29-Year-Old Diagnosed with Stage III Sigmoid Colon Cancer: A Personal Journey

29-year-old with a hard mass in the left abdomen, diagnosed with stage III sigmoid colon cancer. This is just a personal share?

At 29 years old, I have a hard lump in the left lower abdomen near the navel.
I have experienced bloody stools and have also had yellowish mucus, along with hemorrhoids (the shape of my stools has indentations).
I started seeking medical attention for anal issues and urinary problems at the end of last year.
In January, I visited a traditional Chinese medicine practitioner, and in March, I had a fever and consulted an ear, nose, and throat specialist.
By the end of March, I visited a gastroenterology clinic (at this point, I was no longer feverish, but the pain was so severe that I could only sleep sitting up, waking every hour, with a heart rate around 100).
They diagnosed me with irritable bowel syndrome and performed an ultrasound, which indicated that my abdomen was distended, but they did not scan above the hard lump.

In late April, a physician at Guo General Hospital examined me, noted my fever and heart rate around 100, and performed an ultrasound, revealing a segment of my colon that was not peristalsing.
I was then taken to the emergency department for a CT scan, which showed a perforation.
The following morning, I underwent surgery, and after testing, I was confirmed to have stage III colorectal cancer that had spread to a lymph node.
I have just completed my seventh round of chemotherapy and am scheduled for a total of twelve treatments.
I wanted to share my experience, as I have similar symptoms to those mentioned by other patients, particularly in the left lower abdomen near the navel.

cloudland46, 20~29 year old female. Ask Date: 2016/08/19

Dr. Ke Fangxu reply Surgery

Thank you for sharing.
This is why we say that although the risk of developing colorectal cancer is lower for those under 40, it is not zero.
If there are concerns or doubts, individuals of any age can request their physician to arrange for a colonoscopy.

Reply Date: 2016/08/19

More Info

Thank you for sharing your personal journey regarding your diagnosis and treatment of Stage III sigmoid colon cancer at the age of 29. Your experience highlights several critical aspects of colorectal cancer, particularly in younger patients, and underscores the importance of awareness, timely diagnosis, and appropriate treatment.

Colorectal cancer, including sigmoid colon cancer, is often perceived as a disease that primarily affects older adults. However, as your case illustrates, it can occur in younger individuals as well. Symptoms such as abdominal pain, changes in bowel habits, blood in the stool, and unexplained weight loss should prompt immediate medical evaluation, regardless of age. In your situation, the presence of a hard mass in the left lower abdomen, along with other gastrointestinal symptoms, should have raised suspicion for a more serious condition earlier in the diagnostic process.

Your journey involved multiple medical consultations and diagnostic tests, including ultrasound and CT scans, which ultimately led to the discovery of a perforation and the diagnosis of Stage III cancer with lymph node involvement. This stage indicates that the cancer has spread beyond the primary site in the colon to nearby lymph nodes, which is a critical factor in determining prognosis and treatment options.

The treatment regimen you are undergoing, which includes chemotherapy, is standard for Stage III colon cancer. Chemotherapy aims to eliminate any remaining cancer cells after surgery and reduce the risk of recurrence. The typical course involves multiple cycles, and as you mentioned, you are currently on your seventh cycle, with a total of twelve planned. It is essential to adhere to this treatment plan, as studies have shown that completing the recommended chemotherapy significantly improves survival rates.

In terms of prognosis, Stage III colon cancer has a variable outlook depending on several factors, including the specific characteristics of the tumor, the patient's overall health, and the response to treatment. The five-year survival rate for Stage III colon cancer can range from approximately 40% to 70%, depending on the extent of lymph node involvement and other factors. Regular follow-up appointments and surveillance imaging are crucial for monitoring your response to treatment and detecting any signs of recurrence early.

It is also important to address the emotional and psychological aspects of dealing with a cancer diagnosis at a young age. Many young adults may feel isolated or overwhelmed by their diagnosis, especially when they see peers who are healthy. Support groups, counseling, and open communication with healthcare providers can be invaluable resources during this challenging time.

Lastly, your experience serves as a reminder of the importance of awareness and education regarding colorectal cancer, particularly in younger populations. Advocacy for regular screenings, even at a younger age for those with a family history of colorectal cancer or other risk factors, can lead to earlier detection and better outcomes.

In conclusion, your journey through diagnosis, treatment, and ongoing management of Stage III sigmoid colon cancer is a testament to resilience and the importance of seeking medical attention for concerning symptoms. Continue to advocate for your health, maintain open communication with your healthcare team, and seek support from loved ones and fellow survivors. Your story can inspire others to be vigilant about their health and seek timely medical care.

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