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Most often, colon cancer spreads to the liver, but it can also spread to the ovaries, lungs, or brain. Colon cancer tends to spread to the liver first, because all of the blood from the colon drains to the liver before proceeding to the rest of the body.
Colon cancer first begins as a tumor in the lining of the colon. Early symptoms maybe bleeding, abnormal fecal discharge, or unexplained anemia. As the tumor grows, it may begin to obstruct the flow of feces causing abdominal colic and changes in bowel habits.