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22

NCCN Guidelines for Patients

®

:

Colon Cancer, Version 1.2017

Review

†

†

A medical history is a report of all health events

in your lifetime. It will include questions about

your family’s health to help assess if you have

a syndrome related to colon cancer. Such

syndromes include Lynch syndrome and FAP.

†

†

Your doctor will examine your body for signs of

disease. He or she will touch parts of your body

to see if anything feels abnormal.

†

†

Blood tests may be done to look for signs of

cancer spread to distant sites.

†

†

Imaging tests allow your doctor to see how far

the cancer has spread without cutting into your

body.

†

†

A needle biopsy may be done to test for cancer

in distant sites.

†

†

Molecular testing for MSI or missing MMR

proteins is advised for all colon cancers. Testing

for mutated

KRAS

,

NRAS

, and

BRAF

genes is

advised for metastatic cancer.

2

Treatment planning

Review

In spite of everything I have been

through—a traumatic surgery,

potential brain damage from my

surgery, physical pain, doubt, fear,

financial uncertainty and much

more as a result of colon cancer—

all of my good days still outweigh

all of my bad days. I am here to

fight the good fight for colorectal

cancer research and awareness! We

are strong!

–Roland

Survivor, Stage II