Cáncer colonrectal

¿Qué es?

Colorectal cancer is cancer that begins in the colon or rectum (everyone has a colon and rectum unless they have been surgically removed). This cancer can be prevented with a screening colonoscopy by removing polyps (grape-like growths on the wall of the large intestine, which includes both the colon and rectum) before they become cancerous. With routine screening, you can also detect the disease early when the cancer is small and hasn’t spread.

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Hágase la prueba

For those of average risk, colorectal cancer screening should begin at age 45.*

*Source: American Cancer Society

Edades de 45 a 75 años: Hágase una prueba de detección

Start getting screened at age 45 if you’re at average risk for colorectal cancer, and continue getting screened through age 75 if you are in good health with a life expectancy of 10 years or more.

Si tiene entre 76 y 85 años, hable con su proveedor de atención médica sobre si debe continuar con las pruebas de detección. Después de los 85 años, no debería hacerse pruebas de detección.

Visual tests

  • A health care provider visually examines your colon using a procedural medical tool
  • Done every 5-10 years, depending on the type of test
  • Requires bowel prep, which cleans out the colon and enables a health care provider to visualize the lining
  • May or may not require sedation, depending on the type of test
  • Opportunity for prevention (colonoscopy) or early detection (all visual testing methods)
  • Any abnormal results from a visual test that is not a colonoscopy (i.e. a virtual colonoscopy or a flexible sigmoidoscopy) need to be followed up with a timely colonoscopy

Pruebas basadas en heces

  • Non-invasive, at-home method of testing
  • Done every 1-3 years, depending on the brand or type of test
  • Requires a stool sample to be mailed to a lab
  • Stool sample is checked for hidden blood and/or genetic information shed by cancerous or precancerous cells
  • Any abnormal results from stool-based tests need to be followed up with a timely colonoscopy

Blood-based tests

  • Newest screening method
  • Only recommended for those who have declined or have not completed a structural (visual) or stool-based screening test
  • Done every 3 years
  • Requires having your blood drawn at a doctor’s office or lab
  • Blood sample is checked for DNA that could signal cancer
  • Any abnormal result from a blood test needs to be followed up with a timely colonoscopy

Increased risk

Based on your personal risk, some screening options may not be recommended for you. You may also need to start regular screening at an earlier age and/or be screened more often.

Prueba genética may be an option for those who want more information about their cancer risk based on their family health history.

Cobertura de detección

The Affordable Care Act mandates that private insurers and Medicare cover certain colorectal cancer screenings. Insurance companies can also choose to cover other types of screening that are not required by law. Check with your insurance provider to find out if which screenings are covered under your insurance plan.

Recommended screening options

There are many options for colorectal cancer screening for those of average risk. Talk to your health care provider to choose which test is right for you.

More on the options

Conozca su riesgo

Usted tiene un mayor riesgo de padecer cáncer colorrectal si:

  • Tienen 50 años o más.
  • Son de color negro.
  • Fumar.
  • Tiene sobrepeso u obesidad.
  • Tiene diabetes tipo 2.
  • No son físicamente activos.
  • Beber alcohol en exceso.
  • Consuma mucha carne roja (como ternera, cerdo o cordero) o carne procesada (como tocino, salchichas, salchichas o embutidos).
  • Have a personal or family history of colorectal cancer or colorectal polyps.
  • Have a personal or family history of inflammatory bowel disease (such as ulcerative colitis or Crohn’s disease).
  • Have a personal or family history of a hereditary colorectal cancer syndrome, such as Lynch syndrome or Familial Adenomatous Polyposis (FAP).

Reduzca su riesgo

Puede reducir su riesgo de cáncer colorrectal mediante estas modificaciones relacionadas con el estilo de vida:

Haga ejercicio durante al menos 30 minutos, al menos 5 días a la semana.

Icon illustration of a wine bottle and a wine glass with a large X over it indicating not to drink alcohol.

Evite o limite el alcohol.

Para reducir el riesgo de cáncer, es mejor evitar el alcohol por completo. Si elige beber, limite su consumo a no más de una bebida por día si se le asignó mujer al nacer, y no más de dos bebidas por día si se le asignó hombre al nacer.

Icon illustration of a cigarette with smoke coming from its tip and a large X over it indicating no smoking.

Avoid all forms of tobacco.

Icon illustration of a steak with a large X over it indicating not to eat red meat.

Coma menos carne roja y elimine la carne procesada.

Icon illustration of a body scale.

Mantener un peso saludable.

An icon illustration of an apple and a carrot.

Consuma muchas frutas, verduras, frijoles y cereales integrales.

Icon illustration of a magnifying glass.

Hágase una prueba de detección de cáncer colorrectal según las pautas y sus factores de riesgo personales.

Signos y síntomas

Hable con su proveedor de atención médica de inmediato si experimenta alguno de los siguientes síntomas:

  • Sangrado del recto o sangre en o sobre las heces
  • Unexplained iron-deficiency anemia
  • Cambio en las deposiciones que dura más de unos pocos días.
  • Heces más estrechas de lo habitual
  • General abdominal problems such as bloating, fullness or a feeling that you need to have a bowel movement that’s not relieved by having one
  • Persistent abdominal cramps
  • Unexplained vomiting, diarrhea or constipation
  • Pérdida de peso sin motivo aparente.
  • Unexplained fatigue

Opciones de tratamiento

El tratamiento depende del estadio del cáncer, el tipo de células tumorales y su condición médica.

Cirugía

El tratamiento más común para el cáncer colorrectal es la cirugía. Esto puede variar desde una colectomía parcial (extirpación de parte del colon, también llamada resección de colon) hasta una proctocolectomía (extirpación del intestino grueso y el recto).

Quimioterapia

La quimioterapia utiliza medicamentos para matar las células cancerosas. Si el cáncer se ha diseminado, se puede usar quimioterapia antes o después de la cirugía.

Radiación

Este tratamiento utiliza altas dosis de radiación para matar las células cancerosas y reducir los tumores. Cuando el cáncer se ha diseminado, se puede usar radiación antes o después de la cirugía.

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