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Marcellus Family Medicine
28 1/2 East Main Street | Marcellus NY 13108 | Phone: (315) 673-9926 | Fax: (315) 673-1340
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Colorectal Cancer Awareness Month

 
Among cancers that affect both men and women, colorectal cancer (cancer of the colon or rectum) is the second leading cause of cancer death in the United States. Colorectal cancer affects people of all racial and ethnic groups and most often in people 50 and older. Every year 140,000 Americans are diagnosed with colorectal cancer and more than 50,000 people die from it. This disease is highly preventable by getting screened beginning at age 50. Screening tests help prevent colorectal cancer by finding precancerous polyps (abnormal growths) so they can be removed. Screening also finds this cancer early when treatments can be most effective. Some types of polyps can change into cancer over the course of several years, but not all polyps become cancer. The chance of changing into a cancer depends on kind of polyp.
The two main types of polyps are:
                *Adenomatous Polyps (Adenomas): These polyps change into cancer. Because of this, adenomas are called a pre-cancerous condition.
                *Hyperplastic polyps and inflammatory polyps: These polyps are more common, but in general they are not pre-cancerous
Other polyp characteristics that can increase the chances a polyp may contain cancer or increase someone’s risk of developing colorectal cancer besides the type include the size, the number found, and if dysplasia is seen in the polyp often it’s removed. Dysplasia is another pre-cancerous condition, is an area in a polyp or in the lining of the colon or rectum where the cells look abnormal (but not like true cancer cells)
The wall of the colon and rectum is made up of several layers. Colorectal cancer starts in the innermost layer (the mucosa) and can grow outward through some or all of the other layers. The stage (extent of spread) of a colorectal cancer depends on how deeply it grows into the wall and if it has spread outside the colon or rectum.
Precancerous polyps and colorectal cancer don’t always cause symptoms especially at first. You could have polyps or colorectal cancer and not know it. That is why having a screening test is so important. If you have symptoms they may include:
·         Blood in stool (bowel movement)
·         Stomach pains, aches, cramps that don’t go away
·         Losing weight and don’t know why
These symptoms may be caused by something other than cancer also, so it’s always good to see your doctor with any concerns.
There are several screening tests. Talk with your doctor for which is best for you.
·         Colonoscopy (every 10 years unless noted otherwise by performing Dr.)
·         High Sensitivity guaiac fecal occult blood test (FOBT) or fecal immunochemical test (FIT)-Every year
·         Sigmoidoscopy (every 10 yrs., with FOBT or FIT every 3 years)
·         Sigmoidoscopy alone (every 3 years)
·         Stool DNA test (FIT-DNA)-Cologuard every one or three years
·         CT Colography (or virtual colonoscopy) every five years
There are several ways to treat colorectal cancer, depending on its type and stage.
                Local Treatments: treat the tumor without affecting the rest of the body. Types of local therapy used for colorectal cancer include:
·         Surgery
·         Radiation
·         Ablation or embolization
Systemic Treatments: treatment using drugs given by mouth or directly into the bloodstream.
·         Chemotherapy
·         Targeted Therapy
·         Immunotherapy
Depending on the stage of the cancer and other factors, different types of treatments may be combined at the same time or used one after another.
Types of doctors that treat colorectal cancer:
·         Gastroenterologist: a doctor who treats disorders of the gastrointestinal tract
·         Surgical oncologist: a doctor who uses surgery to treat cancer
·         Colorectal Surgeon: a doctor who uses surgery to treat diseases of the colon and rectum
·         Radiation oncologist: doctor who treats cancer with radiation therapy
·         Medical oncologist: a doctor who treats cancer with medicines such as chemotherapy or targeted therapy
There also may be other specialists on your treatment team such as: physician assistants, nurse practitioners, psychologists, nutritionists, social workers.
 

 

 


Marcellus Family Medicine is currently out of the flu shot for the 2018-2019 season. Please go to your closest pharmacy to get one today. Please call the office today at 315-673-9926 if you have any concerns.

 
 

Children entering grades pre K or K, 1, 3, 5, 7, 9 & 11 will need a physical for school. This was changed effective for the 2018/2019 school year so please take note and call the office as soon as possible to get the physicals scheduled today
(315)673-9926.
Also, children ages 11yrs old will need an updated Adacel (tetanus), Entering 6/7th grade & 12th grade will need Menactra (meningitis) immunization

Please don't hesitate to call us with any questions or concerns. We are here for your healthcare needs.

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