Rectal cancer

“Milo” commented that “At last can see what cancer down there looks like.” The rectal cancer photo that I posted earlier is actually not a typical appearance of rectal cancers. It only appeared so because it is a locally advanced stage of cancer. Rectal cancers are usually not visible from the outside. They are found on endoscopy, i.e. colonoscopy or sigmoidoscopy.

Here are some photos of more typical-looking rectal cancers. These are colonoscopy images.

A lump growing from the inner lining layer of the rectum.

Another rectal cancer lump. Note the mucus produced from the lump.

Here, there is a long stretch of stiff segment of rectum. The smooth, glistening surface is not cancer. The cancer is the grey-looking part in the centre. It has grown throughout the circumference of the rectum. Although it looks like a large space for stools to pass, there is no peristalsis to move the stools. It’s just a static conduit.

19 comments so far

  1. just me December 17, 2006 3:28 pm

    good to be scared ….again..eat to live and not live to eat!

  2. George December 17, 2006 8:34 pm

    Great pictures. i will be doing a rectal cancer tomorrow maybe. Wish me luck!

  3. CSH December 17, 2006 9:53 pm

    Pic 3: Oh…, i thought the cancer is the big lump on the left side. thought the grey area are normal, nice lumen, just not illuminated by the light. Blurrrr me.

    George: Good Luck!

  4. FireHorse December 17, 2006 11:42 pm

    Wish I doctor lah, so cool get to look inside people lidat.

  5. Kathy December 18, 2006 12:26 am

    nice pics…i was tricked by the 3rd picture too.. bodoh me. haha

  6. Bernard December 18, 2006 3:54 am

    just me, don’t get too scared, kay? just be aware.

    George, good luck!! (not that you need it, eh?)

    CSH and Kat, not blurrrr or bodoh lerr… biasalah, that’s how it looked like. that’s why i pre-emptively described it ;-)

    FireHorse, you get to look inside the mind. Haha.

  7. eve December 18, 2006 6:47 pm

    eh bernard..i m having a very bad case of heart burn la…tapi nak makan besar gak..how ar?..got any remedy ar?..

  8. George December 18, 2006 8:28 pm

    Thanks for the wishes. The surgery went well now lets wait patiently for her recovery. It was an ulcerated circumferential tumour at about 8cm from the anus. Forgot to take pictures hiyah!

  9. Bernard December 18, 2006 10:00 pm

    eve, gottt!!! deliver cayden! hehe… but seriously folks, PPIs are safe in pregnancy.

    george, good job!

  10. Milo December 19, 2006 9:27 am

    Hey George, Bernard,

    This sounded like even patients with colorectal cancer got HOPE. That probably meant when one first discover it and how worst it is at that stage, I think.

    How is the degree of the cancer determined with respect to:
    - The number of years it remained undiagnose?
    - How many stages of growth are there?
    - And as far as total recovery is concern?

  11. titoki December 19, 2006 12:17 pm

    What’s the treatment for rectal cancer? Removal surgery? Chemotherapy? Or Radiotherapy?

  12. mott December 19, 2006 12:33 pm

    This is what i’m afraid of. Sigh…

  13. nyonyapenang December 19, 2006 1:58 pm

    how often to repeat colonoscopy?

  14. Bernard December 19, 2006 2:52 pm

    Milo, yes. Colorectal cancer has one of the best prognosis among cancers in the gastrointestinal tract, provided they are detected early.

    The most important prognostic factor (a.k.a. factor that helps us predict how long the patient will survive) is the stage of the disease at the time of diagnosis. The earliest stage (Stage A) colorectal cancers have a 90% 5-year survival rate. That means 90% of patients are alive 5 years after the operation. Patients with spread to liver and lung (Stage D) have a 5% 5-year survival rate.

    titoki, the treatment is tailored to each patient depending on the stage of disease and the way in which it appears.

    Generally, however, colorectal cancers benefit from surgery to resect the segment of colon/rectum containing the cancer. This is usually followed by chemotherapy, if the cancer is in Stage B or greater. For rectal cancers, sometimes radiotherapy is added, depending on the stage.

    motts, awareness is half the batle won.

    nyonya, colonoscopy for screening (this means for apparently normal people without symptoms) is recommended from the age of 50 every ten years. For people with symptoms, or have polyps found before, the interval should be less.

  15. jonzz December 19, 2006 6:30 pm

    Looking at these rear-end photos, I’ve pretty much confirmed I’m not cut out for surgery. Too violent, ha ha ha.

  16. mott December 19, 2006 8:26 pm

    Can you enlighten me somemore..Is colon cancer the same as rectal cancer? Is “colorectal” a fusion of terms between colon and rectal? Sorry…all these medical terms are confusing me.

  17. nocturnale December 20, 2006 12:09 am

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  18. Bernard December 20, 2006 10:52 am

    jonzz, steel yourself u must, my padawan. thus shall “the crab” be thrown out from those who seek your hands’ work.

    mott, my apologies for not explaining clearly. The “colon” forms the major segment of the large bowel, and the “rectum” is the final 15 cm segment of the large bowel. Their structure is more or less the same. The cancer that comes from the colon and rectum are from the same type of cells. Therefore, we talk of colo-rectal cancers as one entity.

    Most of the behaviour, risk factors and treatment priciples are the same. Some differences are there because of the difference in their surrounding sturctures, particularly in terms of how they appear and the treatment.

    “Serupa, tapi tak sama”

    nocturnale, I still take all the above, in moderation, not everyday lah. And temper with fibres.

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