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Colon Cancer Stages

We answer a few different questions on this page, concerning colon cancer stages and other information on the colon. However, it is our heartfelt desire that you become a part of this website and contribute your own personal experience with anything related to colon cancer so that other's may benefit. Your stories, tips, experiences and advice are all welcome and will be published here. You can remain anonymous if you choose. It's easy to contribute. You can submit your own story here or you can read stories submitted by others here.

First we have to describe a polyp - that's where it all starts.

Most colon cancer cells come from a gland cell that starts to divide when it should stop. After a while, the cells are too busy dividing and growing and they stop making mucus. The colon cancer cells start to pile up on top of each other. Then they form a lump or a bump on the inside of the colon. If the bump sticks out into the inside of the colon, it is called a polyp. This is how we get polyps in colon cancer.

Next, there are 5 stages to colon cancer:

What is Stage 0 colon cancer?

A polyp on the inner lining is an indication or symptom of the first of the colon cancer stages. When the polyp is removed with routine surgery, the cancer is completely cured. While there is a very good chance that a polyp will never come back in the same place, polyps may grow in other places. That is why everyone needs to get screened every few years.

If the polyp is just on the inner lining of the colon or large intestine, doctors call this cancer carcinoma in situ or Stage 0 colon cancer.

The best way to find this type of colon cancer at a very early stage is to have your doctor give you a colonoscopy or other similar test. The American Cancer Society recommends that everyone get tested for colon cancer every few years after age 50.

What is Stage 1 colon cancer?

As the cancer cells keep growing and dividing, the lump or polyp gets bigger and bigger. When the polyp becomes large enough to push past the inner lining of the colon, into the middle layers, this is called Stage 1 colon cancer. Stage 1 colon cancer can be cured completely by cutting it out during routine colonoscopy surgery.

What is Stage 2 colon cancer?

The cancer cells keep growing and dividing. Remember, they don't have an "off" switch anymore. When the cancer cells push into the outer layer of the colon, doctors call this Stage 2 colon cancer. Stage 2 colon cancer can still be completely cured with surgery. Stage 2 colon cancer cells need to be cut out and removed. Some doctors suggest taking drugs or getting chemotherapy with Stage 2 colon cancer.

What is Stage 3 colon cancer?

Lymph nodes are like small sponges that suck up the extra fluid between the cells and tissues. The lymph nodes filter the fluid, and send it through special channels back into the blood vessels. Special white blood cells live in the lymph nodes and help to fight infections. When you get a sore throat, the lymph nodes in your neck make extra white blood cells to fight off the infection. Some people talk about the "swollen glands" in their neck when they get sick.

When cancer cells break through the outer wall of the colon, they can leak out and get absorbed by the lymph nodes. If cancer cells are found in the lymph nodes, that is called colon cancer stage 3. When the colon cancer has spread to the lymph nodes, the doctors say that the cancer is "metastatic" (met-ah-STAT-ick), or that the cancer has metastasized (meh-TA-stah-sized).

Colon cancer stage 3 that has spread to the lymph nodes is much more serious. You may have heard the expression that "it's hard to catch a horse after its left the barn." Cancer cells are the same way. Once they have spread to the lymph nodes, it is much harder to cure the cancer just with surgery. People with colon cancer stage 3 that has spread to only one, two, or three lymph nodes do better than other people with four or more lymph nodes with cancer cells in them.

Colon cancer stage 3 can be cured, but the doctor must remove a larger piece of the colon during surgery. Your doctor also takes out more lymph nodes so that they can be sent to a laboratory for viewing under a microscope to check for cancer cells. Most people with colon cancer stage 3 also take drugs or get chemotherapy.

What is Stage 4 colon cancer?

Colon cancer stage 4 occurs when the cancer cells spread out further than in Stage 3. They usually spread to the liver or the lungs first. It is much harder to "cure" colon cancer stage 4 than it is for the previous three stages. Sometimes, surgeons will cut out a part of the liver or a part of the lung where the cancer cells have spread. The cancer has to be cut out of the colon also, just as in colon cancer stage 3. Stage 4 is the last of the colon cancer stages.

What is the colon made of?

The colon or large intestine is a long tube that forms stool ("poop" or feces) from the food that you eat. This tube has an inside layer, with cells that form glands. Glands in the colon can make mucus, slimy material that helps make stools slippery. Other cells help to remove water from the stool. When those cells get sick and don't work right, you can get watery stool or diarrhea.

The colon also has an outside layer with some muscles in it. The muscles help to move the stool, and then push it out your body. The colon also has blood vessels, such as arteries and veins. These are nerves to tell the muscles when to move, and nearby lymph nodes.

Finally - what are the parts of your colon?

The right colon starts at the lower right corner of your belly, and goes up to meet the transverse colon underneath the right side of your ribcage. The transverse colon goes across the top of your abdomen, and connects the right colon to the left colon. The stool goes up here, so your doctor calls this the ascending colon.

Colon cancer - colon diagram

The left colon connects to the transverse colon beginning underneath the left side of your ribcage. The colon ends at the rectum (that has the anus or "butt-hole"). There is an "S" shaped section called the sigmoid colon, which goes from the rectum over to the left side of your abdomen as the continuation and last part of the colon. Since the stool goes down to the sigmoid colon, the left colon is also called the descending colon by your doctor.

The colon is also called the large intestine. The small intestine is what is usually called "guts." You can see colon anatomy in the picture to the right.

Written by Steve Goldner and Jerry Lang - 2/24/09

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