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Article Category: Highlights

What to Know When You Are Diagnosed with Colorectal Cancer

Published on March 14, 2024

Last updated 09:05 AM March 26, 2025

Like the man in this image, it's normal to be too shocked to ask questions when diagnosed with colorectal cancer. Get answers from experts here.

More young adults—people in their 30s and 40s—are being diagnosed with colorectal cancer. 

“I was in absolute shock,” said Samantha McInturff, a mother of two school-age children when she was diagnosed with stage 4 colon cancer at 48. “I was stunned. I probably didn’t ask enough questions.”

Like Samantha, patients don’t always think to ask questions on the spot. But questions come up once they’ve had a little time to process the news. That’s why we brought together a panel of gastrointestinal health experts and a colon cancer survivor to answer the questions you may have here. 

 
 Image of colorectal cancer experts and patients including Samantha McInturff, colon cancer survivor; Nancy Page, Wellstar oncology nurse navigator; Dr. Sahir Shroff, Wellstar surgical oncologist; and Dr. Shani Clay, Wellstar gastroenterologist.

Colorectal cancer staging

What stage is my cancer and how will that affect my treatment plan?

Dr. Sahir Shroff, surgical oncologist: The staging of the cancer is a way to evaluate if the cancer is localized or if it has spread. It involves multiple imaging studies and blood tests. 

For colon cancer, we mostly use CT scans of the chest, abdomen and pelvis with contrast. Sometimes we do a PET scan. CT scan results typically are in within a week of having the scan. For rectal cancer, the staging is a little more involved. We also do an MRI of the rectum itself to delineate the exact location and relationship of the tumor with related structures in the pelvis. Clear identification really helps us evaluate the best treatment for each patient. 

The other part of staging is looking for a tumor biomarker called carcinoembryonic antigen—or CEA—a protein in the blood. Patients excrete excess amounts of CEA if they have colorectal cancer. Checking the CEA throughout treatment is a benchmark to see if the treatments are working. We typically have bloodwork results within a few hours.

If a patient has surgery, we send tissue removed during the operation to be analyzed and tell us a more accurate stage to determine the next phase of treatment. 

Colorectal cancer treatment

What are my treatment options? 

Dr. Shroff: Treatment of colorectal cancer is an evolving field. There have been so many changes around the most effective combinations of chemotherapy, immunotherapy, cancer surgery and radiation oncology. Recently, a non-operative treatment option has become available for patients with an excellent response to chemotherapy.

At Wellstar, we give patients access to the most comprehensive care for colorectal cancer, which includes genetic testing, clinical trials and the highest level of complex surgical procedures. Our specialists work collaboratively and follow the latest evidence-based practices. Everything we do is geared toward giving patients the most personalized care.

The types of treatment and the order of the different treatments vary depending on the type of cancer—rectal cancer or colon cancer—and personal factors such as the stage and location of the cancer. 

Dr. Shani Clay, gastroenterologist: Patients can bring their family members in to accompany them at the time of their visits so that everyone has a good understanding of the treatment plan. 

Nancy Page, RN, oncology nurse navigator: We have national accreditation for rectal cancer, which is huge for patients. Through our rectal tumor board, they’re getting expert, evidence-based care for rectal cancer and state-of-the-art treatments.

Dr. Shroff: Yes, the NAPRC accreditation is excellent—it’s changed how we manage rectal cancer. Every patient is reviewed by a multidisciplinary team regardless of the stage. Decisions are made about treatment by a team of experts.

Listen to your doctor and ask a lot of questions. There are no bad questions. Lean on your support system of friends and family. In the beginning, it’s a scary process as you’re going through treatment and you have new symptoms. If you’re the type to blame yourself, don’t. When I was diagnosed, I thought, “What did I do to cause this?” I now know cancer can happen to anybody.

- Samantha McInturff

Colorectal cancer survivor

How long will I stay in the hospital after surgery?

Dr. Shroff: A patient with colon cancer that has not spread will typically have an operation to remove the cancer. The colon is removed, the cancerous portion is taken out and then the colon is reconnected. The patient will spend around three days in the hospital and three weeks recovering before they get back to their regular activities.

Patients who have surgery for rectal cancer typically spend three to five days in the hospital, and recovery is approximately four weeks.

How long will I go through cancer treatment?

Dr. Shroff: Depending on the regimen used, chemotherapy could last three to six months. And someone who is a candidate for non-operative treatment will need close monitoring for three years, the time when the cancer is most likely to come back.

