Title : Pattern of colorectal carcinoma a two years experience
Abstract:
Objective: To find out the common presentation, anatomical location and stage of colorectal carcinoma in patients presenting to the tertiary care hospital.
Study design: Descriptive case series.
Place & Duration of study: Department of Surgery Ward - 3, Jinnah Postgraduate Medical Centre Karachi, from June 2016 to June 2018.
Methodology: All patients above 12 years of age were who presented to surgical service diagnosed after necessary investigations as having colorectal carcinoma were included. TNM and Duke staging was done with the help of CT scan of abdomen and chest, operative findings and histopathological results. The results were analyzed in SPSS version 24. Descriptive statistics were used to present data.
Results: A total of 120 patients of colorectal carcinoma were included. Most (n = 80 + (- 66.67)%) of the patients were males. There were 56 (46.67%) patients from 20 to 40 year and 48 (40%) 40 to 60 year of age. Large number of patients (n = 100 + (- 83.33)%) presented with intestinal obstruction. Other symptoms included constipation (n = 56 + (- 46.67)%) per rectal bleeding n = 48 , 40%), altered bowel habits n = 15 13.33%) and abdominal pain (n = 20, (- 6.66)%) Majority of the patients were in Duke stage C (n = 72 + (- 60)%) and Duke D (n = 36 + (- 30)%) . The left sided colorectal tumours were 90%, rectum 40%, and rectosigmoid 36.67%.
Conclusions: Most of the patients of colorectal carcinoma presented with intestinal obstruction in advanced stage of Duke C and D. On left side rectosigmoid and rectum were most commonly involved.
Key words: Colorectal Carcinoma, Duke staging, Intestinal Obstruction.
