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==Anatomy==
 
==Anatomy==
 
[[Image:Colon.jpg|right|thumb|200px|Anatomy of the colon]]
 
[[Image:Colon.jpg|right|thumb|200px|Anatomy of the colon]]
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The anantomy of the colon is important in understanding cancer. The colon is usually considered to have 5 sections:  
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The colon is the final portion of the digestive tract, after the small intestine. The anantomy of the colon is important in understanding cancer. The colon is usually considered to have 5 sections:  
 
* ''ascending colon''  
 
* ''ascending colon''  
 
*''transverse colon''
 
*''transverse colon''
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==Natural History & Prevention==
 
==Natural History & Prevention==
 
[[Image:colonpolyp.gif|right|thumb|200px|Progression of colon polyp to cancer]]
 
[[Image:colonpolyp.gif|right|thumb|200px|Progression of colon polyp to cancer]]
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Most colon cancer start off as benign '''colon polyps'''.  As these polyps grow, the cells in them can become abnormal, and eventually cancerous.  At some point after that, they can gain the ability to invade the rest of the body and spread (or ''metastasize'') to distant organs.  The progression from polyp to invasive cancer usually takes about 10 years, making screening for the disease a life-saving procedure.
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Most colon cancer start off as benign '''colon polyps'''.  As these polyps grow, the cells in them can become abnormal, and eventually cancerous.  At some point after that, they can gain the ability to invade the rest of the body and metastasize to distant organs.  The progression from polyp to invasive cancer usually takes about 10 years, making screening for the disease a life-saving procedure.
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Most colon cancers arise after the age of 50, at which time '''screening''' is recommended.  There are, however, several inherited types of colon cancer, the most important of which are '''hereditary nonpolyposis colorectal cancer (HNPCC)''' and '''Familial adenomatous polyposis (FAP)'''.  People with these conditions require earlier and more frequent screening.  Also, people with '''Ulcerative Colitis''' are very susceptible to colon cancer and must be screened early and often.
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For people without these conditions, and without a family history of colon cancer, screening usually begins at age 50.  Your doctor will usually test your stool for hidden blood that may indicate a cancer or polyp, and most patients will be offered colonoscopy, where a long, thin tube with a camera on the end is used to examine the entire colon, and remove polyps if necessary.
    
==Symptoms & Diagnosis==
 
==Symptoms & Diagnosis==
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# Abdominal pain — 44 percent
 
# Abdominal pain — 44 percent
 
# Change in bowel habit — 43 percent
 
# Change in bowel habit — 43 percent
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# Hematochezia or melena — 40 percent
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# Bleeding from the rectum — 40 percent
 
# Weakness — 20 percent
 
# Weakness — 20 percent
 
# Anemia without other gastrointestinal symptoms — 11 percent
 
# Anemia without other gastrointestinal symptoms — 11 percent
 
# Weight loss — 6 percent
 
# Weight loss — 6 percent
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Often, the only signs are blood detected in the stool by your doctor or a low blood count discovered on routine laboratory testing.
    
==Treatment & Prognosis==
 
==Treatment & Prognosis==
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Prevention is the most important factor in the prognosis and treatment of colon cancer.  Most early tumors can be removed surgically and cured.  Tumors that have spread require more aggressive therapy.  Chemotherapy options are always changing, and cancer specialists keep up to date on the latest information.
    
==References==
 
==References==
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