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What is colorectal cancer?

Colorectal cancer originates along the lining of the colorectum, initially as a polyp, specifically an adenoma. If not removed, adenomas can develop into colorectal cancers. By screening, adenomas can be removed, preventing progression into colorectal cancers. Thus, screening can effectively reduce the risk of developing and dying from colorectal cancer


According to the most recent data from the Hong Kong Cancer Registry, colorectal cancer is now the most common cancer in the city, with more than 5000 new cases diagnosed in 2015. Colorectal cancer is also the second leading cause of cancer related deaths in Hong Kong, with over 2000 deaths in 2015.

What are risk factors for colorectal cancer?

Risk factors include

What are symptoms of colorectal cancer?

Colorectal cancer symptoms can include

How to investigate for colorectal cancer?

If you have any of the above symptoms, you are recommended to seek medical consultation for your digestive health.  A colonoscopy maybe recommended.  Fecal immunochemical testing is not suitable for symptomatic patients.

If you do not have the above symptoms, international guidelines recommend starting screening at 50 years old, using either:

1) fecal immunochemical testing or

2) colonoscopy 

Earlier screening maybe recommended for high risk groups, such as people with a first degree relative with colorectal cancer.

Colorectal cancer can be prevented!!  You can make a difference!!

What are differences between fecal occult blood testing and colonoscopy?



Diagnostic Ability Visual inspection of the colorectum


Detects occult blood.  If positive (blood detected), will need colonoscopy
Therapeutic Capability Can remove polyps and take biopsies None
Accuracy The most accurate for polyps and cancers Accurate for cancer
Procedural Details After sedation, a thin flexible tube like device with camera and light functions is used to examine the colorectum, taking usually 30 minutes in duration Stool collection at home, and return of kit to centre
Risks Approximately 1/1000 chance of serious adverse events None