Next Body Keto People with Crohn's disease or ulcerative colitis (chronic inflammation of the digestive system) also have an increased risk. Finally, patients with Lynch syndrome or familial adenomatous polyposis (presence of thousands of polyps), due to specific genetic mutations, have a very high risk, of the order of 80 to 100%, of suffering from colorectal cancer.
Next Body Keto Prolonged episodes of diarrhea or constipation, bloating, abdominal pain, unexplained fatigue, weight loss and the presence of blood in the stool, should lead to consult his general practitioner. They are not specific to colon cancer, but the doctor will make sure by ordering a colonoscopy , which involves passing a probe through the anus to examine the entire colon as well as the rectum, looking for polyps. Often performed under general anesthesia, it requires a fairly restrictive preparation: follow a diet without fiber and drink two times two liters of a salty laxative liquid to completely cleanse the colon.
Next Body Keto But everyone is invited to the screening from the age of 50. The immunological test, which replaced the Hemoccult, makes it possible to identify 70 to 80% of cases. It consists of looking for occult blood in the stool. Five percent of tests turn out positive and require further examination to find out if it is cancer (about one in two times).
Next Body Keto "The colonoscopy is the gold standard for diagnosing colon cancer," says P r Frédéric Bretagnol. It can detect polyps before they become cancerous or very small lesions that can be removed. In the case of larger lesions, part of the tumor is removed for analysis (biopsy). If it turns out to be cancerous, the exam is done to assess the extent of the cancer.
Next Body Keto "The thoraco-abdo-pelvic scanner helps us to determine the extent and location of the tumor, as well as the presence of any metastases in the liver and lungs," explains the surgeon. A blood test for carcinoembryonic antigen (CEA) is also useful: the increase in this protein indicates the presence of localized cancer cells or metastases.
Next Body Keto For rectal cancer , two other medical imaging exams are offered for a good diagnosis. Rectal magnetic resonance imaging ( MRI ) and endorectal ultrasound determine the stage of the tumor. "These two examinations assess the degree of infiltration of the tumor in the wall and the presence of suspicious nodes, specifies the P r Frederic Bretagnol. They are therefore invaluable in subsequently establishing the most appropriate therapeutic strategy. ”
Next Body Keto They have evolved a lot with advances in surgery and chemotherapy and the development of targeted therapies to treat metastatic stages. "The first treatment is surgical and involves removing part of the colon where the tumor is located," says P r Michel Ducreu. Depending on the location of the tumor, the operation is performed either by laparotomy (opening the abdomen) or by laparoscopy (closed stomach). The surgeon makes several incisions to insert a camera and surgical instruments.