Colorectal Cancer and Screening Cancer Screening Programs September 2013

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Colorectal Cancer and Screening Cancer Screening Programs September 2013. How much do you know about colorectal cancer?. How common is colorectal cancer in Alberta? (i.e. 1 in X men and 1 in X women)? - PowerPoint PPT Presentation

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Slide 1

Colorectal Cancer and Screening

Cancer Screening Programs September 2013#NOTE:This presentation will take 30-60 minutes if you use all the slides. This is the main message: Men and women age 50 and over should get regular screening for colorectal cancer.

There are 2 brochures that can be given out for this presentation: Common Questions, and Home Stool Test Instructions1How much do you know about colorectal cancer?How common is colorectal cancer in Alberta? (i.e. 1 in X men and 1 in X women)?How many cases of colorectal cancer can be treated successfully if found early (i.e. X out of 10)?Does a diet rich in fruits and vegetables help reduce risk of colorectal cancer?What is a FIT home stool test checking for? Is it a reliable way to detect signs of colorectal cancer?

#1 in 13 men and 1 in 16 women will be diagnosed with colorectal cancer in their lifetime. It is the second most commonly diagnosed cancer in men and the third most commonly diagnosed cancer in women.

9 out of 10 cases of colorectal cancer can be treated successfully if found early. Early detection improves your changes of beating colorectal cancer significantly.

A diet rich in fruits and vegetables can help reduce risk of colorectal cancer. Eating a healthy diet is a good way to reduce your risk.

A FIT home stool test checks for the presence of hidden blood in the stool that may be a sign of colorectal cancer. Yes- it is a reliable way to detect signs of colorectal cancer and is the recommended test for anyone who has no personal family history of the disease or inflammatory bowel disease.

2What is Colorectal Cancer?Cancer that develops on the inner wall of the colon and rectum (large bowel or large intestine)As cancers of the colon and rectum are very similar, they are referred to as Colorectal Cancer

#3What are Polyps? Pre-cancerous polyps are small growths that may be found on the inner wall of the colon & rectumPolyps can develop and exist over long periods of time without any signs or symptoms before becoming cancer

#This image shows what a polyp looks like compared to a normal intestinal fold.4Colorectal Cancer FactsIn 2013, 2,010 new cases of colorectal cancer are expected in AlbertaColorectal cancer will develop in 1 in 13 men and 1 in 16 women throughout their lifetime

#5In Alberta, colorectal cancer is the 2nd most commonly diagnosed cancer in men and 3rd most commonly diagnosed cancer in women

Colorectal cancer will develop in 1 in 13 men and in 1 in 16 women throughout their lifetime. So if there are 13 men in the room - it doesn't necessarily mean that 1 in 13 of them will develop colorectal cancer. It means, that if all 13 of those men live until at least 85 years old, then 1 out of 13 will develop colorectal cancer.

Reference: Canadian Cancer Societys Steering Committee on Cancer Statistics. Canadian Cancer Statistics 2013.Toronto, ON: Canadian Cancer Society; 2013.

More Colorectal Cancer Facts In 2013, 700 colorectal cancer deaths are expected in AlbertaColorectal cancer is the 2nd leading cause of death from cancer in Alberta for both men and women combined

#6The leading cause of cancer deaths in Alberta men is lung cancer. Next is prostate, followed by colorectal cancer.

For Alberta women, the leading cause of cancer deaths is lung cancer. Next is breast, followed by colorectal cancer.

So, colorectal cancer is the 2nd leading cause of cancer deaths when data from both men and women are combined.

Reference: Canadian Cancer Societys Steering Committee on Cancer Statistics. Canadian Cancer Statistics 2012.Toronto, ON: Canadian Cancer Society; 2012.

Risk Factors You Cant ChangeAgeFamily history EthnicityPersonal cancer history Inflammatory Bowel Disease

#NOTES:Age approximately 90% of cases are in adults 50 and over

Family history includes colorectal cancer, Familial Adenomatous Polyposis (FAP), Hereditary Non-Polyposis Colorectal Cancer (HNPCC). The more relatives affected, the higher the risk.

Ethnicity African Americans have been found to have a higher incidence and mortality of colorectal cancer than other racial groups in the U.S. and the reason for this is not yet understood. Jews of Eastern European descent (Ashkenazi Jews) have one of the highest risks of colorectal cancer and several gene mutations have been found to increase their risk of colorectal cancer.

Personal cancer history includes colorectal, small bowels/intestines, uterus, ovaries or breast

Inflammatory Bowel Disease includes ulcerative colitis and Crohns diseaseRisk Factors You Can ChangeFood ChoicesPhysical ActivityBody WeightSmoking

#8There are some things we can do to lower our risk of colorectal cancer. Many of these things we can do also help prevent or decrease our risk for other chronic diseases (heart disease, diabetes, osteoporosis, etc).

