Colorectal Carcinoma


What are the top three causes of cancer deaths in the United States?

Lung, breast or prostate, and colon cancer.

List a few of the presenting symptoms of patients with colorectal cancer

Intermittent rectal bleeding, vague abdominal pain, fatigue secondary to anemia, change in bowel habits, constipation, tenesmus, weight loss, and perineal pain.

What options are available to evaluate a patient who has hemepositive stools?

Colonoscopy is recommended as the preferred follow-up test for hemepositive stools.

List at least five risk factors for colorectal cancer

Prior adenomatous polyps, family history of colorectal cancer, age older than 50 years, inflammatory bowel disease (ulcerative colitis or Crohn’s disease), personal history of colorectal cancer, exposure to pelvic radiation for cancer treatment, and inherited syndromes (i.e., familial adenomatous polyposis [FAP], Lynch syndrome, Peutz-Jeghers syndrome).

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