 Hello, I am Dr. Harish, Consultant Surgical Oncologist, KMC Hospitals, Mangalore. Today I am going to speak about Colonic Cancer, which is one of the commonest cancers in elderly population all over the world. The common risk factors for colorectal malignancies are one is age, it's commonly seen in elderly population and the common dietary factors are also involved like people who are consuming high fat diet, low fiber diet and consuming red meat are known to have higher incidence of colony cancers and any family history of colony cancers especially with genetic mutations where can be familial syndromes like familial polyposis syndromes, HNPCC, LYNG syndrome, there are many syndromes which are linked to colonic cancers, increased consumption of alcohol, cigarette smoking, inflammatory bowel diseases like ulcerative colitis, Crohn's disease. What are the signs and symptoms of colonic cancer? Most of the patients present with bleeding perectum or malina where most of the patients will be undergoing treatment for hemorrhoids or piles so where they present in the later stage of the disease. The other common signs and symptoms are anemia, loss of weight, loss of appetite, abdominal distension, omitting. So when these signs and symptoms are there especially in elderly population it is important to consult an oncologist. The common tests to diagnose colonic cancers are colonoscopy or sigmatoscopy and biopsy depending on your signs and symptoms. Once you diagnose with colonic cancer then we have to stage the colonic cancer where we are considering you for imaging either CT scan or MRI not all patients require but scan as a tool to identify metastatic disease in colonic cancers. Once you diagnose and stage the disease the next step is to consider the treatment. The main treatment in colonic cancer will be surgery if it is not metastatic. Early stage where we consider either stage one or stage two or advanced stage is stage three the metastatic disease even in metastatic disease the survival in colonic cancer is very good. The patients whom we diagnose colonic cancer will undergo surgery either minimally invasive that is robotic or laparoscopic or can be considered as open surgery. Once the patient undergoes surgery patient may require chemotherapy after the surgery that is called adjuvant therapy depending on the stage of the disease. Not all patients of rectal cancers or colonic cancer require a stomach bag so nowadays the the need of stomach bag has come down and most of the patients won't require a permanent stomach bag most of the times. Salient feature of this colonic cancer is even in metastatic setting there is role of surgery many of the patients who are also metastatic are known to live long with good survival where we can consider neo adjuvant chemotherapy and if the lesion in the metastatic setting is operable and completely removable we can consider surgery as a curative option in metastatic setting also in colonic cancers