Does localization of colorectal carcinoma change?

Key Findings & Data:MATERIAL AND METHODS: In this study 1771 patients operated for colorectal carcinoma between 1985-2001 at Surgery Deparment of Ankara University Medical Faculty were evaluated.

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Conclusion & Impact:CONCLUSION: Colorectal cancer distribution seems to be changed recently in our unit so multicenter trials must be conducted on this subject.

🔬Design:Research Article

📍Scope:2001 Verileri

⚙️Variables:Yaş faktörü · Kolorektal neoplazmlar · Adenokarsinom

Abstract

AIM: Colorectal cancer is the second leading cause of death in the western countries. Distribution of colorectal carsinoma on colonic segments is known to be changed in the recent decades. This change in the distribution is known to be towards proximal colonic segments. However there is no epidomiologic study on this subject in Turkey. MATERIAL AND METHODS: In this study 1771 patients operated for colorectal carcinoma between 1985-2001 at Surgery Deparment of Ankara University Medical Faculty were evaluated. Hospital recordings and patient files were investigated for age, sex, tumor localization and change in locazation by time for colorectal carcinoma. RESULTS: At the end of the study although limited to a localized segment a change in colorectal cancer localization has been detected. The number of left colon tumors was found to be rising while the number of rectum tumors was decreasing. CONCLUSION: Colorectal cancer distribution seems to be changed recently in our unit so multicenter trials must be conducted on this subject.

Özet

AMAÇ: Kolo-rektal kanserler literatürde kanser nedeni ile ölümlerin ikinci sırasında bulunmaktadır. Kolon ve rektum kanserlerinin kolon segmentleri üzerindeki dağılımının son dekatlarda değiştiği bildirilmektedir. Ancak bu konuda ülkemizde yapılmış bir epidemiyolojik çalışma yoktur. Bu çalışmanın amacı kolo-rektal kanser lokalizasyonunda ülkemizde herhangi değişiklik olup olmadığına dair bir veri elde etmektir. GEREÇ VE YÖNTEM: Bu çalışmada Ankara Üniversitesi Tıpa Fakültesi Genel Cerrahi Ana Bilim Dalında 1985-2001 yılları arasında ameliyat edilen kolo-rektal adenokarsinomalı 1771 hasta değerlendirildi. Hastalar yaş grupları, cinsiyet, tümör lokalizasyonları ve zaman içinde değişimi değerlendirildi. BULGULAR: Çalışmanın sonucu olarak kolorektal kanserlerin lokalizasyonunda sınırlı bir segmentte de olsa değişim olduğu saptandı. Sol kolon tümörleri artmakta iken rektum tümörlerinin azaldığı bulundu. SONUÇ: Sonuç olarak ülkemizde kolo-rektal kanserlerin lokalizasyonununda son yıllarda değişiklik olduğu görülmüştür. Bu nedenle daha geniş, çok merkezli çalışmaların yapılması gerekmektedir.

Keywords

Yaş faktörü Kolorektal neoplazmlar Adenokarsinom Geriyedönük çalışma Cinsiyet faktörleri Age Factors Colorectal Neoplasms Adenocarcinoma Retrospective Studies Sex Factors

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Cite This Article

ÖZKAN, N., ERKEK, B., HAZİNEDAROĞLU, M. S., KUZU, M. A., ARIBAL, D. (2002). Does localization of colorectal carcinoma change?. Medical Network Klinik Bilimler ve Doktor, Cilt: 8 - Sayı: 3, 319–325. https://ajindex.com/articles/278625

References (11)

Philip H.G; Malignant Neoplasma of the Colon; İn. Philip H. Gordon (ed.); pinciples And Practice Of Surgery For The Colon, Rectum, And Anus; secon Edition;
Quality Medical Publishing, İnc., St.Louıs, Missouri; 1999; 575-717
Read TE, Kodner IJ, Colorectal Cancer; Risk Factors And Recommendations for Early Detection; American Family Physician; 1999; 59:3083-92
Demers RY, Parsons KC; Colorectal Cancer Incidence İn Pattern And Model akers: Evidence From A Screening Program; American Journal Of dustrial Medicine; 1994; 26:33-45 Inger DB; Colorektal Cancer Screening; Primary Care; 1999; 26:179-87 Borum ML; Colorektal Cancer Screening; Primary Care:Clinics İn Office pactice;2001; 28:661-74
Donald JJ, Burhenne HJ; Colorectal Cencer: Can We Lower The Death Rate The 1990s?; Canadian Family Physician; 1993; 39:107-14 T.C Sağlık Bakanlığı Sağlık İstatistikleri Fante R, Benatti P, Gregoria C, De Pietri S, Petroni M, Tamassia MG Percesepe A; Rossi G, Losi L, Roncucci L, Leon GP; Colorectal Carcinoma İn Differernt Age Groups: A Population-Based investigation; The American Journal Of Gastroenterology; 1997; 92:1505-9
Hawley ST, Levin B, Vernon SW; Colorectal Cancer Screening By Primary Care Physicians İn Two Medical Care Organizations; Cancer Detection And Prevention; 2001; 25:309-18 Steele GD; Mayer RJ; Adenocarsinoma Of The Colon And Rectum; Chapter 11; İn. Zuidema GD (ed.): Shackelford's Surgery of The Alimentary Tract- Volume IV; W. B. Saunders Company; 1996; 124-39 Synder DN; Heston JF; MeigsJW; Flannery JT; Changes İn Site Distribution Of Colorectal Carsinoma İn Connecticut; 1940-1973; American Journal of Digestive Disease; 1977; 22:791-7
Slater G., Papetestas AE., Tratter PL, Mulvihill M., Aufses AH. Jr.; Age Distrubition Of Right- And Left-Sided Colorectal Cancer; American Journal Of Gastroenterology; 1982; 77:63-6
D. Butcher, K. Hassanein, M. Dudgeon, J. Rhodes, F.F. Holmes; Female Gender Is A Major Determinant Of Changing Subsite Of Colorectal Cancer With Age; Cancer; 1985; 56:714-6
Maglinte DT, Keller KJ, Miller RE, Cheraish SM; Colon And Rectal Carsinoma: Spatial Distribution And Detection; Radiology; 1982; 147:669- 72 Greene FL; Distrubitions Of Colorectal Neoplasms: A Left To Right Shift Of Polyps And Cancer; The American Surgeon; 1983; 49:62-5
F.M. Kelvin, D.D.T. Maglinte, B.A Stephens; Colorectal Carcinoma Detected Initially With Barium Enema Examination: Site Distribution And Implication; Radiology; 1988; 169:649-51.
D.N. Snyder, J.F. Heston, J.W. Meigs.