What causes colon cancer?

Written by Yan Chun
Oncology
Updated on January 17, 2025
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Colorectal cancer is a malignant tumor of the digestive system, and its occurrence is related to the following factors:

First, dietary factors. A high-fat content and a low fiber content in the diet both lead to an increased incidence of colorectal cancer. Furthermore, long-term consumption of pickled foods can also increase the incidence of colorectal cancer, presumably because these foods contain higher levels of nitrosamine carcinogens.

Second, some benign chronic diseases of the colon, such as adenomatous polyps and certain chronic colitis, can also lead to an increased incidence of colorectal cancer.

Third, environmental factors. Epidemiological studies have found that the occurrence of colorectal cancer is related to geographical distribution. In some environments with a high incidence of colorectal cancer, the content of some trace elements in the soil is too low, leading to a high incidence of colorectal cancer.

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Colon cancer surgical methods

The surgical approach for colon cancer should be tailored based on the specific circumstances of the patient, involving a rational, comprehensive treatment strategy. The surgical principle is that early-stage cancers should undergo curative resection, while more advanced cancers should be treated with radical surgery or extended radical surgery. Once the treatment plan is determined, the choice of surgical methods should be made comprehensively based on the patient's specific conditions. For example, in the surgery of rectal cancer in the middle and lower segments, it should be considered whether to preserve the anus or perform abdominoperineal resection based on the tumor's biological characteristics, patient's age, overall health, and any concurrent diseases. It is not that there is one fixed type of surgery; the approach should be specifically tailored based on the detailed analysis of the issues at hand.

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Is upper gastrointestinal bleeding colon cancer?

Upper gastrointestinal bleeding cannot be caused by colon cancer, as the colon is part of the lower gastrointestinal tract. Therefore, upper gastrointestinal bleeding cannot result from colon cancer. There are several diseases that can cause upper gastrointestinal bleeding: The first common cause is peptic ulcer, including both gastric ulcers and duodenal ulcers, which can lead to bleeding in the upper gastrointestinal tract. The second cause is bleeding due to esophageal or gastric varices rupture associated with liver cirrhosis. This type of bleeding can be substantial and sometimes life-threatening. The third cause is acute gastric mucosal injury, such as that caused by heavy alcohol consumption or the use of nonsteroidal anti-inflammatory drugs (NSAIDs). The fourth cause is gastric cancer, which can lead to upper gastrointestinal tract bleeding. While colon cancer can cause rectal bleeding, it is not a cause of upper gastrointestinal tract bleeding.

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What are the symptoms of bone metastases from colon cancer?

Colon cancer generally refers to a malignant tumor that grows on the colon and typically appears in middle-aged populations. If colon cancer is not treated promptly, it can easily lead to bone metastasis. The bone metastasis of colon cancer is similar to other tumor metastases. The symptoms such as chest pain or tenderness upon pressing could be caused by bone metastasis from lung cancer. In the early stages of colon cancer, there are generally no symptoms of bone metastasis. However, once the tumor metastasizes to weight-bearing bones, thoracic vertebrae, cervical vertebrae, or lumbar vertebrae, it can result in paralysis. Patients must seek timely medical examination and treatment at a hospital to prevent the cancer cells from metastasizing.

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How long can one live after colon cancer surgery?

If colon cancer can be treated surgically, generally, the outcomes might be quite good. It often applies to cancer in relatively early stages, with potentials to survive for over three years, five years, or even longer. Of course, there are cases of colon cancer that are discovered in later stages, where complete surgical removal is not possible, and only palliative stoma surgery can be performed. In such situations, the survival time might be within three to five years, but the exact life expectancy cannot be fully determined. Each individual's condition is different, and treatment must be adapted accordingly. Typically after surgery, treatments like chemotherapy, radiation therapy, and targeted therapy might be used in combination to prolong survival.

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Is colon cancer surgery a major surgery?

Colon cancer surgery is considered a relatively major procedure, ranking as a class three or four surgery in general surgery. Generally, it involves the resection of the entire transverse colon or tumors located in other areas such as the ascending or descending colon, accompanied by the removal of surrounding lymph nodes, followed by intestinal anastomosis and digestive tract reconstruction. Post-surgery, comprehensive anti-tumor treatment is usually required. After colon cancer surgery, the main focus is on preventing intestinal leakage, which is a serious complication. Dietary intake needs to be gradually restored after surgery. Initially, the patient may only be able to consume liquid and easily digestible foods, gradually transitioning to semi-liquid and regular diets, while also paying attention to eating smaller, more frequent meals.