An ounce of prevention is better than a pound of cure, especially when dealing with colorectal cancer.
When reading about prevention it is important to distinguish between:
(1) true prevention
(2) early detection
(3) improved survival
(4) healthy living
Interventions That Have Been Proposed |
Comment |
To reduce weight if obese. |
Obesity has been correlated with an increased risk for colon cancer. |
To stop smoking if a smoker. |
Smoking may increase the risk of colon cancer. Smoking cessaton improves general health. |
To reduce alcohol intake if a heavy drinker. |
Excessive alcohol use may increase the risk of colon cancer. |
To have a diet low in fat and red meat. |
A diet low in fat and red meat may reduce the frequency of adenomas. |
To have a diet high in fiber. |
Not proven to be preventive. Fiber may improve regularity. |
To have a diet high in fruits and vegetables. |
Not proven to be preventive. Fruits and vegetables may complement a low fat, low red meat diet. They may also help to reduce obesity. |
To take an NSAID regularly. |
Not recommended because the risk of bleeding and other adverse effects. These drugs may reduce the frequency of adenomas. |
To engage in moderate physical activity. |
Helps to maintain lower body weight. |
Periodic colonoscopy with resection of colonic adenomas. |
Effective in removing adenomas before they can become malignant. |
Colonic resection in high risk patients (high grade dysplasia, polyposis, etc) |
Surgery may be helpful in a patient who is probably going to develop colon cancer eventually. |
True prevention may not be achievable. However, interventions combined with regular screening allows for early detection and treatment.
Specialty: Hematology Oncology, Surgery, general, Gastroenterology
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