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MAN Magazine Summer 2019

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HEALTHY LIVING<br />

sevenstarmedia.co.uk<br />

quickly, and the results help to assess<br />

if your prostate is a normal size for<br />

your age with a smooth surface,<br />

or if there are signs of an enlarged<br />

prostrate (larger than expected for<br />

your age), or signs of prostate cancer,<br />

(hard and lumpy). These tests alone<br />

are not completely accurate, and<br />

the doctor may refer you for further<br />

check-ups, based on general health,<br />

and risk level, and more tests may<br />

take place, including scans, biopsy,<br />

ultrasound of the bladder, and<br />

further PSA testing.<br />

Sources include:<br />

https://prostatecanceruk.org/<br />

prostate-information/prostatetests/introduction-to-prostatetests<br />

https://www.cancer.org/cancer/<br />

prostate-cancer/early-detection/<br />

finding-prostate-cancer-early.<br />

html<br />

What is Colorectal Cancer<br />

Screening?<br />

Colorectal cancer often begins as<br />

a growth called a polyp, which<br />

may form on the inner wall of the<br />

colon or rectum. Some polyps<br />

become cancer over time. Finding<br />

and removing polyps can prevent<br />

colorectal cancer.’ National<br />

Cancer Institute.<br />

SCREENING IS<br />

LOOKING AT<br />

CANCER BEFORE<br />

A PERSON HAS<br />

ANY SYMPTOMS<br />

The colon is approximately five<br />

feet long, and the first part of the<br />

large intestine; an integral part of<br />

the digestive system that leads to<br />

the rectum and anus. Colorectal<br />

cancer refers to cancer in both the<br />

colon and rectum. This is more<br />

common in men than women,<br />

and has increased in men under<br />

fifty-years-old since 1998. ‘Overall,<br />

the lifetime risk of developing<br />

colorectal cancer is: about 1 in 21<br />

(4.7%) for men and 1 in 23 (4.4%)<br />

for women.’ American Cancer<br />

Society.<br />

Screening is looking at cancer<br />

before a person has any symptoms.<br />

Research takes place to assess<br />

which types of people are more<br />

at risk of certain cancers, so these<br />

groups can get screened. In the<br />

UK, this screening is called Bowel<br />

Cancer Screening, the initial testing<br />

is to indicate if there is hidden<br />

blood in the stools.<br />

‘The good news is that bowel<br />

cancer can be successfully treated<br />

in over 90% of cases, if diagnosed<br />

early. The early symptoms of<br />

bowel cancer are very similar to<br />

other, much less serious problems<br />

with the bowel. Be aware of what<br />

is normal for you, so that you<br />

recognise any unusual changes.’<br />

(Beating Bowel Cancer)<br />

Where do I go? Initially discuss<br />

this with your doctor. The FOBT/<br />

stool tests can be done via post<br />

and so in the privacy of your own<br />

home, using a card home kit<br />

smearing several samples over a<br />

period of time: your doctor will<br />

explain exactly what you have<br />

to do. You can contact any of<br />

the supporting foundations for<br />

this type of cancer for further<br />

information too. Different countries<br />

offer different tests. The UK bowel<br />

screening helpline is 0800 707<br />

60 60.<br />

What does it entail? Five types<br />

of tests are used to screen for<br />

colorectal cancer, and it is important<br />

to check with your doctor any<br />

special preparation you may need to<br />

do prior to the test/s you are having,<br />

including a cleansing process to<br />

ensure the colon and rectum are<br />

clear for inspection.<br />

Faecal occult blood test<br />

(FOBT) (checks for hidden blood<br />

in three consecutive stool samples,<br />

which can be a sign of polyps,<br />

cancer or other conditions), the<br />

sigmoidoscopy takes ten to<br />

twenty minutes (a thin instrument<br />

with a light and viewing lens is<br />

inserted into the rectum into the<br />

sigmoid colon to view or sometimes<br />

remove tissue samples or polyps<br />

to check), the colonoscopy takes<br />

about thirty minutes, and is usually<br />

the option for those at high risk (a<br />

colonoscope is inserted through the<br />

rectum into the colon to look for<br />

polyps), the virtual colonoscopy/<br />

computed tomography<br />

colonography is not invasive (a<br />

series of x-rays), but still involves<br />

the same preparation. There are<br />

a number of other tests that can<br />

also be taken including DNA<br />

blood tests, and Double-Contrast<br />

Barium Enema (DCBE). The pros<br />

and cons of each test can be read<br />

on: https://www.cancer.org/<br />

cancer/colon-rectal-cancer/<br />

detection-diagnosis-staging/<br />

screening-tests-used.html<br />

After a screening, if your results<br />

return ‘abnormal’ based on factors<br />

such as your age, then you may<br />

be referred to have further tests;<br />

during a colonoscopy polyps can<br />

be removed. Remember that some<br />

polyps are not cancerous and<br />

removal reduces the risk of them<br />

developing into cancer.<br />

Sources include:<br />

https://www.cancer.gov/types/<br />

colorectal<br />

https://www.cancer.org/cancer/<br />

colon-rectal-cancer/about/keystatistics.html<br />

https://www.bowelcanceruk.<br />

org.uk/about-bowel-cancer/<br />

screening/<br />

https://www.<br />

beatingbowelcancer.org/how-wecan-help/our-nurses/<br />

None of us want to consider the<br />

possibility of having to have treatment<br />

for an illness or condition, but the reality<br />

is that with regular health examinations<br />

and tests, we find out potential problems<br />

before they start or worsen... and in<br />

these cases chances of treatments being<br />

successful are higher.<br />

<strong>MAN</strong> MAGAZINE SUMMER <strong>2019</strong><br />

115

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