March is Colorectal Cancer Awareness Month

Screening and Early Detection is Key to Effective Treatment

March is Colorectal Cancer Awareness Month, and a good time to learn more about colorectal cancer (cancer of the colon and rectum) and how it can be prevented or best treated.

Colorectal cancer is the second leading cause of cancer-related deaths in the United States for both men and women combined. This year, approximately 140,000 new cases of colorectal cancer will be diagnosed and 56,000 people will die from the disease.

"But colorectal cancer is a disease that can be prevented through regular screenings, a healthy diet and regular exercise," explains Valley Health colorectal surgeon Maria Sophia Villanueva, MD.

How can I lower my risk?

To lower your risk of colorectal cancer, the American Society of Colon and Rectal Surgeons recommends that you:

• Get regular colorectal cancer screenings after age 45. Between 80-90% of colorectal cancer patients are restored to normal health if their cancer is detected and treated in the earliest stages.
• Eat a low-fat, high-fiber diet.
• If you use alcohol, drink only in moderation. If you use tobacco, quit. If you don't use tobacco, don't start. Alcohol and tobacco in combination are linked to colorectal cancer and other gastrointestinal cancers.
• Exercise for at least 20 minutes three to four days each week. Moderate exercise such as walking, gardening or climbing steps may help.

Can colorectal cancer be cured?

Since there are very few symptoms associated with colorectal cancer, regular screening is essential. Screening is beneficial for two main reasons: colorectal cancer is preventable if polyps that lead to the cancer are detected and removed, and it is curable if the cancer is detected in its early stages.

"If detected, colorectal cancer requires surgery in nearly all cases for complete cure, sometimes in conjunction with radiation and chemotherapy," says Valley Health surgical oncologist Maureen Hill, MD. "Between 80-90% of patients are restored to normal health if the cancer is detected and treated in the earliest stages. However, the cure rate drops to 50% or less when diagnosed in the later stages."

Who is at risk for colorectal cancer?

The risk of developing colorectal cancer increases with age. All men and women aged 45 and older are at risk for developing colorectal cancer, and should be screened. Some people are at a higher risk and should be screened at an age younger than 45, including those with a personal or family history of inflammatory bowel disease; colorectal cancer or polyps; or ovarian, endometrial or breast cancer.

Current screening methods include fecal occult blood testing (a simple chemical test that can detect hidden blood in the stool), flexible sigmoidoscopy (a visual examination of the rectum and lower portion of the colon, performed in a doctor's office), double contrast barium enema (barium x-ray), colonoscopy (a visual examination of the entire colon) and digital rectal exam. Colorectal cancer screening costs are covered by Medicare and many commercial health plans. You should find out from your healthcare provider which screening procedure is right for you and how often you should be screened.

Valley Health’s Colorectal Cancer Program

The Valley Health Cancer Center is committed to education, prevention and screening for early detection of colorectal cancer. For patients diagnosed with colon and rectal cancer, the Cancer Center offers multidisciplinary care using a coordinated team approach. Our surgical oncology team, which includes surgical oncologist Devin Flaherty, DO, as well as Dr. Hill and Dr. Villanueva, provides advanced surgical treatments for colon and rectal cancer including minimally invasive and robot-assisted techniques. Our rectal cancer program is the first in our tri-state region to earn national accreditation.