Am I at a higher Risk?

  I am a 40 year old male and was treated for testicular cancer that had spread to the lymph nodes two years ago.  After surgery and chemotherapy I am in follow-up treatment now with no signs of any relapse.  I have recently noticed rectal bleeding.  It has been recommended that I undergo a colonoscopy to determine the source.  The bleeding has been present for four months. Original diagnosis was an internal hemorrhoid however use of a hydrocortisone acetate foam (Proctofoan) relieved symptoms somewhat although not completely.  I have experienced no significant weight loss or pain.  My bowel movements have changed somewhat although I have never been ultra-regular anyway. My main concern is "am I at any higher risk for colorectal cancer because of my previous testicular cancer?" AND "Would you advise a colonoscopy in this situation?"  Thank-you
Dear Joe,
The following people or groups of people have been identified as being at a higher than average risk for the development of colon cancer: family history of colon cancer and adenomatous colon polyps (first degree relatives), family members with hereditary nonpolyposis cancer (HNPCC), family members with a history of an inherited polyposis syndrome (such as familial adenomatous polyposis, Gardner's syndrome, Turcot's syndrome, Peutz-Jegher's syndrome, generalized juvenile polyposis etc.) and patients with inflammatory bowel disease.
Some environmental factors have also been associated with the development of colon cancer. Higher rates of colorectal cancer are seen in individuals with: high serum cholesterol, high saturated fat diet, high red meat diet, increased bowel anaerobic flora, increased large bowel pH, populations with low fiber diet. Overweight, sedentary males have a higher risk of colon cancer. Smoking and alcohol (more than two drinks per day) has also been associated with a higher risk of colon cancer.
If you don't fit into any of the above categories you would not be considered at higher risk (than the average population) for the development of colon cancer. Obviously, when you've beaten one cancer you don't want to be hit with another one. One of the current options for colon cancer screening is having a colonoscopy once every 10 years. You might want to consider this option. However, you should keep in mind that many insurance companies will not pay for colonoscopy performed merely as a screening procedure. I hope you find this information helpful.
This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.
If you want to be seen at our institution please call 1-800-653-6568, our Referring Physicians' Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology.
HFHSM.D.-ym
*Keywords: colon cancer, risk factors