“What tests can be done to detect colon cancer?’’ people would ask such
question when they are involved in colon cancer or suspected symptoms. When colon cancer is suspected, either a
lower GI series (barium
enema x-ray) or
colonoscopy is performed to confirm the diagnosis and to localize the tumor.
Tests that can be done to detect colon
cancer:
1. Barium
enema involves taking x-rays: According to experts in Modern Cancer Hospital
Guangzhou, a barium enema involves taking x-rays of the
colon and the rectum after the patient is given an enema with white and chalky
liquid containing barium. The barium outlines the large intestines to the
x-rays. Tumors and other abnormalities appear as dark shadows on the x-rays.
2. Colonoscopy: “Colonoscopy is a procedure whereby a doctor inserts a
long, flexible viewing tube into the rectum for the purpose of inspecting the
inside of the entire colon,” said Prof Peng Xiaochi, an oncology expert from Modern Cancer
Hospital. Colonoscopy is
generally considered more accurate than barium enema x-rays, especially in
detecting small polyps. If colon polyps are found, they are usually removed
through the colonoscopy and sent to the pathologist. The pathologist examines
the polyps under the microscope to check for cancer. While the majority of the
polyps removed through the colonoscopies are benign, many are precancerous.
Removal of precancerous polyps prevents the future development of colon cancer
from these polyps.
3. Biopsy:
If cancerous growths are found during colonoscopy, small tissue samples
(biopsies) can be obtained and examined under the microscope to confirm the
diagnosis. If colon cancer is confirmed by a biopsy, staging examinations are
performed to determine whether the cancer has already spread to other organs.
Since colorectal cancer tends to spread to the lungs and the liver, staging
tests usually include chest
x-rays, ultrasonography, or a CAT
scan of the
lungs, liver, and abdomen.
4. Blood
test: Sometimes, doctors in Modern Cancer Hospital Guangzhou may obtain a blood
test for CEA
(carcinoembyonic antigen). CEA is a substance produced by some cancer
cells. It is sometimes found in high levels in patients with colorectal cancer,
especially when the disease has spread.
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