Archive | 2019

Demographic profile of cancer colorectal and anal canal, a study conducted government medical college Srinagar Kashmir India A retrospective study



Introduction: Colorectal cancer (CRC) is one of the most common forms of gastrointestinal malignancies in the world. Compared to the Western world, the incidence rates of colorectal cancer are low in India. CRC is relatively uncommon in Indian sub continent. In India the incidence of colorectal cancer was found to be 4.2 and 3.2 per hundred thousand for male and female population respectively. Early detection of colonic cancers is a challenging task as because clinical symptoms develop slowly. Objective: The aim of the present study was to analyze the demographic spectrum of colorectal and anal canal cancers in Kashmir valley. Material and Method: This was a retrospective study, So all patients were included who had Histopathologically confirmed colorectal and anal canal neoplasm registered at Regional Cancer centre of Government Medical College Srinagar Kashmir between 2015 to 2018. All the patient characteristics including age, sex, clinical presentation, anatomical site, histopathological type, stage of the disease and including metastasis, treatment received in each case was studied in detail. Results: Total of 108 patients with histopathologically confirmed as colorectal and anal canal cancers formed the study population. Rectal cancers constituted 42 patients (39%), colon cancers constituted 64 patients (59%) and anal canal constituted 02 (2%) patients. The male to female ratio in rectal cancers was 1.25:1. In colon cancers male to female ratio was 1.5:1. In anal canal two patients are male. The commonest age group is 45-64 years, followed by greater than 64 years. There were 42 cases of carcinoma rectum, In colon cancers, right colon constituted 35 cases (55%) followed by 20 cases (31%) of left colon constituted and transverse colon 9 cases (14%) of cancer. According to TNM staging in rectal cancers, majority of patients 42 (39%) are in stage III followed by 7 cases (17%) are stage ii, while as in case of colon cancer majority of cases (57.5%) are in stage ii and two patients in anal canal cancer are in stage ii. Conclusion: In conclusion, early detection will reduce the number of death of colorectal cancer patients. A significant number of colorectal and anal canal patients in Kashmir present with early stage of disease and probably due to clinical presentation in our centre, that major clinical presentation was bleeding. Most of the cases (90%) where diagnosed by clinical examination and colonoscopy. colorectal and anal canal cancers are observed at an middle age group that is more than 40 years of age.

Volume 3
Pages 354-357
DOI 10.33545/surgery.2019.v3.i1f.60
Language English
Journal None

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