Colorectal Carcinoma An Analytical Study of 104 Cases.

Abstract

Colorectal study includes 104 cases of colorectal carcinoma who reported during last two years (1995-96) to the Department of Radiotherapy an Oncology, I.E. Medical College/ Mayo Hospital, Lahore. The analytical data revealed that the incidence increases with the increasing age having peak ages between 40-49 and 60-69 years. Male and female ratio is 1.63:1. Smoking habits were found in 44% of the case whereas 67% were non-smokers; 27% of the patients presented with abdominal pain, 42% with bleeding per rectum and 31% combined of both. Also presented with constipation 48%, diarrhea 8% some were with discharge and mass. Most of the patients reported between 6-12 months after 1st symptom i.e. 37% and about 23% cases reported after one year. Concomitant diseases are hypertension. D.M. hyperthyroidism and haemorrhoids constitutes 10% of the cases Histopathology reveled adeno-carcinoma in 86% followed by melanoma. Rural and urban inhabitants were 61% and 39% respectively. Majority of the patients came with advanced stages i.e. Stag-IV 51%, Stage-III 37% and Stage-II with 12%, Overall presentation from poor socio-economical group was 75% Patients were treated at Radiotherapy Department but the response and follow up was found poor.