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Bowel Cancer Awareness Claire Stephenson Health Promotion & Outreach Coordinator We aim to save lives by: Raising awareness Campaigning for best treatment and care Providing practical support and information What this talk will cover Symptoms Risk factors Bowel screening Signposting The digestive system Stomach Colon Small bowel Large bowel Rectum Anus The large bowel Part of the digestive system Processes waste for excretion Absorbs water from digested food and drink Approx 1.5m long and 6.5cm wide Bowel cancer Affects both men and women 95% of people are over 50 39,990 diagnosed each year in the UK Bowel cancer 16,259 deaths each year in the UK Third most common cancer Second biggest cancer killer Dukes Stage Description Five year overall survival rates Dukes A Cancer is contained within the lining of the colon or rectum 93% Dukes B Cancer has grown through full thickness of lining and muscle wall 77% Dukes C Cancer has spread to lymph nodes surrounding the affected colon 48% Dukes D Cancer has spread beyond the original site (often to liver or lungs) 7% Figures from NCIN Dec 2012 If diagnosed early bowel cancer is highly treatable Checking for symptoms Symptoms Bleeding from bottom or blood in poo Change in bowel habit for 3 weeks or more Extreme tiredness for no obvious reason Unexplained weight loss Pain and/or a lump in your belly Symptoms You may experience one, some, all or no symptoms Most symptoms will not be bowel cancer Risk factors Age: 95% are over 50 Polyps Inflammatory bowel disease (ie Crohn’s Disease, Ulcerative Colitis) Family history/genetics Type 2 Diabetes Polyps Family history One close relative diagnosed under 50 Or Two close relatives on the same side of the family diagnosed at any age Or Cases of other forms of abdominal cancer in family (e.g. ovarian, stomach, kidney, endometrial) Risk factors to avoid Risk factors to avoid Lowering your risk: diet Lowering your risk: exercise The Bowel Screening Programme Bowel cancer screening Who is included? 60-69 year olds Over 70s can opt in Registered with a GP How to access the test Automatically sent to your home every two years Kit is personalised so you can’t use someone else's You can request a replacement if you lose it The Kit What happens next? Bowel Screening Centre receives kit Your samples are tested for blood Results Negative result (0 positive samples) Next test in two years Unclear result (1-4 positive samples) Repeat test Abnormal result (5-6 positive samples) Invited to speak to a specialist After a positive result Appointment offered to talk about further testing by colonoscopy A colonoscopy enables a specialist to see inside your bowel to find the cause of bleeding Bowel examined at out-patient appointment using flexible tube with camera Bowel screening programme success (As at May 2011) Over 45,467 cases of polyps 9,361 cases of cancer Signposting If people report one or more symptoms they should visit their GP and not wait for a kit Screening helpline: 0800 707 6060 www.cancerscreening.nhs.uk Signposting Information and Support Service 0800 8 40 35 40 [email protected] www.bowelcanceruk.org.uk Get involved! Get fit by doing one of our runs/challenges Nominate us for charity of the year Hold a dress down day or cake sale at work Donate regularly via payroll or direct debit Help us continue our work Text BCUK05 to 70070 to donate £5 Volunteer with us Help on information stands Give talks to community groups and workplaces Help out at events Volunteer in the office Thank you! www.bowelcanceruk.org.uk 020 7381 9711