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Writer's pictureIris Chen

Understanding Colorectal Cancer: An Overview



Colorectal cancer (CRC), encompassing cancers of the colon and rectum, is a major global health issue. As the third most common cancer worldwide and the second leading cause of cancer-related deaths, CRC presents a significant challenge. This essay examines the nature of colorectal cancer, its risk factors, symptoms, diagnostic approaches, and preventive measures, emphasizing the importance of early detection and lifestyle modifications.


Nature and Development

Colorectal cancer originates in the cells lining the colon or rectum and frequently starts from polyps—small, benign growths that can become cancerous over time. The transition from benign polyps to malignant tumors typically involves a series of genetic mutations that lead to uncontrolled cell proliferation (American Cancer Society, 2022). This progression underscores the importance of early detection and treatment.


Risk Factors

Several factors increase the risk of developing colorectal cancer. Genetic predispositions are significant; hereditary conditions such as familial adenomatous polyposis (FAP) and Lynch syndrome substantially raise the risk of CRC (National Cancer Institute, 2023). A personal or family history of colorectal cancer or polyps further increases risk.


Lifestyle factors are also crucial. Diets high in red and processed meats and low in fiber are linked to an increased risk of CRC (World Health Organization, 2015). In contrast, a diet rich in fruits, vegetables, and whole grains may offer protective benefits (American Institute for Cancer Research, 2022). Additionally, obesity, physical inactivity, and smoking contribute to a higher risk, highlighting the significance of maintaining a healthy lifestyle.


Symptoms and Diagnosis

Colorectal cancer often develops without early symptoms, making regular screening essential. As the disease progresses, symptoms may include persistent changes in bowel habits, such as diarrhea or constipation, rectal bleeding, abdominal pain, and unexplained weight loss (Mayo Clinic, 2023). 


Diagnosis typically involves several methods. Screening tests like the fecal occult blood test (FOBT) and fecal immunochemical test (FIT) can detect hidden blood in the stool, which may indicate cancer (U.S. Preventive Services Task Force, 2021). Colonoscopy, a procedure where a flexible tube with a camera is inserted into the rectum to examine the colon, is the primary diagnostic tool. Abnormal findings during colonoscopy may lead to biopsies for further examination (American College of Gastroenterology, 2023).


Prevention and Early Detection

Preventive measures are crucial in reducing the incidence of colorectal cancer. Regular screening is recommended for individuals over the age of 45 or earlier for those with a family history or other risk factors (American Cancer Society, 2022). Screening can identify and remove precancerous polyps, thereby preventing cancer development.


Lifestyle changes also play a significant role in prevention. A diet high in fiber, low in red and processed meats, and rich in fruits and vegetables is beneficial (American Institute for Cancer Research, 2022). Regular physical activity, maintaining a healthy weight, and avoiding tobacco and excessive alcohol consumption further reduce risk (World Health Organization, 2015).


Conclusion

Colorectal cancer remains a major health concern, but its impact can be lessened through awareness, early detection, and lifestyle modifications. Understanding the nature of the disease, recognizing risk factors, and adhering to recommended screening practices are vital for effective prevention and treatment. By adopting preventive measures and maintaining a healthy lifestyle, individuals can significantly reduce their risk and contribute to the global effort to combat this prevalent cancer.


Works Cited

American Cancer Society. “Colorectal Cancer.” American Cancer Society, 2022, www.cancer.org/cancer/colon-rectal-cancer.html.


American College of Gastroenterology. “Colonoscopy.” American College of Gastroenterology, 2023, www.gi.org/topics/colonoscopy/.


American Institute for Cancer Research. “Colorectal Cancer Statistics.” American Institute for Cancer Research, 2022, www.aicr.org/cancer-research/cancer-facts-and-figures/colorectal-cancer-statistics/.


Mayo Clinic. “Colorectal Cancer Symptoms.” Mayo Clinic, 2023, www.mayoclinic.org/diseases-conditions/colon-cancer/symptoms-causes/syc-20353349.


National Cancer Institute. “Genetics of Colorectal Cancer.” National Cancer Institute, 2023, www.cancer.gov/types/colorectal/hp/colorectal-genetics-pdq.


U.S. Preventive Services Task Force. “Colorectal Cancer Screening.” U.S. Preventive Services Task Force, 2021, www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening.


World Health Organization. “Diet, Nutrition, and the Prevention of Chronic Diseases.” World Health Organization, 2015, www.who.int/publications/i/item/9789241546964.

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