The bottom line on preventing colon cancer



by Graham Colditz, MD

March is National Colorectal Cancer Awareness Month, and while that may not be the first thing that pops to mind in this month of March Madness and the first days of spring, it’s worth paying attention to. Really.



Colon cancer is the third most common cancer in men and women in the U.S. About 145,000 people are diagnosed each year, and a growing number are younger than 50. Yet, countering such sober statistics is the fact that colon cancer is also one of the most preventable cancers.

The most important step you can take to lower your risk? Getting screened.

“It’s estimated that 75 percent of colon cancers could be prevented if everyone had the recommended screening tests,” says Jean Wang, MD, professor of medicine at Washington University School of Medicine.

Screening not only can catch colon cancer early, when it’s more treatable, it also can help prevent it in the first place — by finding and removing growths that could turn into cancer.

Screening typically starts at ages 45-50. Some people at increased risk, including those with a family history of cancer, may start earlier and be screened more often.

There are many effective screening tests available. Some are quick and easy but need to be done more often, like the FIT stool test. And some are more involved but need to be done less often, like colonoscopy.

Which test a person chooses can depend on a number of different factors. These can include the cost, the distance to a screening facility and the amount of time needed to prepare for and then complete the test.

“The number of choices available for screening can sometimes be confusing, so definitely talk to your doctor about which one would be the best option for you,” Dr. Wang says.

Ultimately, the best screening test is the one that gets done.

On top of screening, healthy behaviors also can play an important role in lowering your risk of colon cancer, she adds. These include keeping weight in check, not smoking, exercising regularly, eating more whole grains and limiting red meat, processed meat and alcohol.

It can feel like a bit of a laundry list, but as with many of the positive habits we try to work on, they don’t need to be tackled all at once. You can start small and build on your successes. Make a call to your doctor about screening.
Skip the bacon on tomorrow’s sandwich. Go for a 10-minute walk at lunchtime. These single steps can make a real difference, laying the foundation for further positive changes.

So, during this National Colorectal Cancer Awareness Month, celebrate your health by keeping this bottom line in mind: “Colon cancer is much more common than you think, but you can take simple steps to help prevent it, with screening being the most important,” Dr. Wang says.

Dr. Graham Colditz, associate director of prevention and control at Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, is an internationally recognized leader in cancer prevention. As an epidemiologist and public health expert, he has a long-standing interest in the preventable causes of chronic disease. Dr. Colditz has a medical degree from The University of Queensland and a master’s and doctoral degrees in public health from Harvard University’s T.H. Chan School of Public Health.

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