For some patients, there is an additional layer of treatment called radiation therapy. Radiation could shrink the tumor and reduce the risk of it coming back. Usually, the radiation treatment for rectal cancer is Monday through Friday for just over five weeks.

Nancy: Usually, the time of cancer treatment for rectal cancer is, give or take, around nine months. Each patient is evaluated by the NAPRC multidisciplinary team and a precise plan of care is given for each patient based on their tumor size and other factors. It’s not a cookie-cutter plan, but based on the individual needs of the patient. 

What can I eat?

Nancy: When patients are initially being treated for rectal cancer with chemoradiation, we want them to be on a low-residue diet and then again after their surgery. The low residue diet makes it easier for the patient to digest the food and then be able to pass the stool with less discomfort or pain. The diet limits high-fiber foods, like whole-grain breads and cereals, nuts, seeds, raw or dried fruits and vegetables.

We generally recommend a balanced diet. Proteins like chicken and turkey. Fresh fruits, vegetables, soups, pudding and protein shakes. Because of chemotherapy side effects, some people get a bad taste in their mouth, so they don’t like to eat. We don’t want you to lose weight, so if it comes down to it, eat what you can eat! People say cancer feeds off sugar—that’s the biggest myth there ever was. If you can’t get anything down except a bowl of ice cream, go for it.

Hydration—drinking 64 oz. of water per day—is so important while you’re on chemo. Caffeine needs to be limited, and herbal tea is typically fine, but it should be cleared with your medical oncologist.

What can I do to have the best outcomes?

Samantha: Listen to your doctor and ask a lot of questions. There are no bad questions. Lean on your support system of friends and family. In the beginning, it’s a scary process as you’re going through treatment and you have new symptoms. 

If you’re the type to blame yourself, don’t. When I was diagnosed, I thought, “What did I do to cause this?” I now know cancer can happen to anybody. Cancer does not discriminate. 

My sons did well because they had watched my sister walk through cancer treatment and she was okay, so they believed I would be okay. We tried to keep things more positive for them. 

Dr. Clay: It is important, regardless of the treatment plan selected, for patients and families to maintain a positive attitude while going through the journey. Cancer treatment can be difficult and stressful, and a positive attitude can help patients have a better quality of life throughout treatment.

Nancy: So many things are coming into play and your life is changing. Just remember it’s not the rest of your life. It’s temporary. For a while, your life is going to be different. You’re going to be going to doctors more than ever before. It’s mentally taxing. I love the Colorectal Cancer Alliance. They have wonderful information and online support groups for patients, caregivers and family members. That’s really huge.

Should I limit my activity so I get more rest?

Nancy: Get the proper amount of rest, but you should also exercise. You need to be up and mobile to avoid muscle waste and blood clots or pneumonia. Walk at least 30 minutes a day. If you’re home and sedentary, walk at least 10 minutes a day. 

I’m overwhelmed. What do I say to family and friends when they offer to help?

Samantha: Psychologically, it’s quite a blow when you’re diagnosed. Everyone’s different in how they want to communicate their cancer to others and that’s okay. Some people want to be quiet. Some people want to tell the world. I went public because one, I believe in the power of prayer, and two, it’s important to be screened and I wanted to spread the word.

Accept help when it’s offered. It felt fragile at first but now I’m an old pro! As to what family and friends can do, ask them to be there to listen and provide comfort. To provide meals or give cards. I remember when the men in our small group from church came and got our yard ready for the season. Our small group also came and prayed for me. Allow people to be there, rally and support you and help you stay positive and hopeful. 

Nancy: Stop depending on yourself to do everything. You must depend on your network. Lean on family and friends so you have someone to talk to, to help with food and rides. I worked with a single man who had no family locally and didn’t know who would help him. Once he shared his diagnosis with his colleagues, he learned he had a safety net of people who loved him. They set up a meal train and transportation. And his sister came in from out of town to support him for several weeks. It was a huge lift to his heart, and he was filled with gratitude.

Life after colorectal cancer

Can I get cancer again?

Nancy: Unfortunately, cancer can come back. After treatment, it’s important to continue to follow up with your doctors as directed for what is called surveillance. That’s where you go back to your medical oncologist every three months for a year and it tapers down over time. They draw blood and do imaging to make sure everything’s fine. If the cancer does come back, it can be caught earlier through surveillance and treatment can start faster.

Will my bathroom habits change?

Dr. Shroff: Some patients may have a higher frequency of bowel movements after rectal cancer surgery, but that doesn’t happen to everybody. 

