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Colon Cancer & Polyps

Why early detection matters

Colon cancer grows in the large intestine or rectum. Most of the time, it starts as a small growth called a polyp. Not all polyps turn into cancer. But removing them gets rid of the risk.

Colon cancer in Canada

  • 1It's the 3rd most common cancer in Canada
  • 2About 1 in 14 men and 1 in 18 women will get it in their lifetime
  • 3When found early (Stage I), more than 9 out of 10 people survive
  • 4When found late (Stage IV), only about 1 in 7 people survive
  • 5Regular screening can prevent up to 60% of deaths from colon cancer

What are polyps?

Polyps are small growths inside the colon. They are very common — about 1 in 3 people over age 50 have them.

Hyperplastic polyps

Low risk

Usually small. Found in the lower colon. These almost never turn into cancer.

Adenomatous polyps (adenomas)

Moderate risk

The most common type that can turn into cancer over 10 to 15 years. This is why they are removed during a colonoscopy.

Sessile serrated polyps

Moderate to High risk

Flat growths that can be harder to see. They have a higher chance of becoming cancer. This is why a thorough exam matters.

Visual Guide: Polyp Types

How different polyp types appear on the colon wall

HyperplasticLow RiskUsually < 5 mmAdenomaModerate RiskOften 520 mmSessile SerratedHigher RiskOften > 10 mmMucosal wallSubmucosaPolyp tissue

The polyp-to-cancer journey

Most colon cancers grow slowly from polyps over 10 to 15 years. This slow growth is why screening works so well. There is a big window of time to find and remove polyps before they become dangerous. A colonoscopy stops this process by removing polyps during the exam.