is to cure the disease. Treatment will include- combination of chemotherapy and radiation therapy that is given prior to surgery;then followed by curative surgery-then followed by consolidation of chemotherapy. Discuss further with your oncology team (you would need to see a medical oncologist, radiation oncologist and surgical oncologist).Good luck!
Location dependent. The closer rectal cancer is to the anus, the more likely it can affect muscle control of continence. Most surgeons will offer chemotherapy and radiation before surgery for stage 3 rectal cancer. After the tumor shrinks, surgery can be easier in terms of location from the anal sphincter muscles. Incontinence is not an expected result in most cases.
35y stage I rectal cancer cured via lar w/ tme & wide margin, post-op biopsy clear of cancer in all 17 lumph nodes. Advice on follow-up & gene tests?
Genetic testing=Y. Close observation to include every 3 mo x 2 yrs, eval in office (look at anastomosis), belly and ln exam, lab tests (cea) and symptom review. Ct abd, pelvis at 1 yr and slowly decrease follow up as you remain symptom free. Genetic testing will tell you if you are at increased risk of other ca, esp. Ovarian, breast, and also eval for family risk, (siblings, children).
Regular Surveillance. Regular surveillance with physical exam, rectal exam and CEA levels on a yearly basis will help detecting future recurrence or new cancers. Colonoscopy is recommended when any of the above are positive. Hope this will help.
Yes. Having a first degree family member with colon or rectal cancer increases your likelihood of colon cancer too. This is even more pronounced if that person had cancer before the age of 60. Colon cancer screening is recommended starting at age 40 for people with a first degree family member with colon cancer or 10 years earlier than they were diagnoses, whichever comes first.
It can be. 30% of colorectal cancers are hereditary. This means if you have a first degree (mother, father, brother, sister) relative with rectal cancer, you are at risk and should be screened earlier. If it is a more distant relative, it is harder to say what your risk is. Certainly, if you are symptomatic, it should be worked up.
It can be. Cancer is where a cell literally becomes immortal and does not die but can still replicate itself. Genetic mutations cause this. Most genetic mutations that cause cancerous cells happen after we are born, but rarely we can inherit a bad gene. Construct a medical family tree and if colon or rectal cancer affects 2 or more across 2 generations and 1 is less than 50 must talk with doctor.
Usually not. Most patients with rectal cancer have not inherited it. A small subset have genetic mutations that put them at risk. Probably around 5 % of rectal cancers are hereditary.
Grading. Grading depends on microscopic picture of cancer. Lower the grade like grade 1 better the prognosis. But grading is not the only thing determine prognosis.
Well Differentiated. Generally, a lower grade cancer (grade i) means the cancer will likely behave less aggressively.
Colonoscopy. An endoscopic procedure such as proctoscopy, sigmoidoscopy or colonoscopy is usually necessary to make the diagnosis.
Easiest to do is. A digital rectal exam, followed by sigmoidoscopy or colonoscopy and biopsy. If you haven't had a colonoscopy, you need one at age 52.
Bleeding, Theso first sign of rectal ca is bleeding as solid feca;, material passes. As lesion gets larger increasing constipation and then pain noted.
Colonoscopy. The scary thing is that polyps leading to rectal cancer, and even early colorectal cancer itself have no symptoms! Once the lesion gets large enough, bleeding, altered bowel habits, etc will occur. This is why getting an age appropriate screening colonoscopy can literally save your life!
Very uncommon. The earliest I have seen colon cancer is age 17. Unfortunately it occurs but extremely rare, mean extremely rare. Family history plays a big role. Things that may help are eating a healthy diet. Stay away from fatty foods. Hope this helps.
Uncommon. But age has no exemption for any cancer, .
Rarely. Unless you have ulcerative colitis. Other tumors and inflammatory conditions of the anorectum are more common at your age, so if you have any symptoms of bleeding, pain, urge to defecate, diarrhea, constipation, or bladder symptoms, see your doctor for a simple rectal examination.