A prospective observational study of colorectal cancer in a tertiary care hospital in north India
Keywords:Colorectal cancers, pain abdomen, loss of appetite, Chest X-ray.
Introduction: Globally, colorectal cancers are the third most common cancers contributing 8.9% of all cancers in both males and females.Although Incidence of rectal malignanciesvaries widely, developing countries have reported lower rates, particularly in Africa and Asia. Materials and Methods: The study was conducted in a tertiary care hospital in North India from March 2020- February 2021.40patients provisionally diagnosed as having rectal malignancies either clinically or radiologically were includedin the study to examineepidemiological and clinical characteristics of colorectal patientssuch as age, gender, personal history, histopathological type/ stage and mode of treatment. Results: Maximum number of cases was reported in the age group 41-50 years i.e., 14 (35%).Rectal malignancy was found in relatively young age group with a mean age of 49.5 years and males were prone than females in the ratio of 3:1.Bleeding per rectum was the most common complaint followed by altered bowel habits.Majority of cases reported history of smoking and alcohol intake. Vegetarians had lower incidence in comparison to those on mixed diet. 48% were moderately differentiated adenocarcinomas followed by24% cases which were well differentiated adenocarcinomas. Palpable rectal growth was found in 80% of patients.Maximum number ofpatients presented in early stage 30 (75%) followed by locally advanced stage 6 (15%) and metastasis stage 4 (10%) and abdominoperineal resection was the most commonly performed surgery. Conclusion: CRC in our institution is more often observed in younger individuals than what is reported infrom other parts of the country. Also, further studies with larger sample size are required to understand the role of other local factors like diet and personal habits in this region. A high index of suspicion and measures promoting early detection among young adults should be encouraged.
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Copyright (c) 2022 Ashutosh Gupta, Sandeep Kaur, Dinesh Kumar
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