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Colorectal cancer
is a cancer nobody has to have, because it is one of the most preventable
cancers that exist. Often referred to simply as colon cancer or bowel
cancer, it almost starts as non-cancerous growths called polyps that
develop on the lining of the colon and rectum.
Polyps
can become cancerous, but if they are found early enough through screening
tests and promptly removed, the cancer can easily be stopped before
it ever gets started. In fact, scientific research has shown that
up to 90% of colorectal cancers can be prevented just by finding and
removing polyps before they become cancer.
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Colorectal cancer is the commonest cancer
in Singapore today. About 600 - 800 cases are diagnosed annually.
The incidence rate is similar to those seen in the developed countries.
Although colorectal cancer may occur at any age, about 90% of cases
occur over the age of 40 years. Colorectal cancer is now the overall
commonest cause of cancer deaths in Singapore.
| Top
5 cancers in Singapore (1998 - 2002) |
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Rank |
Site |
Total Number |
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1.
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Colo-rectum |
6101
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2.
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Breast |
5499
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3.
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Lung |
5165
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4.
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Stomach |
2410
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5.
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Skin |
1634
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Colorectal cancer is a silent killer,
very often with no symptoms to indicate anything is wrong until
quite late. However, when symptoms do occur, they may include:
- Bleeding from the rectum
- Blood in or on the stools
- Change in bowel pattern
- Stools narrower than usual
- Diarrhoea, constipation or a combination
of both
- Bloating, fullness or general stomach
discomfort
- Frequent gas pains
- Constant tiredness
- Weight loss for no apparent reason
- Vomiting
There are several ways of screening, they
include:
- Faecal
occult blood testing
- Barium enema
- Colonoscopy
Besides regular screening tests, a healthy
diet and lifestyle are very important in colon cancer prevention.
Here are things you can do to minimize your risk of colon cancer.
Recent research has demonstrated that adequate
soluble fibre (fruits and vegetables) in your diet may play an important
role in preventing colon cancer. Fibre helps move wastes through the
lower digestive system and may even protect cells in the colon lining
from developing into polyps. It is recommended that you consume at
least 25 to 35 grams of dietary fibre each day, yet the average person
only consumes 10 to 15 grams. Adding soluble fibre supplement is an
easy and practical way to compensate for failing to eat five half-cup
servings of fruits and vegetables every day.
Another way to lower colon cancer risk is
to reduce the amount of fat in your diet, especially fat from animal
sources. You can enhance a diet low in fat by adding increased amounts
of fruits and vegetables, especially leafy green vegetables.
The importance of exercising regularly cannot
be overstated in maintaining a healthy lifestyle and preventing colon
cancer. Accepted guidelines include at least 20 to 30 minutes of brisk
physical activity three to five days a week or more. This can be walking,
swimming or cycling and need not be jogging or aerobic training.
You probably already know about many of
the increased health risks of tobacco use. It has also been linked
to increase risk for colon cancer. Take steps now to quit smoking.
Enroll yourself in a STOP SMOKING program today, or do whatever it
takes to quit.
Department of Colorectal Surgery
| Source:
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Colorectal Cancer -
The cancer that is preventable and how to stop it!
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| Written by: |
A/Prof Eu Kong Weng |
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Head and Senior Consultant
Surgeon |
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Department of Colorectal
Surgery |
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Singapore General Hospital
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