What is Colorectal Cancer and how can it be stopped?

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.





How common is Colorectal Cancer?

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)
Rank Site Total Number
1.
Colo-rectum
6101
2.
Breast 
5499
3.
Lung
5165
4.
Stomach
2410
5.
Skin
1634


What are the symptoms of Colorectal Cancer?

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



Screening for Colorectal Cancer


There are several ways of screening, they include:
  • Faecal occult blood testing
  • Barium enema
  • Colonoscopy

What else can I do to prevent Colorectal Cancer?

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.


Consume adequate dietary fibre

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.


Limit your consumption of fat

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.


Get plenty of exercise

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.


Do not use tobacco

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


General Enquiry No.: 6321 4677
Email: gcsee@sgh.com.sg
Website: www.sgh.com.sg

Source: Colorectal Cancer - The cancer that is preventable and how to stop it!

Written by: A/Prof Eu Kong Weng
  Head and Senior Consultant Surgeon
  Department of Colorectal Surgery
  Singapore General Hospital