How is Colon (Bowel) Cancer Diagnosed?
Diagnosis of colon cancer is made by specialists using several tests. After a patient consults a doctor and undergoes a physical examination, the following tests may be performed:
* **Fecal occult blood test:** A simple test where a small stool sample is analyzed in a laboratory.
* **Radiological examinations:** Double-contrast barium enema and computed tomography (CT) scan.
* **Laboratory tests:** Complete blood count and biochemical tests. CEA (carcinoembryonic antigen) testing is one test that can detect elevated levels in the blood, aiding in the diagnosis of colorectal cancer.
* **Endoscopic examinations for definitive diagnosis:** Rectoscopy, sigmoidoscopy, colonoscopy, and biopsy. A sample of the lesion is taken and examined by a pathologist.
If a person has a family history of colorectal cancer diagnosed before age 50, they should undergo colonoscopy starting at age 40, with repeat examinations every 5 years. An annual fecal occult blood test is also crucial for detection and early diagnosis. If there is no family history of colorectal cancer, regular colonoscopy every 5 years starting at age 50 is appropriate.