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.
- Proctoscopy, colonoscopy, and biopsy.
- Investigation for spread includes:
- Ultrasound scans and
- Where available laparascopy.
- Carry out curative or palliative surgical intervention.