Rectal cancer

Description of colorectal cancer

Рак прямой кишки – образование раковых клеток в прямой кишке, the last section of the colon. For this waste tested intestine to the anus and excreted from the body.

Cancer occurs, where the body's cells start to randomly share. The result is a build-up (weight) of cloth, called a growth or tumor. The term cancer refers to malignant tumors, that can invade nearby tissues and spread to other parts of the body.

Causes of colon cancer

The cause of colorectal cancer is unknown.

Risk factors for colorectal cancer

Studies show, that there are certain risk factors, Related Disease:

• Age: senior 50 years;
• Hereditary diseases (eg, family polyposis or Lynch syndrome);
• The presence of disease or polyps in the colon or rectum;
• Family history of colorectal cancer;
• Radiation therapy for prostate cancer;
• Obesity;
• A diet high in fat and low in fiber;
• Smoking;
• Alcohol abuse;
• Lack of physical activity.

Symptoms of colon cancer

Colorectal cancer is often asymptomatic. Some of the symptoms, Associated:

• Blood (bright red or very dark color) stools;
• Changes in bowel habits (diarrhea, constipation or incomplete bowel movements);
• Abdominal discomfort (gas, pain, abdominal distention);
• Loss of appetite;
• Unexplained weight loss;
• Feeling very tired.

These symptoms can also be caused by less serious conditions. Consult your doctor, if you have any of these symptoms.

Diagnosis of colorectal cancer

The doctor will ask about your symptoms and medical history, and perform a physical examination.

Screening of cancer or premalignant polyps includes:

• Пальцевый ректальный осмотр – врач вводит палец в перчатке в анус для поиска опухолей или наростов в прямой кишке;
• Тест на скрытую кровь – тест для проверки наличия скрытой крови в кале;
• Колоноскопия – обследование прямой и толстой кишки с помощью трубки с источником света на конце, which is called a colonoscope;
• Ректороманоскопия – исследование нижней части толстой кишки с помощью трубки с источником света на конце, It called sigmoidoscope;
• Бариевая клизма – введение бария через анус в толстую и прямую кишку для выполнения рентгена и получения снимков нижних отделов кишечника;
• КТ колонография – рентгеновский тест, which will examine the large intestine.

Additional tests, which can confirm the presence of cancer, determine its stage and distribution:

• Биопсия – удаление небольшого количества ткани для проверки на рак;
• Полипэктомия – удаление полипа во время ректороманоскопии или колоноскопии;
• Blood tests, to find in the blood of anemia and cancer markers;
• Компьютерная томография – тип рентгена, which uses computer, to take pictures of inside the body and determine the spread of the tumor;
• Positron Emission Tomography (PET) – определение функциональной активности тканей; shows, whether the disease has spread beyond the pelvis;
• Трансректальное УЗИ – для выполнения УЗИ ультразвуковой датчик вводится в прямую кишку.

Treatment of rectal cancer

Treatment will depend on the stage of the cancer, the degree of proliferation and overall health.

Surgery for rectal cancer

The main treatment for rectal cancer is surgery. The tumor and nearby rectal tissue are removed. It may also be removed nearby lymph nodes. The operation using the following methods:

• Лапароскопия – для удаления рака на ранней стадии;
• Открытая операция – используется для удаления крупных опухолей, healthy tissue, and, perhaps, neighboring lymph nodes. Additionally, doctor looking for signs of cancer in the colon.

Sometimes it should be removed straight or healthy tissue of the colon. Эта процедура называется колэктомия. Healthy tissue is removed in case, if there is a risk of further spread of cancer. The remaining healthy part of the colon and rectum are sewn. Sometimes the end of a healthy colon is temporarily or permanently is expelled as a colostomy.

Radiation therapy in rectal cancer

Radiation is used, to kill cancer cells and shrink tumors. It is directed at the tumor from a source outside the body. The procedure is used alone or in combination with chemotherapy.

Chemotherapy for rectal cancer

Химиотерапия – использование лекарственных препаратов для уничтожения раковых клеток. Preparations for the chemotherapy may be given in various forms: tablets, injection, the introduction of a catheter. The drugs enter the bloodstream and spread throughout the body, killing mostly cancer, and also some healthy cells.

Prevention of colorectal cancer

Screening

In most cases the causes of colorectal cancer are unknown. Many cases of cancer of the colon and rectum can be prevented by finding and removing polyps, which may cause cancer. Since the age of 50, men and women at average risk of developing cancer of the colon and rectum must fulfill one of the five screening options:

• Ежегодно – анализ кала на скрытую кровь или фекальный иммунохимический тест;
• Колоноскопия – каждые 10 years;
• Гибкая ректороманоскопия – каждые пять лет;
• Barium enema (X-rays of the colon and rectum) – каждые пять лет;
• КТ колонография – каждые пять лет.

Individuals with any of the risk factors below should perform screening of colorectal cancer at an early stage (aged 40 years) and / or be screened more often:

• Family history of colorectal cancer or polyps;
• A family history of hereditary colorectal cancer syndromes;
• The history of colorectal cancer or adenomatous polyps;
• History of chronic inflammatory bowel disease.

Lifestyle changes

Lifestyle changes, which can reduce the risk of colon cancer:

• Quit smoking;
• Be physically active;
• Reduce your intake of alcohol;
• Maintain a healthy weight;
• Eat a healthy diet (eg, Eat a diet high in fruits, vegetables, fiber and low in red meat).