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Colon cancer is often misdiagnosed, treatment is delayed in many young patients



(NBC) – Many young patients with colorectal cancer were initially mistakenly diagnosed, which often leads to the fact that their disease is detected at an advanced stage.

The researchers also found that for many young patients, he visited several doctors before the correct diagnosis, according to the survey results, were presented on Wednesday at the annual meeting of the American Cancer Research Association.

"We need to raise awareness that colon cancer is affecting not only elderly people, but also younger ones," said Ronit Yarden, Director of Medical Affairs at Alliance Colorectal Cancer, a patient advocacy organization in Washington, DC. "Of all types of cancer, colon cancer is one of the most preventative, as well as if it is diagnosed, and then detected at a late stage, one of the most deadly.

The biggest problem, as Yarden said, is that many patients and doctors still believe that young people do not have colon cancer.

And this is especially important, as the growth of colorectal cancer in young adults increases

Between 2009 and 201

3, colorectal cancer rates fell by 4.6% per year in people 65 years and older and by 1.4% in people aged 50 to 64 years old, reports the American Cancer Society. But they increased by 1.6 percent in those under age 50.

Colon cancer screening should begin at 45, reports Cancer Society
Cancer Society has estimated that in 2017 there will be 95,520 new cases of colon cancer and 39,910 cases. Cancer of the rectum, diagnosed in the USA. This is the third most commonly diagnosed cancer in Americans, according to the American Cancer Society.

For a new study, Yarden and her colleagues expanded through the sites of social media organizations of young patients and survived to find out more about the difficulties suffered by patients

Of the 1195 people who completed the survey, 57% said they were diagnosed aged 40-49 years, 33% were diagnosed between the ages of 30 and 39. and about 10 percent were diagnosed with up to 30 years.

Why does a young person even think that the symptoms they feel will be associated with colon cancer? Colon cancer is often thought to be an illness in the elderly.

At least 63 percent are delayed until one year after the first symptoms before they turned to the doctor because they did not suspect colon cancer. And more than two thirds of patients have seen at least two doctors before receiving an accurate diagnosis. Some of them had to go to four doctors. Other key findings: 71% were diagnosed in stage III or IV, unlike patients over the age of 50, most of whom were diagnosed in stages I or II.

67 percent saw at least two doctors before the correct diagnosis, and some saw four.

Many patients had major risk factors for colon cancer, including 30 percent who had a family history of the disease and 8 percent of those who had Lynch syndrome.

Part of the problem for both doctors and patients is that, that the symptoms can be vague and suggests a number of other states, – said Yarden. However, if a person feels more than one symptom that should trigger disturbing calls.

SYMPTOMS OF EARLY USE

Patients in the survey experienced symptoms characteristic of colon cancer, – said Yarden. 19659004] -50 percent had rectal bleeding



– about 40 percent had blood in the chair

– about 40 percent had bloated stomachs and abdominal pain
30 percent had fatigue, even though they were young and active 19659004] A new study highlights the need for education for young colon cancer, said Dr. Felice Schnall-Sussman, a gastroenterologist at the New York-Presbyterian Hospital and Vail Cornell's Medicine.

Find out that many patients who develop colon cancer before the age of 50 were initially misdiagnosed, "said Schnall-Sussman. – First, why does a young person even think that the symptoms they experience are related to colon cancer? Colon cancer is often thought to be a disease in the elderly. As a result, they may not present a doctor until they have symptoms for some time and subsequently risk getting a diagnosis at a later stage, which is being treated. "

BLOOD CHECK

This is not just the patients who need

" Doctors should be able to have colorectal cancer in younger patients more on the radar screen, "she told NBC News.

Young people should be more attentive to their symptoms, especially before blood is released, said gastroenterologist Dr. Thomas Imperiale, a researcher at the Regentreeff Institute. "People should look at their stool and toilet paper on the blood," he said.

Doctors should ask more questions when a new patient comes, said Imperial. "They need to ask about the symptoms, including whether the patient saw blood on toilet paper," he added.

Current guidelines require people to get a type of cancer screening at the age of 50. American Cancer Society recommends screening for colon cancer starting at age 45. 19659004] Imperiale does not support age-reduction screening for colon cancer as it may lead to more invasive colonoscopy in an age-group that has a low risk of developing cancer. Colonoscopy is not completely benign, says Imperial, noting that the procedure is associated with a number of serious complications, including perforation of the large intestine in one in 1,000 patients.


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