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Colon Cancer

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Colon and rectal cancers (CRC) are often grouped together but are two distinct clinical entities that differ in their prognosis, presentation, staging, and management.

  • CRC is the seco...

DIAGNOSIS

HISTORY

  • Most patients with colon cancer are asymptomatic.

  • Microcytic anemia in men of any age and postmenopausal women is CRC until proven otherwise, evaluation must include diagnostic colonos...

TREATMENT

  • Colon cancer is typically treated with surgery and chemotherapy.

  • Data suggest multidisciplinary communication among providers of colon cancer patients can improve cancer survival.

SURGERY/OTHER PROCEDURES

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Risk of recurrence is greatest in the first 2 to 4 years after treatment; 80% occur in first 2.5 years from date of surgery.

  • H&P and CEA shou...

REFERENCES

1
1 Siegel RL, Miller KD, Jemal A. Cancer statistics, 2015. CA Cancer J Clin.  2015;65(1):5–29. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Brenner H, Kloor M, Pox CP. Colorecta...

ADDITIONAL READING

  • Benson ABIII, Venook AP, Bekaii-Saab T, et al. Colon cancer, version 3.2014. J Natl Compr Canc Netw.  2014;12(7):1028–1059. {L-End} {L-End} [View Abstract on OvidMedline]

  • Ene...

CODES

ICD10

  • C18.9 Malignant neoplasm of colon, unspecified

  • C18.2 Malignant neoplasm of ascending colon

  • C18.8 Malignant neoplasm of overlapping sites of colon

  • C18.7 Malignant neoplasm of sigmoid colon

  • C18.6...

CLINICAL PEARLS

  • Microcytic anemia in men of all ages and postmenopausal women is CRC until proven otherwise.

  • Colon cancer screening decreases mortality from colon cancer, but optimal screening method i...

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