Ways to Decrease Your RiskGet screened regularly! Eat more fibre (whole grains, beans, lentils, peas, bran) Eat less saturated fats (red meat, whole milk dairy products)Eat lots of vegetables and fruit

#9It is important to be screened regularly. Talk to your doctor or nurse about what type of colorectal cancer screening is best for you.

There is a strong link between your food choices and colorectal cancer risk.

Good sources of fibre include wholegrain products, fruit, vegetables, nuts/seeds, and legumes. Examples include:Wholegrain products: oats, rye, barley, bran, quinoa, wholemeal bread, wholewheat pasta, wholegrain breakfast cereals (porridge oats, All-Bran, Weetabix, etc)Fruit: oranges, prunes, berries, bananas, apples, pears, avocadoVegetable: broccoli, carrots, sweet potatoes, green beansNuts/Seeds: flax seed, almond, pecans, pistachiosLegumes (also called pulses): beans, lentils, and peas

A diet high in red meats (beef, lamb, liver, etc) and processed meats (hot dogs, deli meats, etc) can increase your risk of colorectal cancer. Limit intake of red meat (a main source of saturated fats) to no more than 18 ounces a week (about 3 small steaks). This is a touchy subject for Albertans! Meats are an important source of protein and vitamin B12. But studies show that people who eat a lot of red meat tend to eat less plant-based food and therefore have less protection against cancer.

Include 7 10 servings of vegetables and fruit in your daily diet. Eat at least one dark green and one orange vegetable each day. Examples include broccoli, romaine lettuce, spinach, carrots, sweet potatoes, pumpkins/squash, turnips, garlic, oranges and berries.More Ways to Reduce Your RiskLower alcohol intake Add exercise into your daily life Stay at a healthy body weightConsider quitting smoking and snuff/chew and avoiding second hand smoke

#10Lower alcohol consumption to moderate or low levels. If alcohol is consumed, amount should be limited to no more than two drinks a day for men and one a day for women. Pregnant women should not consume any alcohol.

Try incorporating regular physical activity into your daily life. It is recommended that you aim for 2 and a hours of moderate to vigorous activity per week. Moderate exercise can mean anything from a brisk walk to playing outside with grandchildren.

NOTE:Tobacco also comes in smokeless (spit) form that is placed inside the mouth and is also harmful: Snuff ground-up moist tobacco usually placed between the bottom lip and gum (also known as dipping). Chew shredded tobacco leaves placed between gum and cheek (also called a wad). Plug shredded tobacco leaves pressed into a hard block and placed between gum and cheek.

What about Symptoms? Approximately 90% of people who get colorectal cancer are 50 and over with no symptoms

If symptoms do occur see your doctor or nurse right away!Symptoms may include:Changes in bowel movements (constipation, diarrhea)Narrow or bloody stoolsAbdominal crampsUnexplained weight lossConstant tiredness/weakness #Colorectal cancer in the early stages usually does not have any symptoms. When found early, 90% of cases can be prevented or treated successfully.

If there are symptoms present, usually the colorectal cancer is in a later stage.

It is very important that you do not wait for symptoms to appear before talking to your healthcare provider about colorectal cancer and screening. Everyone 50 and over should be screened regularly for colorectal cancer.11Why is Finding Colorectal Cancer Early Important?If found early through regular screening, the success rate for treatment is greater than 90%

If found at a later stage when there are symptoms, only about 10% of people survive (to 5 years)

Screening can also prevent colorectal cancer by removing pre-cancerous polyps

#Screening can help detect polyps, which are pre-cancerous cells. Polyps sometimes bleed into the colon traces of blood may be found in the stool, but are invisible to the naked eye.

The most common screening tests in Alberta are:FIT (Fecal Immunochemical Test) home stool test this can help detect blood in the stool that you cant see. Colonoscopy this is the follow-up test for an abnormal FIT result. It is also used for people who are at a higher risk of colorectal cancer. If polyps are found during a colonoscopy, they can be removed.

More details about the different screening tests will come in later slides.How Do I Get Screened?About 40% of Albertans aged 50 to 74 get screened for colorectal cancer leaving 60% unscreened!To find a doctorcall Health Link Alberta: 1-866-408-LINK (5465)visit: www.informalberta.ca

If you are 50 and over, talk to your doctor or nurse about getting screened regularly for colorectal cancer#13NOTES:Encourage people in your group to talk to their healthcare provider about colorecta