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Rectal Cancer

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Rectal cancer. Tumor. Oncology. Medical anatomy illustration.

Rectal cancer is a malignancy (cancerous tumor) located within the rectum, the last part of the digestive tract just before the anus. The rectum stores waste material until your body eliminates it through a bowel movement. The most common type of rectal cancer is called an adenocarcinoma.

At the Colorectal Division of North Carolina Surgery at UNC REX in Raleigh, rectal cancer is thoroughly treated by our highly experienced and board-certified colon and rectal surgeons. Our doctors can help you better understand this condition and determine which treatment option(s) would be right for you.

Risk Factors of Rectal Cancer

Though doctors do not know the exact cause of rectal cancer, risk factors can include:

  • Age (especially over 40)
  • Having inflammatory bowel disease (IBD) such as Crohn’s disease or ulcerative colitis
  • Certain inherited family conditions, such as Lynch syndrome
  • Heavy alcohol use
  • Obesity
  • Personal or family history of colorectal cancer
  • Smoking

Rectal Cancer Symptoms

Some people with rectal cancer don’t experience any symptoms, and doctors only find it on a routine colonoscopy. For others, they may notice certain indicators such as:

  • Change in bowel habits
  • Fatigue
  • Fecal incontinence (inability to control stool)
  • Rectal bleeding
  • Rectal pain
  • Unintentional weight loss

Your First Visit

Your North Carolina Surgery team will help you plan the most effective treatment strategy based on many different factors, which we will discuss during your consultation. Early detection is vital: if you are experiencing any of the above symptoms, schedule an appointment at our clinic immediately. Otherwise, there is the risk of the tumor growing or spreading, minimizing the effectiveness of less invasive treatment options and the chance of a full recovery.

Doctors diagnose this cancer using tools like magnetic resonance imaging (MRI) and computerized tomography (CT) scans. In addition, it will be crucial to review your full medical history to perform an accurate diagnosis and establish the best possible treatment plan.

Surgical Treatment for Rectal Cancer

Treatment for rectal cancer in Raleigh depends on the stage at the time of diagnosis. Your specialist may recommend a transanal endoscopic removal of the tumor, a proctectomy (surgical removal of all or part of the rectum), chemotherapy, radiation, or a combination of all these treatments. 

After Rectal Cancer Therapy

Recovery after rectal cancer treatment is an important part of your overall care plan and looks different for every patient. Depending on whether your treatment included surgery, chemotherapy, radiation, or a combination of therapies, your body will need time to heal and adjust.

During this period, you may experience temporary changes in bowel function, energy levels, or appetite. Our team at UNC REX in Raleigh will closely monitor your progress, address any concerns, and provide guidance to help you regain strength and return to your normal daily activities as safely and comfortably as possible.

Follow-up care is essential to ensure the best long-term outcomes. This may include routine imaging, colonoscopies, and office visits to monitor for recurrence and manage any ongoing symptoms. With a personalized approach and continued support from our colorectal specialists, patients in Raleigh and the surrounding Triangle Area can feel confident navigating life after rectal cancer therapy.

Benefits of Rectal Cancer Treatment at UNC REX

  • Care provided by board-certified colorectal surgeons in Raleigh
  • Personalized treatment plans based on cancer stage and patient needs
  • Access to minimally invasive procedures, including transanal techniques
  • Proctectomy (rectal surgery) when needed for more advanced cases
  • Use of chemotherapy and radiation therapy when appropriate
  • Combination treatments for the most effective outcomes
  • Advanced imaging and diagnostics to guide treatment decisions
  • Ongoing follow-up care and monitoring
  • Care backed by the UNC Health system and a multidisciplinary team

Rectal Cancer Treatment Price

The cost of a rectal cancer treatment plan will depend on the procedures used and medicines administered. Our friendly staff will gladly assist you regarding insurance coverage and pricing concerns. 

Rectal Cancer FAQs

How long does rectal cancer treatment usually take?

The total treatment timeline can vary widely depending on the individual and the complexity of the case. Some patients complete treatment in a few months, while others may require a longer, more phased approach.

Will I need to stay in the hospital during treatment?

Certain therapies may require a short hospital stay, while others are done on an outpatient basis. The length of stay depends on the type of care you receive and how your body responds.

Can I exercise during treatment?

Light to moderate physical activity is often encouraged if tolerated. Staying active can help improve energy levels, mood, and overall well-being.

Can rectal cancer spread to other parts of the body?

Yes, like many cancers, rectal cancer can spread if not treated effectively. This is why thorough evaluation and timely care are so important.

Are there genetic factors involved in rectal cancer?

Yes, some cases are linked to inherited conditions that increase cancer risk. A family history of certain diseases may prompt earlier or more frequent screening.

Will I need to change my long-term health habits?

Many patients adopt healthier routines after treatment to support long-term wellness. This may include dietary changes, regular exercise, and routine medical checkups.

Contact Us for a Consultation

Rectal cancer surgery in Raleigh is routinely performed by our team of colorectal surgeons. Together, we’ve seen so many patients go on to fully recover and lead healthy, successful lives. To get started on diagnosis, contact the Colorectal Division of North Carolina Surgery at UNC REX to set up your initial consultation.

Causes of rectal cancer

Though doctors do not know the cause of rectal cancer, risk factors include:

  • Age (especially over 40)
  • Having inflammatory bowel disease (IBD) (such as Crohn’s disease or ulcerative colitis or certain inherited family syndromes, such as Lynch syndrome)
  • Heavy alcohol use
  • Obesity
  • Personal or family history of colorectal cancer
  • Smoking

Symptoms of rectal cancer

Symptoms can include:

  • Change in bowel habits
  • Fatigue
  • Fecal incontinence (inability to control stool)
  • Rectal bleeding
  • Rectal pain
  • Unintentional weight loss

Some people with rectal cancer don’t experience any symptoms, and doctors only find it on a routine colonoscopy.

Surgical treatment for rectal cancer

Treatment for rectal cancer depends on the stage at the time of diagnosis. Doctors diagnose this cancer using imaging tools such as magnetic resonance imaging (MRI) and computerized tomography (CT) scans. After a diagnosis, your specialist may recommend a transanal endoscopic removal of the tumor, a proctectomy (surgical removal of all or part of the rectum), chemotherapy, radiation or a combination of all these treatments. Your North Carolina Surgery team will help you plan the most effective treatment based on many different factors, which we will discuss during your consultation in our clinic.