Pathophysiology Colonic Mass 8-01-12

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Modifiable: Lifestyle Nutrition Psychological Stress Acquired (Environmental DNA damaging agents) Chemicals Radiation Exposure to fertilizers

Non-modifiable: Age Sex Genetic History

Cell damaging agent

Normal Cell

Failure of DNA repair

DNA Damage

Mutation of the cells in the colon

Alteration of genes

Activation of oncogenes

Inactivation of cancer suppressor genes

Deactivation of proto-oncogenes

Hypertrophy

Dysplasia

Colonic mucosa cell division is altered

Metaplasia

Hyperplasia

Anaplasia

Increased proliferation of colonic mucosa

Neoplasm

Constriction of intestinal lumen in the sigmoid colon Constant awakening from external noises, treatment and therapeutic regimen at the hospital

Pressure around nerves in the sigmoid colon

Acute pain

Disturbed sleep pattern

Activity intolerance

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