Colorectal cancer

by Dr. Justin Maykel – A 15-40 Connection Medical Advisor.

Did you know?

Colorectal cancer is the second most common cancer and second leading cause of cancer death in the United States. Approximately 150,000 patients are diagnosed each year, with 50,000 deaths attributed to this disease. While it is typically considered a cancer of older individuals, colorectal cancer ranks #6 in incidence in the Adolescent and Young Adult population.

As a surgeon who specializes in the treatment of colon and rectal cancer, I see both the ordinary and unusual cases. In the recent past I have taken care of far too many patients in the 15-40 age range with either colon or rectal cancer. A 27 year old office worker, a 20 year old college student, a 37 year old school principle, a 39 year old factory worker, a 35 year old mother of two…Outside of the shock that comes along with this diagnosis at such young ages, sadly, many of these patients present with advanced tumors that have spread by the time of diagnosis. At times this is because, like most people, the associated symptoms are ignored, rationalized, or denied. Months to years go by before we seek treatment.

Did you know this is completely preventable???

As it turns out, colorectal cancers grow from precancerous growths called polyps. These polyps can be detected and removed by a simple test called a colonoscopy before they turn into cancer. Accordingly, we have a unique opportunity to prevent this cancer, a special opportunity rarely encountered in cancer care. Since the incidence of colorectal cancer increases after age 50, current guidelines recommend screening after your 50^th birthday. That said, the incidence of colorectal cancer before age 50 is on the rise—comprising approximately 8% of cases.

What should you do if you are in the 15-40 age range?

Well, it starts with knowing your family history. If a first degree relative (parent or sibling) has been diagnosed with either colon polyps or colorectal cancer, then you are at higher risk and we recommend that screening should begin at age 40 (instead of age 50), right at the “tail end” of the 15-40 age range (pun intended!). Second, be aware of symptoms. Most early colorectal cancers do not cause symptoms (one reason why you should convince your family members over age 50 to get their colonoscopies even if they feel perfectly well) yet more advanced tumors can cause symptoms. These include rectal bleeding (blood with bowel movements), persisting changes in the bowel habits (new constipation, diarrhea or thin caliber stools), or unexplained weight loss. While these tend to be issues we prefer not to discuss, bringing them to the attention of your doctor could save your life.

As a surgeon who is both in the 15-40 age group and who treats too many patients in our 15-40 age group, please allow me to help you help yourself. Listen to this message, embrace the 15-40 Connection mission, and be proactive about your health! Spread the word and let’s work together to prevent the next patient from ever being referred to my office by preventing their cancer.