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PATHOPHYSIOLOGY OF COLON CANCER

Predisposing factors: Old age, 62 years old Non-white race Family history of oropharyngeal cancer Radiation exposure

Modifiable risk factors: High-salt diet Sedentary lifestyle Alcoholism Smoking

Abnormal growth of tissue from the oropharynx

Adenomatous polyps Benign Untreated\ignored Malignant

Aggregation of adenomatous polyps in the colon

High Malignancy

Protooncogenes are changed to oncogenes

Enlargement of tumors

Abnormal cells/cancer cells grow and divide rapidly High energy utilization by the cancer cells Weight loss

Lower and upper gastrointestinal bleeding

Lumen obstruction

Cancer cells proliferates in the superficial lining of the colon Cancer cells has grown through the wall but not the lymph nodes

Occult blood in stool

Bowel Obstruction

Cancer invades the lymph nodes Constipatio n Abdominal pain Abdominal distention Vomiting Metastases to distant sites, other organs such as liver, lungs

Metastases to distant sites, other organs such as liver, lungs

Multiple destruction of organs/ MODS

DEATH

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