The cancer is a chronic degenerative illness, that must be dealt with throughout the life the patient, investigating itself returns and metstases. The rectum cancer (final part of the intestine) is more common between the men, to the step that the cancer of CLON or thick intestine affects men and women. uma treatable and frequently curable illness when located in intestine (without extension for other agencies) .Risk Factors: Age above of 40anos; tobaccoism, alcoholism, familiar history of cancer of clon and rectum; former personal history of cancer ; diet with high content of fat, calcium meat and low text; obesidade and sedentarismo. Also the chronic ulcerativa retocolite (chronic inflammation of the thick intestine) and Illness of Cronh (chronic illness inflammatory intestinal), some hereditary conditions (Polipose Adenomatosa Familiar (FAP) and Hereditary Colorretal Cancer without Polipose A rich diet in fruits, vegetables, staple fibres, calcium, poor in fats, and the practical one of physical exercises. People with more than 40 years must submit themselves annually to the examination of occult research of blood in excrements.

SYMPTOMS: Individuals above of 40 years with anemia, pain and abdominal discomfort, abdominal mass, nauseas, vomits, melena (pastosas excrements, of I smell ftido and of color of the tar), weakness, tenesmo (painful sensation to defecate), bleeds in the evacuation, change in the intestinal habit, for example: intestines that function well, daily and suddenly are desregulados, diarrias daily ouconstipao. DIAGNOSIS: The use of the toqueretal, the retossigmoidoscopia, and the colonoscopia an important characteristic in the development of the CCR is that a precursory injury of the called cancer POLYP, delay some years to changed itself, what it is enough time for its removal before the transformation. In accordance with a.C.Camargo Hospital, patients after the 40 years of age, with raised risk, but without familiar history, must carry through the colonoscopia to each 5 years. TREATMENT: The surgery, removing the next part of the affected intestine and linfonodos to this region. Many tumors of the rectum are dealt with surgeries that PRESERVE SPHINCTER ANAL, through the use of the STAPLERS, thus preventing the COLOSTOMIAS (opening in the abdominal wall for where they pass to be eliminated the gases and excrements) and the use of collecting stock markets. The x-ray associated or with the chemotherapy is not used to diminish the possibility of the return of the tumor (RETURN) When the illness is spread, with metstases for the liver, lung or other agencies, the cure possibilities diminish. PSYCHOLOGICAL ASPECTS: The patient is common to show a depressed mood, frustration, impotence, low auto esteem, suicidal ideao, fancies, fear, diffidence, alrgicos sensation of punishment, aggressiveness, damages in the corporal image, dermatological problems, social isolation, nutricionais problems, etc Exist groups of support to the carrier of colostomias, that function in order to ressignificar the new style of life for the patient. Suely Bischoff Axe of Oliveira /Psic logCRP 06/8495sbischoff@ After grad.por the a.C.Camargo Cancer.