Colorectal cancer, also known as colon or rectal cancer, is a type of cancer that develops in the large intestine or rectum. Both the large intestine and rectum are part of the lower region in the digestive system.
Colorectal cancer typically begins when healthy cells in the inner walls of the colon or rectum grow into small, non-cancerous or benign lumps called polyps. If left untreated or removed, these polyps may develop into life-threatening cancer.
According to the Singapore Cancer Registry, colorectal cancer is one of the top 3 leading cancers in Singapore, with approximately 1,500 patients diagnosed each year.
Colorectal cancer is also the:
Common symptoms of colorectal cancer include:
However, it is important to note that colorectal cancer is generally asymptomatic in its early stages. When symptoms start to show up, chances of treatment is dependent on the local extent and stage of the cancer.
Colorectal cancer screening involves performing tests in people at risk but have no symptoms. Screening is usually done to identify the early stages of colorectal cancer or detect polyps before they turn cancerous. There are various types of screening methods used today, which will be covered later in this article.
Colorectal cancer screening is crucial in preventing or detecting colorectal cancer early.
The early stages of colorectal cancer usually develop from non-cancerous (benign) polyps and may take about 5 to 10 years for them to mutate into its more cancerous form (malignant). During this period, these polyps typically do not cause any noticeable symptoms. Hence, without screening, you are highly unlikely to realise if you are at risk of colorectal cancer or may already have colorectal cancer in its early stage. Even if these polyps have turned cancerous, early detection allows them to be removed before they spread to other parts of your body.
Therefore, it is important to undergo colorectal screening to detect any potential polyps growing inside your colon or rectum.
As a general guideline, you should begin screening for colorectal cancer as soon as you turn 50, and continue being screened regularly. The frequency of screening will depend on your risk factors.
If you are classified under average risk, meaning that you do not experience any symptoms or have no family history of colorectal cancer (non-first degree relatives or not within your immediate family), you should begin screening at 50 years old. Subsequently, it is generally recommended that you undergo stool testing annually or colonoscopy every 10 years.
On the other hand, if risk factors are present, you should begin screening earlier, even before 50 years old.
You have increased risks of colorectal cancer if you have:
Furthermore, your lifestyle habits also play a critical and significant part in potentially developing colorectal cancer.
If you belong to these high-risk groups, it is recommended that you undergo screening even before 50 years old and as frequent as 1 to 5 years, depending on the risk level.
You should consult your doctor if you are unsure of when and how frequent you should begin colorectal cancer screening, especially if you have a personal history of colorectal polyps, any family history of colorectal cancer or other types of cancer.
There are various types of screening methods used to screen for colorectal cancer.
The most common types include:
Fecal immunochemical test (FIT)
Colorectal cancer may be one of the most common types of cancer in Singapore, but it can be prevented and treated if detected early. Thus, colorectal cancer screening is the key to reducing the risk of life-threatening colorectal cancer.
Contact our colorectal specialist to assess your requirement for a screening test and get screened for colorectal cancer.
Established in 2011, Singapore O&G Ltd. (SOG) is a leading healthcare service provider dedicated towards delivering premier medical services to women’s and children’s health and wellness at affordable prices.
With a long and established track record in Singapore providing obstetrics and gynaecology (O&G) services such as pre-pregnancy counselling, delivery, pregnancy and post-delivery care, the Group has since further expanded its spectrum of healthcare services to include paediatrics, endocrinology, gynaecological cancer, cancer-related general surgery for breast, thyroid and colon (colorectal), as well as skin and aesthetics treatments.
The Group’s clinics, under its four operating segments of O&G, Paediatrics, Cancer-related and Dermatology, are strategically located throughout Singapore to provide easy access to its patients.
SOG has been listed in the Catalist board of the Singapore Exchange Securities Trading Limited since 4 June 2015.
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Consultant General Surgeon (Colorectal Surgery)
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