结直肠癌

它是什么?

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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接受筛查

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

*Source: American Cancer Society

45 至 75 岁:接受筛查

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.

如果您的年龄在 76-85 岁之间,请咨询您的医疗保健提供者是否继续进行筛查。85 岁以后,您不应再进行筛查。

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

粪便检查

  • 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.

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

筛查覆盖率

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

了解您的风险

如果您符合以下情况,则罹患结直肠癌的风险会增加:

  • 年龄在 50 岁以上。
  • 是黑色的。
  • 抽烟。
  • 超重或肥胖。
  • 患有 2 型糖尿病。
  • 缺乏身体活动。
  • 过量饮酒。
  • 吃大量红肉(如牛肉、猪肉或羊肉)或加工肉类(如培根、香肠、热狗或冷盘)。
  • 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).

降低风险

您可以通过以下与生活方式相关的改变来降低患结直肠癌的风险:

每周锻炼至少 5 天,每次至少 30 分钟。

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

避免或限制饮酒。

为了降低患癌症的风险,最好完全戒酒。如果你选择喝酒,如果你出生时被指定为女性,那么每天饮酒量不得超过一杯;如果你出生时被指定为男性,那么每天饮酒量不得超过两杯。

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.

少吃红肉,不吃加工肉类。

Icon illustration of a body scale.

保持健康的体重。

An icon illustration of an apple and a carrot.

多吃水果、蔬菜、豆类和粗粮。

Icon illustration of a magnifying glass.

根据指南和个人风险因素进行结直肠癌筛查。

体征和症状

如果您出现以下任何症状,请立即与您的医疗保健提供者联系:

  • 直肠出血或粪便内或粪便上带血
  • Unexplained iron-deficiency anemia
  • 排便习惯改变持续数天以上
  • 大便比平常更细
  • 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
  • 体重无明显原因减轻
  • Unexplained fatigue

治疗方案

治疗取决于癌症的阶段、肿瘤细胞的类型和您的病情。

外科手术

结肠直肠癌最常见的治疗方法是手术。手术范围包括部分结肠切除术(切除部分结肠,也称为结肠切除术)和直肠结肠切除术(切除大肠和直肠)。

化疗

化疗使用药物杀死癌细胞。如果癌症已经扩散,可以在手术前或手术后使用化疗。

辐射

这种治疗使用高剂量的辐射来杀死癌细胞并缩小肿瘤。当癌症扩散时,可以在手术前或手术后使用辐射。

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