Signs of Metastatic Colon Cancer (Some Might Surprise)

Colon cancer, also known as colorectal cancer, is a type of cancer that affects the large intestine (colon) or rectum. It is one of the most common cancers worldwide, if you are interested in learning more you can perform a quick online search below.

Early Warning Signs

Colon cancer often begins with small, benign growths called polyps in the lining of the colon or rectum. Over time, some of these polyps can develop into cancer. Early detection is crucial, and recognizing the warning signs is the first step. Common symptoms of colon cancer include:

Change in Bowel Habits: Persistent diarrhea, constipation, or a change in the consistency of your stool could be indicative of colon cancer.

Blood in Stool: Finding blood in your stool or experiencing rectal bleeding is a significant red flag and should be evaluated promptly.

Abdominal Discomfort: Cramps, pain, or discomfort in the abdomen, often associated with bloating, can be a symptom of colon cancer.

Unexplained Weight Loss: If you are losing weight without making changes to your diet or exercise routine, it's essential to investigate the cause.

Fatigue: Persistent fatigue or weakness can be a symptom of many conditions, including colon cancer.

Screening and Diagnosis

Early detection of colon cancer greatly improves the chances of successful treatment. Several screening methods are available:

Colonoscopy: This is considered the gold standard for colon cancer screening. During a colonoscopy, a thin, flexible tube with a camera is inserted into the colon to examine its lining for polyps or cancerous growths.

Fecal Occult Blood Test (FOBT): This at-home test detects the presence of blood in stool samples. If blood is found, further evaluation is typically recommended.

CT Colonography (Virtual Colonoscopy): This is a non-invasive imaging test that uses a CT scanner to create detailed images of the colon and rectum.

Flexible Sigmoidoscopy: Similar to a colonoscopy, this procedure examines the lower part of the colon and rectum.

If any of these tests detect abnormalities or if you experience symptoms, your healthcare provider may recommend a colonoscopy for a more thorough examination and potential removal of polyps.

Staging and Treatment Options

Once colon cancer is diagnosed, it is essential to determine the stage of the disease, as this guides treatment decisions. Colon cancer staging typically ranges from 0 (early stage) to IV (advanced stage). Treatment options may include:

Surgery: In the early stages, surgery to remove the tumor and surrounding tissue is often the primary treatment. In some cases, a colostomy may be necessary to divert stool away from the cancer site temporarily.

Chemotherapy: This treatment uses drugs to kill cancer cells or prevent their growth. It may be used before surgery to shrink tumors, after surgery to eliminate any remaining cancer cells, or as the primary treatment for advanced cancer.

Radiation Therapy: Radiation therapy uses high-energy rays to target and kill cancer cells. It is often combined with chemotherapy.

Targeted Therapy: Some newer medications target specific genes, proteins, or blood vessels that contribute to cancer growth. Targeted therapy can be effective in certain cases.

Immunotherapy: This treatment helps the immune system recognize and attack cancer cells. It is primarily used in advanced colon cancer cases.

Survivorship and Follow-Up Care

Surviving colon cancer requires ongoing care and monitoring. After treatment, regular check-ups and colonoscopies are essential to detect any recurrence or new polyps. Additionally, survivors often need support to manage the physical and emotional challenges that may arise during and after treatment.

Preventing Colon Cancer

Prevention is always preferable to treatment. Several steps can lower your risk of developing colon cancer:

Regular Screening: If you are at average risk, regular screening starting at age 45 to 50 is recommended. If you have a family history or other risk factors, your doctor may recommend earlier or more frequent screening.

Healthy Lifestyle: Maintaining a healthy weight, eating a balanced diet high in fiber, fruits, and vegetables, limiting red and processed meats, and getting regular exercise can reduce your risk.

Limit Alcohol and Tobacco: Excessive alcohol consumption and smoking are associated with a higher risk of colon cancer. Reducing or eliminating these habits can help.

Consider Genetic Counseling: If you have a family history of colon cancer or a known genetic predisposition, genetic counseling can help you understand your risk and make informed decisions about screening and prevention.


Colon cancer is a prevalent and potentially life-threatening condition, but it is also highly treatable, especially when detected early. Understanding the symptoms, undergoing regular screenings, and making lifestyle choices that reduce risk are essential steps in preventing and managing this disease. If you experience any concerning symptoms or are due for screening, don't hesitate to consult with a healthcare professional to ensure your colon health and well-being.