Japanese author Keigo Higashino dies of colon cancer; doctors urge public screening

Japanese mystery novelist Keigo Higashino, renowned for "The Devotion of Suspect X," passed away from colon cancer on July 23 at the age of 68. His death has prompted a call from doctors in Taiwan for increased public awareness and utilization of free screening programs.

Dr. Liao Jui-kai, chief physician of colorectal surgery at Linkou Chang Gung Memorial Hospital, emphasized that early-stage colon cancer often presents no symptoms. He urged the public to take advantage of government-funded screening resources for early detection and treatment. According to 2023 cancer registry data, colon cancer ranks as the second most common cancer in Taiwan, with 19,074 new cases reported that year. It also remains the third leading cause of cancer death.

“

Colon cancer in the early stage has no symptoms, and can only be detected early through regular screening.

Dr. Liao noted a rising trend in colorectal cancer among individuals under 50 in Taiwan. He explained that by the time symptoms like blood in stool, changes in bowel habits, persistent abdominal pain, or unexplained weight loss appear, the tumor has often grown significantly. He stressed that blood in the stool should not be dismissed as merely hemorrhoids and requires prompt medical attention.

“

If the aforementioned symptoms appear, do not neglect them and seek medical attention as soon as possible.

Taiwan's National Health Insurance Administration offers free fecal occult blood tests every two years for individuals aged 40-44 with a family history of colon cancer, and for all individuals aged 45-74. Dr. Liao encouraged people to utilize these resources, countering the fear that screening might uncover existing issues. He stated that a positive screening result does not automatically mean cancer; it could indicate polyps, hemorrhoids, or other bleeding sources that require further investigation with a colonoscopy.

Even with a cancer diagnosis, Dr. Liao offered reassurance, explaining that treatment options include endoscopic resection, surgery, chemotherapy, radiation, targeted therapy, or immunotherapy. He also highlighted advancements in minimally invasive surgery and post-operative care, which help reduce pain, speed up recovery, and shorten hospital stays.

“

No symptoms does not mean no risk; screening can achieve early diagnosis and treatment, preventing the disease from worsening.