CiNease Freeman, who was young and had no family history of the disease, ignored the symptoms of rectal cancer for two years. But at 28, she could no longer overlook the condition, which typically affects men around age 62 and 63 for women, according to the American Cancer Society.

Two years later, Freeman is celebrating both her 30th birthday and being two years cancer-free.

“My family talks about how my great-grandmother had a colon resection. It could have been cancer, but we’ll never know,” Freeman said. “Now, everyone in my family knows about my diagnosis so that they can get screened early.”

Yale Medicine’s colorectal surgery team warns that people as young as 20 need to be aware of the warning signs because cases of colorectal cancer in younger adults are on the rise.

Black Americans are 20% more likely to get colorectal cancer compared to most other racial groups and 40% more likely to die from it, according to a 2023 report from the American Cancer Society.

While colorectal cancer disproportionately affects Black Americans, it is highly treatable when detected early. Survival rates exceed 90% when diagnosed at a localized stage, according to the American Cancer Society.

A cancer diagnosis at any age is life-altering, but Freeman’s diagnosis while in her 20s was especially challenging. She is grateful for the support of her employer, PeopleLink, where she works as a recruiter. The company allowed her to work from home and take time off for chemotherapy and radiation treatments, but she also had to take short-term disability for surgery.

“When I was in the middle of my treatment, I was so tired that I’d just lay my head on my desk and fall asleep,” Freeman said. “They’d tell me to go home. They were so accommodating.”

Now a colorectal cancer survivor, Freeman is dedicated to raising awareness. March is National Colorectal Cancer Awareness Month, and she’s involved in raising awareness about the disease and the importance of screenings.

Her volunteer work with Fight Colorectal Cancer (Fight CRC), a national advocacy organization, took her to Capitol Hill earlier this week. She traveled there for Fight CRC’s annual Call-on Congress event, which meets with policymakers to advocate for more colorectal cancer research funding.

Freeman also answered the call for models from Siil, a company that makes clothing and accessories designed to be comfortable, stylish and discreet for people with ostomies. If chosen, she will travel to Dubai for a photoshoot showcasing Siil’s product line, celebrating the courage and strength of ostomates.

Meet a colorectal cancer survivor who is excited for another opportunity to share her journey with others and this week’s Personality, CiNease Freeman:

Occupation: Senior recruiter at PeopleLink.

Date and place of birth: March 11 in Richmond.

Where I live now: North Side.

Education: Open High School; bachelor’s in social work from Virginia State University.

What is Fight Colorectal Cancer: We are relentless champions of hope, fighting for a cure to colorectal cancer while supporting and empowering a community of patients, caregivers and families.

Founder: Nancy Roach.

Location: Springfield, Mo.

The difference between colorectal cancer and rectal cancer: Colorectal cancer is a broader term that includes both colon and rectal cancers, which are parts of the large intestine. Rectal cancer is a type of cancer that develops in the rectum, which is the last 6 inches of the large intestine.

Colorectal cancer also is the second leading cancer in both males and females.

Why the two are classified together but differ: Both originate in the large intestine and share similar risk factors, symptoms and treatment approaches. Because the two are so closely related, medical professionals can apply a more comprehensive and consistent approach to research, diagnosis, treatment and prevention strategies.

My history with rectal cancer: I was diagnosed with Stage 3 rectal cancer in June of 2022 at the age of 28. I went to the doctor because I experienced rectal bleeding, stomach pains and frequent need to use the bathroom. I completed 22 days of radiation and eight rounds of chemotherapy. Unfortunately, it was not enough to shrink the tumor. I underwent a surgical procedure called the APR surrey, which cleared all the cancer out of my body. I have a permanent ostomy. On May 1, I will be two years cancer-free.

Symptoms that should not be overlooked: Rectal bleeding—I thought I was too young. I never thought I could have cancer. I also had tenesmus, the sensation of feeling like I needed to go to the bathroom.

Myths about colorectal and rectal cancer: Colorectal cancer does not have an age limit.

If you have a family history of cancer, stomach issues or rectal bleeding, see your doctor.

What tests screen for colorectal/rectal cancer: The only test to determine if you have colorectal cancer is a colonoscopy. Once the tumor is detected, there are scans to see if it has spread. Colonoscopies are not the worst thing because you are sedated. The prep during the night before your colonoscopy, including the liquid you have to drink, may be the hardest thing.

Why early detection is essential: Colorectal cancer begins as polyps, which are not always cancerous. They can turn into cancer if not detected early. A colonoscopy will determine if you have polyps, and they can be removed.

When should people get tested: You should begin testing early if you have a family history or symptoms. It is never too early to test if you have a family history or symptoms.

How my diagnosis changed my life: Being diagnosed with cancer opened my eyes. It made me realize that life is very short and you have to always live your life because tomorrow isn’t promised. After my diagnosis, I would thank God and hop right up out of bed as soon as my eyes opened in the morning. I felt like I needed to find my purpose in life.

What it means to be a cancer survivor: Many people in my situation would have been depressed, sad and not motivated. I never let my cancer diagnosis stop me from living my life. Keep living life and do not stop. It will make you feel as normal as possible when something not so normal is happening to you.

Mental health challenges and cancer patients: Just like everyone, I have my days. Some days, I would say, “why me” and then other days, I say, “why not me.” I am built for this. I am alive to spread the word.

Why do you speak out about your journey: Sometimes, people are afraid to speak their story, and I was at first. When you see someone that looks like you, the same age as you and you share something in common, it makes that person feel relatable. I want to feel relatable and help heal individuals by telling my story. Telling my story could also help prevent someone from having to go through what I went through.

I want to bring awareness. If I didn’t share my story, then I would be doing the world an injustice. By sharing my story, at least one person that reads or hears it will be able to relate in some way.

Where to go for more information on colorectal/rectal cancer: fightcrc.org.

How I start the day: I always start my day with a positive mindset and attitude. I look forward to living life and fulfilling my purpose every day.

Three words that best describe me: Impulsive, ambitious and determined.

If I hosted a dream dinner party, the one special guest would be: I would invite Lebron James because he’s the epitome of a leader and someone who perfects his craft. He is the best at what he does, and I want to be the best at everything I do.

Top three on my music playlist: Drake, SZA and Rod Wave.

Something I enjoy that might surprise people: Driving long distances and getting lost. I love to find my way by looking at maps.

A quote that inspires me: “Learn as if you will live forever. Live like you will die tomorrow.”

Most influential person: My Grandpa. He was such a strong, humble man. He always encouraged me to keep going and be the best person I can be.

Next goal: I want to influence and encourage as many people as I can to learn about the symptoms of colorectal cancer with a focus on early onset. I would love to travel the world and sit on panels to bring awareness to rectal cancer and individuals with ostomies.