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I D Cancer Center
I D Cancer Center
From Diagnosis to Victory

Colon Cancer Treatment | I D Cancer Center Lucknow


Colon cancer (also known as colorectal cancer when combined with rectal cancer) begins in the large intestine and is one of the most common yet highly treatable cancers—especially when detected early. With modern screening, precision diagnostics, and advanced therapies, patients can achieve excellent outcomes.



What Is Colon Cancer?

Colon cancer develops when abnormal cells form polyps in the lining of the large intestine and grow uncontrollably. Not all polyps become cancer, but early removal prevents progression.

Types of Colon Cancer

  • Adenocarcinoma (most common)

  • Colonic lymphoma

  • Neuroendocrine tumors

  • Gastrointestinal stromal tumors (GIST) (rare)


Common Symptoms of Colon Cancer

Colon cancer often develops silently. However, symptoms may include:

  • Changes in bowel habits (diarrhoea/constipation)

  • Blood in stool (bright red or dark)

  • Persistent abdominal discomfort or cramps

  • Unexplained weight loss

  • Fatigue or weakness

  • Feeling of incomplete bowel emptying

  • Iron-deficiency anemia

Any rectal bleeding or prolonged bowel change warrants immediate evaluation.


Risk Factors

Risk increases with:

  • Age > 50 years (increasingly seen in younger adults too)

  • Family history of colon cancer

  • Personal history of polyps

  • High-fat, low-fiber diet

  • Obesity, sedentary lifestyle

  • Smoking & alcohol use

  • Inflammatory bowel disease (Crohn’s/ulcerative colitis)

  • Genetic syndromes (FAP, Lynch syndrome)


How Colon Cancer Is Diagnosed at I D Cancer Center

1. Colonoscopy (Gold Standard)

  • Direct visualization of the colon

  • Polyp removal & biopsy in the same procedure

2. Biopsy

Confirms cancer type and guides treatment.

3. Imaging

  • CECT Abdomen & Pelvis

  • MRI rectum (if rectal involvement)

  • PET-CT for staging

4. Blood Tests

  • CEA (tumor marker)

  • CBC

  • Liver/kidney function tests

5. Genetic & Molecular Testing

  • RAS, BRAF mutation

  • MSI/MMR testing
    Essential for targeted therapy planning.


Treatment Options at I D Cancer Center

Colon cancer treatment is planned through a multidisciplinary tumor board involving surgical, medical, and radiation oncology.


1. Surgery

Primary treatment for early and localized disease:

  • Hemicolectomy / segmental colectomy

  • Laparoscopic or robotic surgery options

  • Lymph node removal for accurate staging


2. Chemotherapy

Used for:

  • Locally advanced cancers

  • High-risk cases after surgery

  • Metastatic disease

Common regimens include:

  • FOLFOX

  • CAPOX

  • FOLFIRI


3. Targeted Therapy

Based on KRAS/BRAF mutation status:

  • Cetuximab

  • Panitumumab

  • Bevacizumab
    Improves outcomes in specific tumor profiles.


4. Immunotherapy

For MSI-high (MMR-deficient) tumors:

  • Pembrolizumab

  • Nivolumab

Transforms outcomes in selected patients.


5. Radiotherapy

Used primarily when cancer involves the rectum or nearby structures.

At I D Cancer Center, we provide:

  • IMRT / VMAT

  • IGRT daily image-guided treatments

  • SBRT for limited metastases


6. Palliative & Supportive Care

  • Pain management

  • Bowel obstruction relief

  • Nutrition support

  • Psychological and family counseling


Prognosis

Prognosis depends on:

  • Stage at diagnosis

  • Lymph node involvement

  • Tumor biology (mutation profile)

  • Overall health

Early-stage colon cancer has excellent cure rates, especially when detected during screening.


Prevention & Screening

Colon cancer is one of the few cancers that is highly preventable.

Recommended screening:

  • Colonoscopy starting at age 45

  • Annual stool-based tests

  • Earlier screening for high-risk individuals

Lifestyle tips:

  • High-fiber diet

  • Regular exercise

  • Quit smoking & alcohol moderation

  • Maintain healthy body weight


Why Choose I D Cancer Center?

  • Comprehensive diagnosis (colonoscopy, CT/MRI/PET-CT)

  • Precision radiotherapy with IMRT/VMAT

  • Expert surgical and medical oncology teams

  • Tumor board-based individualized treatment

  • Advanced molecular testing for personalised therapy

  • Compassionate, patient-first approach

  • Led by Dr. Sunil Kumar, highly experienced Radiation Oncologist