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ALtruis Biomedical Network: Colon Cancer

ASCRS: Colorectal Cancer
Berkshire Surgical Information
BUPA: Bowel Cancer
Cancer Treatment Centers of America: Colorectal
Cancer.gov: Colon and Rectal Cancer
Cancerlinks.org: Colon Cancer
CancerNews.com: Laparoscopic Surgery for Colon Cancer
CEA-Scan
Centers for Disease Control and Prevention: Colorectal Screening
The Colon Cancer Project
Colon Cancer Screening
Colon Polyps and Colon Cancer
Colorectal Cancer Week
El Salvador Atlas of Gastrointestinal Video Endoscopy
General Practice Notebook: Colorectal Cancer
Generations: Colorectal Cancer Registry in Hong Kong
Hereditary Colorectal Cancer Registry
Imperial Cancer Research Fund
ISOPAH Clinics Australia
Mayo Clinic: Colorectal Cancer
MCW Colorectal Cancer: Diagnosis and Treatment
MCW Colorectal Cancer: Risk Factors and Screening
Medicare.gov: Colorectal Cancer
MEDLINEplus: Colorectal Cancer
NYU: Virtual Colonoscopy
Oncologychannel: Colon Cancer
OnTumor.com: Colorectal Cancer
An Overview of Colonoscopy
Rhode Island Cancer Council: Colorectal Cancer
Understanding Cancer of the Large Bowel
University of Chicago: Section of Gastroenterology
What You Need to Know about Cancer of the Colon and Rectum  Confronting Colon Cancer 




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Fiber: The Colon Cancer Fighter
by the American Institute for Cancer Research

Colon cancer is one of the most common cancers in men and women. Finding ways to reduce the risk of its occurrence is an important research focus. Currently, the evidence suggests that increasing the amount of fiber you eat is one of the best means of prevention.

Still, there is a lingering controversy about the relationship between fiber and colon cancer. A few studies have not supported a connection. That is why the spring 2003 results of the EPIC (European Prospective Investigation into Cancer) study were so eagerly awaited. EPIC is the largest diet-cancer study ever undertaken. It has tracked the diets of over 500,000 people with ages ranging from 24-75 in 10 European countries for about 4.5 years. The study found that those individuals who ate the most fiber (about 35 grams a day) reduced their risk of colon cancer by 40 percent, compared to those who ate the least fiber (about 15 grams a day).

Overall, the mass of evidence to date suggests that up to 75 percent of colon and rectal cancers could be prevented, if people ate a mostly plant-based diet that is naturally high in dietary fiber.

The Fiber Connection

The original idea that fiber could help prevent colon cancer was based on observations of populations who had a high-fiber diet. People in those places, like China, have a typical diet that is higher in fiber and lower in fat than in the United States. They also have a lower incidence of heart disease and certain cancers, including colon cancer.

One reason fiber-rich diets are thought to help lower cancer risk is quicker elimination of waste. Dietary fiber bulks up the stool and speeds bowel movements, ridding the body of possible carcinogens sooner. It is also thought that fiber reduces the amount of bile acids, which may promote cancer in the intestinal tract.

Putting Fiber in Your Diet

Dietary fiber is exclusively in plant foods, like vegetables, fruits, whole grains and beans. A diet including plenty of these foods also contains important vitamins, minerals, antioxidants and other phytochemicals that help fight cancer.

Nutrition experts recommend that adult men 50 or younger should eat 38 grams of fiber, while women should eat 25 grams. For men and women over 50, the recommended levels are 30 grams for men and 21 grams for women, respectively. These amounts of fiber can be met by simply eating five servings of fruits and vegetables each day, and making sure most of your daily servings of bread, cereal, rice and pasta come from whole grains, like whole wheat. Refined grains are much lower in dietary fiber. Beans are also an excellent source of fiber.

As you increase the amount of fiber you eat each day, proceed gradually. Be sure to drink more water, too.

To receive more information on preventing colon cancer, call the American Institute for Cancer Research at 1-800-843-8114, ext. 10, and request Diet, Nutrition and Cancers of the Colon and Rectum.


Fact Or Fiction - The Truth About Colorectal Cancer

News Canada

Colorectal Cancer is a disease that only affects older men.

FICTION: It can affect anyone, men or women equally. Men and women 50 years or older are at greater risk for the disease.

Colorectal Cancer is usually curable.

FACT: It is usually curable when detected early. More than 90 percent of patients with localized cancer confirmed to the colon or rectum are alive five years after initial diagnosis.

Getting tested is necessary for individuals who have symptoms.

FACT: Men and women age 50 or older should get screened regularly for colorectal cancer. Unfortunately, symptoms for this disease are often silent and therefore it is important to get screened regularly even if you have no symptoms. About 75 percent of all new cases of colorectal cancer occur in individuals with no known risk factors for the disease.

I cannot do anything about being diagnosed with colorectal cancer.

FICTION: Colorectal cancer is highly preventable. Some preventative measures include eating a diet rich in fruits and vegetables and low in fat, regular exercise, moderate alcohol consumption, and no smoking. In addition, it is extremely important to get screened for colorectal cancer after the age of 50. Screening can help to identify colorectal cancer in its early stages or before it even begins.

There really are no treatment options for colorectal cancer.

FICTION: Treatment will depend on the type, grade and stage of the cancer. Management of the disease may include surgery and radiation in the earlier stages of the disease, and chemotherapy options such as Camptosar®, Xeloda® or 5-fluorouracil (5-FU) are generally used in the later stages of the disease when the cancer has spread to other areas of the body.

No two individuals respond the same to therapy, but there is evidence to demonstrate that one or all of these treatment options can effectively aid people living with colorectal cancer.

I can have a good quality of life if diagnosed with colorectal cancer.

FACT: Many people diagnosed with colorectal cancer can have a good quality of life. There are effective treatment options, support groups, and supportive care to help cancer patients cope with the side effects of treatment, as well as the emotional and everyday concerns of living with this disease.

For more information on colorectal cancer, contact the Canadian Cancer Society toll free at 1-888-939-3333 or visit the web site at www.cancer.ca. Other excellent resources include the Colorectal Cancer Association of Canada web site at www.ccac-accc.ca or The National Colorectal Cancer Campaign at www.coloncancercanada.ca.


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