DISTAL COLON AND RECTAL CARCINOMA

Signs and symptoms

Distal colon and rectal carcinoma is especially found in elderly patients.

  • Rectal bleeding
  • Change in bowel habits
  • Abdominal or pelvic pain
  • Intestinal obstruction.

It is important to rule out familial conditions in the family history. Clinical examination for patients
suspected to have distal colon and rectal carcinoma should include rectal examination.

Investigations

  • Proctoscopy, colonoscopy, and biopsy.
  • Investigation for spread includes:
    • Ultrasound scans and
    • Where available laparascopy.

Management

  • Carry out curative or palliative surgical intervention.