Colorectal Cancer - Clare Cancer Support
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Transcript Colorectal Cancer - Clare Cancer Support
Colorectal Cancer
Mr Eoghan Condon, MD,FRCSI.
Consultant Colorectal Surgeon
Mid Western Regional Hospital
Limerick.
incidence
Second most commonly diagnosed
cancer in men and women in ireland
1900 cases per year
Ave 8 per week diagnosed in the Mid
western hospital group . Six surgeries
per week.
Causes
No definite link to any virus food or
drink
Diseases Crohns and Ulcerative colitis
significant links
Genetics Familial polyposis coli,
Microsatellite instability.
Survival
5 year survival in ireland for colorectal
cancer is 50%
5 year survival in the USA is 75%
Why ? Early detection.
Every body is screened in the US at 50
Ireland Screening
2012
12 million
55-74
Based on immunohsitocemical screening
12 centres, Ennis new endoscopy suite
has applied to centre.
Expected to increase survival
Polyps
10-15% population
10yrs before
cancers
Adenomas
>1 cm increases
risk
Family history and risk of
colorectal cancer
liver
Symptoms that define high
risk and low risk patients
Urgent referral
Over 50 years of age
Rectal bleeding persistently without anal symptoms
Change of bowel habit to looser stools and/or
increased frequency of defaecation, without
bleeding, persisting for > 6 weeks
Urgent referral
All ages
Definite palpable abdominal/ rectal mass
Rectal bleeding with a change in bowel habit to
looser stools and/or increased frequency
persistent for > 6 weeks
Iron deficiency anaemia without an obvious cause
Treatment options – are based on
staging!
Surgery
Radiotherapy
chemotherapy
On the occasion of Dr. George Crile, Sr.’s twenty-five thousandth thyroidectomy (June 3,
1936), thirteen people crowded around the patient - some without masks or gowns. Barney
is the fourth from left; his father is across from him. Third from right is the Chief’s longtime
secretary, Amy Rowland.
Thank you