Public talk on Colon Cancer
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On-line presentation via Zoom application catering to the public of Miri. Presentation delivered in layman terms, encompassing occurrence, risk factors and symptoms that suggest colon cancer. Also covered on methods to be adopted to reduce risks of colon cancer, screening tools and principles of managing colon cancer patients.
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Public talk on Colon Cancer
- 1. Understanding Colon Cancer Dr Chea Chan Hooi Surgeon Borneo Medical Centre (Miri) 15th July 2020
- 2. Content • Introduction • Epidemiology • Risk factors • Symptoms • Investigations • Treatment • Screening • Conclusion
- 3. Introduction • The second most common cancer in Malaysia • Usually affects older people • Begins as a polyp which then grows over time (between two to five years) to become cancer
- 4. Colon cancer occurence in Asia
- 5. Lifetime cancer risk in Malaysia Male • General 1 in 15 • Chinese 1 in 39 • Malay 1 in 72 • Indian 1 in 82 Female • General 1 in 74 • Chinese 1 in 49 • Indian 1 in 91 • Malay 1 in 100
- 6. Top 10 most common cancer in Malaysia, 2007 - 2011
- 9. Risk factors Modifiable • Diet • Obesity • Smoking • Excessive alcohol intake • Inflammatory bowel disease Non-modifiable • Genetic predisposition • Family history • Aging
- 13. Non-modifiable risk factors • Aging • Genetic • Family history
- 14. What are the symptoms that might suggest colon cancer?
- 17. Tenesmus
- 20. Investigations • Fecal occult blood test • Cancer marker • Colonoscopy
- 21. Fecal occult blood test • Test for blood cells in stool • Falsely raised if taking certain medication (e.g. aspirin) or high-iron food
- 22. Cancer marker • CEA • Function • To assist in screening • Monitoring response to treatment • Detect recurrence after treatment • Not diagnostic • Levels not elevated in up to 30% colon cancer patients • Also detected in lung cancer
- 23. Colonoscopy
- 24. CT scan staging
- 26. Surgery - Conventional open surgery
- 29. Five year survival rate for colorectal cancer
- 30. Screening • People with no symptoms • Population • Normal-risk • High-risk • Family history • Previous colonic polyp • Previous inflammatory bowel disease • Methods • Fecal occult blood test (FOBT) • Colonoscopy
- 31. Screening schedule Normal-risk • FOBT every 1 - 3 years, proceed with colonoscopy if positive • Colonoscopy every 5 - 10 years starting from age 45 High-risk • FOBT every year, proceed with colonoscopy if positive • Colonoscopy every 1 - 5 years Family history Previous colonic polyp Previous inflammatory bowel disease
- 32. Development of colon cancer
- 33. Conclusion • Colon cancer is the second most common cancer in Malaysia • Wide range of treatment options are available • Early detection will enable higher chance of cure • Screening is crucial
- 34. Thank you E-mail: cheachanhooi@yahoo.com WA: 0149972321 Tel: 085329333