Dr. Gautam Goyal is a lead consultant for the Medical & Hemato-Oncology at Max Super Speciality Hospital, Mohali. Dr. Goyal trained in MD (Internal Medicine) from CSMMU (KGMC), Lucknow before initiating his career in Hemato-Oncology. He completed his DM (Medical Oncology) from Tata Memorial Hospital, Mumbai and is ECMO (ESMO Certified Medical Oncologist).
The colon, or large intestine, is where the body extracts water and salt from solid wastes. The waste then moves through the rectum and exits the body through the anus. Colon cancer is cancer of the large intestine (colon), which is the final part of your digestive tract. Most cases of colon cancer begin as small, noncancerous (benign) clumps of cells called adenomatous polyps. Over time some of these polyps can become colon cancers. In terms of risk factors, a person’s chance of developing colon cancer increases as he or she gets older, especially after the age of 50. Furthermore, having type 2 diabetes or inflammatory bowel disease (for example, ulcerative colitis), or a family history of colon cancer also increases a person’s risk for developing the disease, as do some modifiable risk factors like being overweight and eating a diet rich in red and processed meats.
Symptoms may not appear until a later stage, but if they do, gastrointestinal problems are common symptoms. Colon cancer (commonly referred to as colorectal cancer) is preventable and highly curable if detected in early stages. Colorectal cancer symptoms include:
• A change in bowel habits (e.g. constipation or diarrhea).
• Narrow shaped stools.
• Bright red or very dark blood in the stool.
• Ongoing pelvic or lower abdominal pain (e.g., gas, bloating or pain).
• Unexplained weight loss.
• Nausea or vomiting.
• Feeling tired all the time.
Abdominal pain and weight loss are typically late symptoms, indicating possible extensive disease.
• Physical exam and medical history.
• Blood tests.
• Colonoscopy: Examination of the entire colon with a long, thin flexible tube with a camera and a light on the end (colonoscope).
• Biopsy: Removal of cells or tissues so they can be viewed under a microscope to check for signs of cancer.
Staging is based on whether the tumor has invaded nearby tissues or lymph nodes, and/or cancer has spread to other parts of the body. The following tests may be used for staging:
• Computed Tomography (CT) scan
• Positron emission tomography (PET) scan
• CEA assay
• Magnetic Resonance imaging (MRI)
• Abdominal ultrasound
Treatment involves a combination of chemotherapy, radiation therapy, and surgery, possibly resulting in a colostomy.
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With vast experience of 12 years & work in the prestigious TMH, Mumbai for over 5 years, he is widely appreciated for his clinical judgement, operative skills and state of art care for patients with all types and stages of cancer. His main area of interest includes breast cancer with breast conservation surgeries and oncoplasty.