Signs
and symptoms - colorectal cancer
-
Altered
bowel habits
-
Diarrhea
or constipation or alternating diarrhea and constipation, or
feeling of incomplete evacuation of bowel.
-
Blood
in the stool
-
Vomiting
-
General
abdominal discomfort like bloating, fullness, or abdominal
pain and cramps)
-
Weight
loss with no known reason
-
Constant
tiredness
These
symptoms can also be caused by other conditions therefore it
is important to check with a doctor.
Staging
of Colorectal Cancer -
If
the diagnosis is cancer, the doctor needs to learn the stage (or
extent) of disease. Staging is a careful attempt to find out
whether the cancer has spread to other parts of the body.
TNM
classification and AJCC staging -
Primary
tumor (T)
-
TX:
Primary tumor cannot be assessed
-
T0:
No evidence of primary tumor
-
Tis:
Carcinoma in situ: intraepithelial or invasion of
the lamina propria
-
T1:
Tumor invades submucosa
-
T2:
Tumor invades muscularis propria
-
T3:
Tumor invades through the muscularis propria into
the subserosa, or into nonperitonealized pericolic
or perirectal tissues
-
T4:
Tumor directly invades other organs or structures,
and/or perforates visceral peritoneum
AJCC
staging
|
Regional
lymph nodes (N)
-
NX:
Regional nodes cannot be assessed
-
N0:
No regional lymph node metastasis
-
N1:
Metastasis in 1 to 3 regional lymph nodes
-
N2:
Metastasis in 4 or more regional lymph nodes
Distant
metastasis (M)
|
-
Stage
0 - Tis, N0, M0
-
Stage
I - T1, N0, M0 ; T2, N0, M0
-
Stage
IIA -T3, N0, M0
-
Stage
IIB - T4, N0, M0
|
-
Stage
IIIA - T1, N1, M0, T2, N1, M0
-
Stage
IIIB - T3, N1, M0 ; T4, N1, M0
-
Stage
IIIC - Any T, N2, M0
-
Stage
IV - Any T, Any N, M1
|
|