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How is Rectal Cancer Treated: Patient Information

Stage Information

Stages of cancer of the rectum

Once cancer of the rectum is found (diagnosed), more tests will be done to find out if cancer cells have spread to other parts of the body (staging). A doctor needs to know the stage of the disease to plan treatment. The following stages are used for cancer of the rectum:

Stage 0 or carcinoma in situ

Stage 0 cancer of the rectum is very early cancer. Cancer is found only in the top lining of the rectum.

Stage I

Cancer has spread beyond the top lining of the rectum to the second and third layers and involves the inside wall of the rectum, but has not spread to the outer wall of the rectum or outside the rectum.

Stage I cancer of the rectum is sometimes called Dukes A rectal cancer.

Stage II

Cancer has spread outside the rectum to nearby tissue, but it has not gone into the lymph nodes. (Lymph nodes are small, bean-shaped structures that are found throughout the body. They produce and store cells that fight infection.)

Stage II cancer of the rectum is sometimes called Dukes B rectal cancer.

Stage III

Cancer has spread to nearby lymph nodes, but it has not spread to other parts of the body. (Lymph nodes are small bean-shaped structures that are found throughout the body. They produce and store cells that fight infection.)

Stage III cancer of the rectum is sometimes called Dukes C rectal cancer.

Stage IV

Cancer has spread to other parts of the body.

Stage IV cancer of the rectum is sometimes called Dukes D rectal cancer.

Recurrent

Recurrent disease means that the cancer has come back (recurred) after it has been treated. It may come back in the rectum or in another part of the body. Recurrent cancer of the rectum is often found in the liver and/or lungs.

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