Do I need to change things about my lifestyle, like what I eat and which vitamins I take? 

Dr. Shroff: You’ll have to change your diet before surgery, such as adding amino acid shakes. You’ll continue that for a little while after surgery because it helps the body to heal better. Once recovered and on a regular diet, you’ll have no restrictions. You can get back to exercising and a normal diet that is rich in fiber and low in red meat. 

Dr. Clay: Patients should eat healthy diets that are high in fiber and low in red meat, if not already doing so, and should quit any tobacco use. Unfortunately, there is no specific vitamin or supplement that has been shown to cure colon cancer, despite what may be out there on social media channels. Following your doctor’s advice is key.

Face cancer with confidence
At Wellstar, people with colon cancer have highly coordinated and collaborative care—close to home. Our multidisciplinary team offers the most advanced diagnostics, treatments and clinical trials. If you’re looking for a cancer expert at Wellstar or need a second opinion, call 1 (877) 366-6032 or find a colorectal cancer specialist near you.


Encourage someone you love to get screened
Wellstar offers colorectal cancer screening to save lives. When physicians find pre-cancerous polyps during a colonoscopy, it prevents cancer from developing. Learn more about screening for colorectal cancer or schedule a screening.

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Summit Surgical - 1120 Wellstar Way Summit Surgical - 590 Nancy Street Summit Surgical - 4500 Hospital Boulevard Summit Surgical - 4900 Ivey Road NW Cancer Care Digestive Care
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Prostate Cancer Screening in Black Men

Screening for prostate cancer is crucial for early detection and to help provide the best possible outcome. It is especially important for Black men to be vigilant about screening, as they are disproportionately impacted by this cancer.

About 1 in 6 Black men will be diagnosed with prostate cancer in their lifetime, compared to 1 in 8 white men, according to a report from the American Cancer Society. Prostate cancer is the second leading cause of cancer death in Black men.

The American Cancer Society recommends that men at an average risk of developing prostate cancer begin screening when they are 50, but Black men should start earlier—at age 45 if they have no family history of prostate cancer, and at age 40 if any of their male relatives have had prostate cancer. Wellstar takes a personalized approach to cancer screenings, with clinicians discussing benefits versus risks of screening and helping patients evaluate their risk.

“Despite many physicians being aware of this and following this practice, Black men continue to be diagnosed with and die from metastatic prostate cancer. This is a trend that desperately needs to be reversed,” said Wellstar Primary Care Physician Dr. Earl Stewart. “We have adequate screening tools that do not even require a digital rectal examination.”

The Prostate-Specific Antigen (PSA) blood test is more accurate than the digital rectal examination in helping to detect prostate cancer, according to Dr. Stewart. Patients should also discuss family history with their relatives. “Patients knowing their family history is so crucial in having those discussions with primary care physicians to determine the best age at which to start screening,” Dr. Stewart said.

Screening for prostate cancer is as simple as making a preventive appointment with your primary care physician, discussing your family history with him or her, and having a PSA blood test. This test may be performed during an annual physical or wellness visit. Shared decision making between physician and patient is important to discuss your risk, your need for testing and next steps to take if your PSA level is elevated and concerning. Knowing your risk can save your life.

“I know many personally who are near and dear to me who had the disease and who unfortunately died from complications of metastatic prostate cancer,” Dr. Stewart said. “I know many more who lived because they had the conversation and dared to move forward with appropriate screening at the appropriate age.”

Learn more about prostate cancer care at Wellstar.

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4 Common Questions About Gynecologic Cancer—Answered

The gynecologic oncologists at Wellstar care for women at all stages of life, treating a variety of conditions with compassion and offering advanced care options. Our team are experts in treating cancers such as uterine, ovarian, cervical, vaginal and vulvar cancers. Here, we answer common questions about gynecologic cancer care with the help of Dr. Rosa Miller Polan, a gynecologic oncologist at Wellstar Cobb Medical Center. 

What is a gynecologic oncologist?

Gynecologic oncologists are specialists trained in the multidisciplinary management of patients with cancers of the female reproductive tract. Trained originally in obstetrics and gynecology, gynecologic oncologists treat patients with complex benign gynecologic issues, as well as gynecologic cancer patients who may need surgery, chemotherapy, immunotherapy or a combination of different treatments. 

When should you seek care?

