If you’ve been diagnosed with cancer, you’re probably hoping to hear your doctor use the word “remission.” It marks a major turn in your care and long-term health. But it’s more complicated than simply being done with treatment.
Cancer of the colon is a highly treatable and often curable disease when localized to the bowel. Surgery is the primary form of treatment and results in cure in approximately 50% of the patients. Recurrence following surgery is a major problem and is often the ultimate cause of death.
Incidence and Mortality
Note: Estimated new cases and deaths from colon cancer in the United States in 2014:
New cases: 96,830 (colon cancer only).
Deaths: 50,310 (colon and rectal cancers combined)...
Partial remission means the cancer is still there, but your tumor has gotten smaller -- or in cancers like leukemia, you have less cancer throughout your body. Some doctors tell patients to think of their cancer as “chronic,” like heart disease. It’s something you will need to continue to check. If you’re in partial remission, it may mean you can take a break from treatment as long as the cancer doesn’t begin to grow again.
Complete remission means that tests, physical exams, and scans show that all signs of your cancer are gone. Some doctors also refer to complete remission as “no evidence of disease (NED).” That doesn’t mean you are cured.
There’s no way for doctors to know that all of the cancer cells in your body are gone, which is why many doctors don’t use the word “cured.” If cancer cells do come back, it usually happens within the 5 years following the first diagnosis and treatment.
Some cancer cells can remain unnoticed in the body for years after treatment. If a cancer returns after it has been in remission, it’s called a “recurrence.” It’s normal to be concerned that this will happen to you. Every situation is different, and there’s no way to predict what will happen.
Your doctor or health care center will continue to check for signs of cancer or health problems related to your treatment. It’s crucial to get all recommended checkups, even if you have no symptoms. Follow-up care can include physical exams, blood tests, and imaging tests.