173: Dr. Ben Evans is a colon cancer expert | colonoscopy | stool-based tests | rectal bleeding | polyps
Release Date: 04/29/2026
Cancer Interviews
The average age in which people are diagnosed with colon cancer continues to drop. Louisville-based gastroenterologist Ben Evans, MD says for decades the conventional wisdom was that one should begin getting screened for colon cancer at age 50. Now, he says you should learn your family history with colon cancer and colon polyps, and with that as your guide, you should start screening as early as your twenties. Dr. Evans says that while the colonoscopy remains the gold standard for colon screening, there are stool-based testing alternatives that can be done in the privacy of...
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In 2018, for Cindy Koerner, pain in her right breast led to a diagnosis of Stage 3A breast cancer. She was put on a three-pronged, high-dosage chemotherapy regimen of epirubicin, nab-paclitataxel and cyclophosphamide. The cyclophosphamide compromised her immune system, resulting in fatigue and fever. The chemo regimen shut down her ovaries, but when they became active about a year later, Cindy was told if they remained active, the possibility of a relapse would increase, so she opted to have them removed. These days, Cindy believes her health is at approximately 80...
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At age four, Hope Nightingale complained of severe pain in her legs. At first, her parents thought she was just being a hypochondriac. That changed when she fell off her scooter and broke the distal femur in her left leg. The following year, 2011, this led to a diagnosis of Stage II osteosarcoma, a type of bone cancer. After a regimen of neoadjuvant chemotherapy featuring cisplatin and doxorubicin, Hope underwent a surgical procedure, a vascularized fibula transplant. Her left femur was removed, and her right fibula was inserted in its place. Confined to a...
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When Jess began to feel pain in her right leg in 2020, she thought it was sciatica. When extreme pain radiated to her lower back, a physical therapist thought she had a bulging disc. However, her condition worsened, she went in for an MRI, and it revealed a tumor originally thought to be on her spinal cord. Further tests indicated the tumor was inside her spinal cord and a diagnosis of myxopapillary ependymoma, a rare cancer. The tumor was surgically removed, but her post-treatment life was very difficult. There were prolonged instances in which she could not move...
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Adam Deans was an athletic teenager and had aspirations of becoming a professional athlete. However, all that changed when he fell down a flight of stairs at school. At first, doctors thought Adam had dislocated his left knee, but upon getting further medical attention, tests showed he had cancer, known as osteosarcoma in his distal femur. Doctors recommended chemotherapy, but when that was ineffective, the leg was amputated in 2005. In 2008, a friend introduced Adam to wheelchair basketball. Still with his athletic prowess, he learned the sport quickly and became...
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What began as a harmless looking spot on Kevin Donaghy’s forearm turned into a pair of diagnoses of skin cancer. The first was Stage II in 2018, but 18 months later, it returned and was diagnosed Stage IV metastatic melanoma BRAF+. The urologist said Kevin, an IT specialist from Melrose, Scotland, may have six months to live unless he underwent a newly-approved immunotherapy known as pembroluzimab. That was in 2020, and Kevin is still with us. The immunotherapy triggered a bout of ulcerative colitis, which left him bedridden for six months, but Kevin says his health...
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Blood detected in Bob Schreiber’s urine led to a diagnosis of Stage IV bladder cancer. This came after a cystoscopy, in which a tube is inserted into his urethra, taking a picture of the bladder. Twice without success, Bob hoped BCG treatment would address the cancer by instilling a set of chemicals inside the bladder to strengthen the immune system. As a result, he had to get his bladder removed. It was replaced with a neobladder, which was made from his small intestine. His recovery took close to a year, he has to deal with incontinence at night, but would his...
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Beth Lehman went through a tumultuous year in 2020. Thanks to heavy drinking, she was diagnosed with cirrhosis, then basal cell carcinoma, a type of skin cancer, followed by hepatocellular carcinoma, a form of liver cancer. She underwent radioactive embolization in order to get a liver transplant. Beth said the two-hour operation wasn’t so tough, but the after-effects were difficult, including nausea and vomiting. Then she experienced a procedure to get rid of the skin cancer on her right temple. She says between her physical and emotional recovery, she...
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After close to a decade of abnormal pap smears, a Cone Biopsy indicated Athena Porter had cervical cancer. To make sure her diagnosis of endocervical adenocarcinoma didn’t spread, she opted for a radical hysterectomy. With the procedure, her cervix was not the only vital organ removed. A wife and mother to two daughters, Athena feels blessed that she can return to work on her Iowa farm. In 2012, she went in for an annual wellness exam. A pap smear indicated she was HPV+. Her doctor told Athena a worst-case scenario was cancer, but the virus would...
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Joshua Silva did not take lower back pains and gastrointestinal issues seriously until they worsened, forcing him to visit an emergency room. A CT scan revealed inflammation of his appendix, necessitating an appendectomy. A urologist said the scan also showed a problem in his left kidney, later diagnosed as clear cell renal cell carcinoma, a type of kidney cancer. Joshua underwent a partial nephrectomy knowing before the procedure he may lose the kidney. When he regained consciousness after the procedure, a nurse told him the kidney was spared. Post-treatment...
info_outlineThe average age in which people are diagnosed with colon cancer continues to drop. Louisville-based gastroenterologist Ben Evans, MD says for decades the conventional wisdom was that one should begin getting screened for colon cancer at age 50. Now, he says you should learn your family history with colon cancer and colon polyps, and with that as your guide, you should start screening as early as your twenties. Dr. Evans says that while the colonoscopy remains the gold standard for colon screening, there are stool-based testing alternatives that can be done in the privacy of your home. However, he notes that if one of the home-based tests reveal a positive result, you will need to undergo a colonoscopy.
Intense research has yet to come up with an answer as to why those being diagnosed with colon cancer are getting increasingly younger. Dr. Evans says the mortality rate for those diagnosed with cancer continues to climb while to varying degrees, the mortality rate is dropping for all other types of cancer.
In addition to checking your family history with colon cancer, you can help yourself by living a healthy lifestyle. Dr. Evans suggests quitting smoking, reducing alcohol intake and consumption of processed foods, while being sure to load up on fruits and vegetables.
Dr. Evans says you should be aware of colon cancer symptoms. They include bloody stool, rectal bleeding and abdominal pain. If any of these symptoms materialize, he says you should not leave anything to chance and seek medical attention.
Additional Resources:
Support Group:
The Colon Cancer Prevention
Project: https://www.coloncancerpreventionproject.org