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COLORECTAL CANCER. Work Product presented by Dr. Stephen Abshire. Colorectal Cancer. 3 rd leading cause of cancer behind breast and lung 150,000 new cases per year 50,000 deaths per year Nearly completely preventable. The Solution.
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COLORECTAL CANCER Work Product presented by Dr. Stephen Abshire
Colorectal Cancer • 3rd leading cause of cancer behind breast and lung • 150,000 new cases per year • 50,000 deaths per year • Nearly completely preventable
The Solution • Screen the precursor lesions – adenomatous colon polyps • Remove polyps before they become cancerous
Katie Couric had a colonoscopy on TV – The Today Show in March of 2000 Age of Screening Colonoscopy • Awareness of colon cancer risks • President Regan – January 1986
Detection of Flat Polyps • Best detected with HD • Use of NBI to define border • Excellent prep • Look for bilious colored mucous that does not easily wash off
The Solution • Colon Screenings • Regular screenings can save lives • identify polyps and result in cancer prevention • Only 50% of the population is being screened • Screen regardless of symptoms • 70% of cancer cases arise in John Q. Public
The Solution • High Quality Examination • High Definition Equipment • Experienced Endoscopist • Excellent Prep • Anesthesiologist in charge of sedation
When Should I Have A Colon Screening? • No Family History • Caucasians and Hispanics – 50 years of age • African Americans - 45 years of age • Family History • 40 years of age
Prevention • Regular Screenings • Diet • High Fiber, Low Fat • Supplements • Aspirin, Calcium, Folic Acid, Vitamin D • Alcohol Moderation • Avoid all forms of tobacco • Physical Conditioning