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Rectum Cancer

The second leading cause of cancer deaths.

Rectum cancer isn't something most of us think about on a daily basis but that doesn't mean we should ignore it. Advanced rectal cancer could cause serious damage to your body and become fatal if it goes without treatment.

Cancer that's allowed to progress without treatment can spread to other parts of the body such as the:

  • liver
  • lungs
  • and even your brain

That's why we should all take the time to have a rectal cancer screening done on a regular basis. It might be inconvenient, but it could save our lives.

What Is Rectum Cancer?

Rectal cancer and colon cancer have many features in common. However, they are treated differently. Both cancers begin in the digestive system. Rectal cancer is close to the anus and colon cancer is higher in the large intestine.

Both kinds of cancer start in the inner layers of tissue and grow outward through some or all of the outer layers. The stage of the cancer depends on how far it has spread through these layers. Treatment is easier when cancer is detected early. Cancer of the colon and rectum is the third leading cause of cancer in men and the fourth leading cause in women.

Rectum cancer usually begins as a polyp. This is a piece of tissue from the rectal lining that grows out into the center of the rectum. It isn't always cancerous but it may be.

Removing polyps early will keep them from turning into tumors called adenocarcinomas. This is why it's important to have a rectal exam as part of your annual physical. Your doctor can find polyps and other growths early and treat or remove them to prevent problems later. When harmless polyps are left alone, they can become cancerous.

Rectal Cancer Symptoms

There are some common symptoms of rectal cancer, but not every patient will have the same ones. This is because this cancer can manifest in several different ways. If you have any of the symptoms described below, talk to your doctor right away.

  • Rectal pain or bleeding - If you see blood mixed in with your stool, you should talk to your doctor right away. It can be a sign that you have cancer or some other problem. This bleeding may be hard to find and can require special tests to determine what's really wrong.
"We should all take the time to have a rectal cancer screening done on a regular basis. It might be inconvenient, but it could save our lives."

Some people become pale and tired or seem to be anemic. They are really suffering from rectal bleeding and should see their doctor immediately. A lab test can determine what the problem really is and help you get the treatment you really need.

  • Nausea or vomiting - Large tumors can block the rectum. This can cause pain, nausea and other digestive problems.
  • Constipation or trouble eliminating - A big enough tumor in the rectum can prevent you from eliminating properly. You may feel like there is still something inside after a bowel movement. Eliminating may become painful.
  • Unexplained weight loss - Digestive problems caused by tumors may result in loss of weight. But a large tumor may make it look like you are gaining weight. See your doctor if your stomach sticks out more and you aren't any heavier. There could be a real problem.

Treating Rectal Cancer

The way your doctor will treat rectal cancer will depend on the progression of the cancer. This is determined by:

  • how deep the tumor is
  • whether the lymph nodes have become cancerous
  • whether the cancer has spread to other locations.

Stages

  • In Stage I the tumor is only in the first or second layer of the rectal wall.
  • In Stage II the tumor has penetrated more deeply, but no lymph nodes are involved.
  • In Stage III the lymph nodes have become cancerous.
  • In Stage IV the cancer has spread to other parts of the body. Stage IV cancer is almost impossible to cure.

Treatment for localized rectal cancer requires removing all cancerous cells and preventing them from coming back. Earlier stages can be cured with surgery without much risk of the cancer returning.

Patients in Stage I will not require chemotherapy in most cases. If the tumor is in Stage II or III, treatments include radiation and chemotherapy.

These are often done before surgery to shrink the tumor so it can be completely removed. This treatment lasts about six weeks and more chemotherapy may be done after the surgery to make certain that the cancer is gone.

Stage IV tumors are treated only using chemotherapy. This type of cancer can't be cured right now but treatment can extend your life. New medications make it possible for patients to live longer and have happier lives.

Written by Grace Palmer - 8/28/09

Reviewed Steve Goldner - 9/5/09

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