Gynecologic cancers have different warning signs. When a person experiences concerning symptoms, a physical exam, including a pelvic exam, should be performed. Cervical and vaginal cancer symptoms include abnormal vaginal discharge, vaginal bleeding and pain. The most common warning sign for uterine cancer is abnormal vaginal bleeding. In postmenopausal women, any bleeding or spotting is abnormal and should prompt an evaluation. 

Ovarian or fallopian tube cancer symptoms include bloating, constipation, pelvic or abdominal pain and difficulty eating or feeling full quickly. Vulvar cancer symptoms include itching, burning, discoloration, and new bumps or lumps on the skin outside of the vagina. 

Who is at risk for developing gynecologic cancer?

Women who smoke cigarettes are at elevated risk for cervical, vaginal and vulvar cancer development. People who are immunosuppressed and those who have tested positive for the human papillomavirus (HPV) are also at increased risk. Genetics can contribute to the development of uterine, ovarian or fallopian tube cancers and these types of cancers can run in families. Obesity and use of hormone replacement therapy can put women at risk for the development of uterine, ovarian and fallopian tube cancers. A history of infertility, endometriosis and pelvic radiation are also risk factors for developing gynecologic cancer. 

What services are available at Wellstar?

At Wellstar, gynecologic oncologists provide comprehensive care for patients with gynecologic cancers, including administering chemotherapy and performing surgeries when needed. As high-volume pelvic surgeons, gynecologic oncologists also care for patients who need elective and emergent complex benign gynecologic surgery.

For many patients, robotic-assisted surgery offers a minimally invasive approach with less associated blood loss, shorter hospital stays and fewer post-operative complications. Gynecologic oncologists are some of the top users of the innovative DaVinci 5 robotic surgery platform. Performing complex gynecologic cancer surgeries, minimally invasive or otherwise, requires the type of highly specialized and multidisciplinary teams that work at Wellstar—and an infrastructure of resources to ensure patients have access to best-in-class care in their own backyard.

Learn more about gynecologic oncology at Wellstar at wellstar.org/gyncancer. 

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Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar, standing with one of the two TrueBeam linear accelerators in use for cancer care at Wellstar Cobb Cancer Center

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Wellstar Cobb Cancer Center Expands Treatment Services

New radiation technology and refreshed waiting and treatment areas are expanding world-class cancer treatment at Wellstar Cobb Cancer Center.

Cancer care in forward motion

Wellstar Cobb Cancer Center recently installed its second TrueBeam linear accelerator, which treats various cancers, including brain, head and neck, prostate, breast, lung, skin and gastrointestinal tumors. With the linear accelerator, clinicians can adjust the size and shape of beams to a tumor’s shape and spare healthy tissue.

With the second linear accelerator, Wellstar Cobb can offer patients more flexible and convenient scheduling. “An additional linear accelerator can lead to timely treatment starts and shorter wait times,” said Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar. “It expands our ability to treat more patients with cutting-edge care, continuing our commitment to bringing world-class cancer treatment closer to home.”

In addition to state-of-the-art external beam radiotherapy, TrueBeam delivers precise, high-dose stereotactic body radiotherapy (SBRT) targeting tumors in the body. It also provides stereotactic radiosurgery (SRS) for brain or spine cancer treatment. Patients will typically receive one to five treatments.

Patient-centered care at Wellstar Cobb

Wellstar Cobb Cancer Center recently renovated its treatment areas, front desk and waiting room, making it more welcoming and comforting for patients and their families. Within the treatment areas, the suite where patients receive high-dose radiation brachytherapy, a targeted treatment that involves placing radioactive material directly into tumors or near them, also underwent renovations.

“The beautifully designed space enhances patient comfort, offering a calm, supportive environment,” Dr. Onyeuku said. “We’re currently treating breast, cervical, uterine and skin cancers, with plans to expand to other cancer types. It’s advanced, efficient care—delivered close to home and with compassion.”

Early detection and support services

Cancer care begins with prevention and early detection. Wellstar Cobb is home to a lung cancer STAT Clinic, where specialists collaborate to diagnose and begin treatment within as little as 14 days. According to research by the Cleveland Clinic, patients can spend up to eight weeks on average visiting different specialists before starting a treatment plan. Earlier treatment can lead to the best possible outcomes.

Patients at Wellstar Cobb receive support at every stage of their treatment. These services include:

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“We have a superb team and state-of-the-art treatment here at Wellstar Cobb Cancer Center. And we’re backed by the resources of a nationally recognized health system,” Dr. Onyeuku said. “We are thrilled that our technology enhancements allow us to serve more people with exceptional cancer treatment.”

Learn more about cancer care in Cobb.

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