The world's No. 1 stigma in young patients diagnosed with colon cancer after repeated constipation and diarrhea

Oct 21, 2024

According to the National Cancer Registration Business Annual Report (2021 Cancer Registration Statistics), colorectal cancer (11.8%) accounts for the second highest proportion of new cancer patients after thyroid cancer (12.7%), but if detected early, the cure rate (5-year survival rate) exceeds 90%.

Although the incidence of colorectal cancer has recently decreased somewhat and the number of young colorectal cancer patients has also decreased, some studies show that the incidence of young colorectal cancer patients aged 20 to 49 in Korea is 12.9 per 100,000 people, which is the world's number one.

An office worker A (35) recently repeated constipation and diarrhea without feeling refreshed even when he went to the bathroom. Although he felt a change in his bowel habits, A did not consider it a big deal. After seeing bloody excrement, A visited the hospital and was diagnosed with colon cancer.



Colorectal cancer is a malignant tumor made up of cancer cells in the large intestine. The colon is largely divided into colon and rectum, and depending on the location of cancer, cancer in the colon is called colon cancer, and cancer in the rectum is called colon cancer.

Colorectal cancer has no symptoms in the early stages, and when symptoms appear, the disease has often already progressed. They mainly show symptoms such as changes in bowel habits, constipation or diarrhea, bloody excrement or sticky mucus, abdominal pain, abdominal distension, loss of appetite, indigestion, and weight loss.



Ahn Min-sung, director of colorectal anastomosis surgery at Centum General Hospital, said "When blood excrement occurs, it is often regarded as hemorrhoids (hemorrhoids). If there is a change in the stool, such as a thinner stool or a sticky mucous stool, it can be a symptom of colon cancer. It is recommended to consult a specialist instead of examining changes in bowel habits, such as sudden difficulty in bowel movements or changes in the number of times.

Colorectal cancer is known to be caused by several factors such as genetic factors, food and diet, and living environment. Family members also have a history of colon cancer, polyps, endometrial cancer, ovarian cancer, and stomach cancer, or a diet high in red or processed meat, obesity, excessive drinking, and smoking also increase the risk of developing the disease.



Colorectal cancer diagnosis is confirmed when cancer cells are found in biopsy through colonoscopy. Abdominal and chest CT, MRI, and PET CT are performed to predict the stage of cancer and proceed with treatment suitable for the stage. In addition, you can receive help in diagnosis through rectal resin tests, stool tests, and blood tests.

If it is determined that colon cancer can be completely removed by surgery, surgery is considered first, and then chemotherapy is performed according to biopsy.

Surgical treatment is the most important treatment for colorectal cancer, and unlike in the past, most laparoscopic surgery has been performed recently. Laparoscopic surgery has the advantage of less pain after surgery and faster recovery than laparotomy because of its small incision.

In the case of rectal cancer stage 2 or higher, chemotherapy is performed before surgery, and adjuvant chemotherapy is performed according to the stage after surgery, and in the case of stage 4, target treatment drugs are added to the existing chemotherapy. Unlike other cancers, colon cancer has a good prognosis if surgical treatment is performed even in stage 4 and chemotherapy is actively performed.

The most sensitive part of colorectal cancer surgery is whether to preserve the anus. In recent years, with advances in surgical technology, the tumor is removed with the anus preserved in most rectal cancers. In the case of rectal cancer that has progressed close to the anus, the anus may be saved by performing sphincter preservation after radiation therapy to reduce the size of the cancer.

In order to prevent colorectal cancer, it is very important to have a proper diet and regular checkups for early detection. For early detection, it is recommended to undergo regular colonoscopy from your 40s.

Manager Ahn Min-sung emphasized that `in high-risk groups such as family history or family members of patients with polyps, inflammatory bowel disease, and hereditary cancer, they should be tested at an earlier age than the general public.'

The world's No. 1 stigma in young patients diagnosed with colon cancer after repeated constipation and diarrhea
Administrator Ahn Min-sung (right) under laparoscopic surgery.


bellho@sportschosun.com