Can a CT Scan Detect Colon Cancer?

By Lorra Garrick | Last updated 04/23

If you have colon cancer, would a CT scan show it?

“CT scans are adept at locating pathology IN the abdomen or outside of the bowel,” says Sander R. Binderow, MD, FACS, FASCRS, with Atlanta Colon & Rectal Surgery.

Dr. Binderow continues, “CT is very good for solid organ disease — liver, spleen, kidneys. It can show metastatic colon cancer that has spread to the liver.

“Colon cancer, however, starts inside of the bowel. CT is notoriously unreliable for polyps or early stage tumors. It can show large, more advanced cancers or masses.”

So for instance, my father went to the ER complaining of significant lower abdominal pain and a persistent feeling of constipation.

The doctor ordered a CT scan and at some point, she commented that it would be good news if the scan did not show an “obstruction,” as this could possibly be a malignant mass — having originated as colon cancer but having infiltrated outside of the colon where a CT scan would pick it up. (Turned out my father had diverticulitis.)

And even if a mass does indeed show up on a CT scan…this doesn’t mean it’s malignant.

Dr. Binderow explains, “If a CT is suspicious for a colorectal cancer, the next immediate step would be a colonoscopy — which again is the best test to evaluate the colon and find colon cancer.”

Colonoscopy

In the absence of a CT scan, if you’re just wondering about colon cancer and would like to get some initial screening for it, you may consider Cologuard, which is a non-invasive screening test for this disease.

Cologuard kit

Cologuard uses the latest advances in stool DNA technology — detecting the altered DNA from abnormal cells in a stool sample which could be associated with cancer or precancer.