Colorectal Cancer,Metastatic or Recurrent - When To Call a Doctor
Some people who have
metastatic or recurrent colorectal cancer do not have
any symptoms for some time. Colorectal cancer may be discovered before symptoms appear, either on X-rays or other lab tests.
You may be seeing a doctor
regularly to check for symptoms, but symptoms might start between visits. Be
aware of what is normal for you, and tell your doctor about any changes right
away. Be sure to let your doctor know if you feel even very small
Stage 0 rectal cancer is the most superficial of all rectal lesions and is limited to the mucosa without invasion of the lamina propria. Because of its superficial nature, surgical and other procedures may be limited.
Standard treatment options:
Local excision or simple polypectomy.
Full-thickness rectal resection by the transanal or transcoccygeal route for large lesions not amenable to local excision.
Endocavitary radiation therapy.[2,3,4]
Local radiation therapy.
What symptoms you may have will depend on which part of
your body is affected by the cancer. Call your doctor if you have any of these
A change in bowel habits, such as bleeding from
your rectum, bright red or dark blood in your stools, frequent diarrhea,
constipation, a feeling that your bowel is not emptying completely, or stools
that are narrow (may be no wider than a pencil)
Pain in your
Bloating or loss of appetite
breathing or shortness of breath
Watchful waiting is a period of time during
which you and your doctor observe your symptoms or condition without giving
treatment to cure your cancer. Watchful waiting may be an option if treatment
may cause more harm than good and cannot cure your cancer. Remember,
though, that watchful waiting does not mean your doctor won't treat your
symptoms, such as pain.
Who To See
If you have been treated for colorectal cancer,
doctors who can evaluate any new symptoms include: