Iriñiz AM, Bentolilla GA, Ferreira MPA

Language: Spanish
References: 12
Page: 32-34
PDF size: 33.74 Kb.

ABSTRACT

Introduction: The colorectal cancer is one of the most frequent oncologic diseases in the occidental world. It’s incidence is most in older ages, when it is present in young people is used to have a worse prognostic because of they delay to see a doctor and the diagnosis moment presents advanced tumor. Purpose: Analyze different presentation forms, anatomopathologics characteristics and the colorectal cancer evolution in young patients. Application place: Julio C Perrando Hospital. Resistencia Chaco. Material and methods: Along seven years period (March of 1998 to March of 2005) were treated 92 patients for colorectal cancer, 17 of these (18.47%) were 40 years old or younger in the diagnosis moment. Age, sex, symptoms, localization, stadium, treatment, histology classification and over life or survival rates were analyzed. Results: The edge average was 30 years old (rank 20 to 40 years); 8 woman (47.03%) and 9 man (52.94%), in 8 (43.05%) patients were localized in rectum; 5 (29.01%) in left colon and 4 (23.04%) in the right colon. Even of the frequent symptoms were abdominal pain in 8 patients (40.05%); and irregular bowel movement in 6 (35.29%) patients. Acute abdominal forms were present and they made a little suspect being the intra or postoperatory diagnosis. In the other 4 patients (17.64%); the diagnosis methodology (Radiography, endoscopy, ecography, abdominal cat and biopsy); let the program treatment. Surgery was the treatment; in 13 patients (76.47%) as emergency and /or acute and 4 patients (23, 52,70%). In the elective, being unrresectable (41.17%) making only a descompressive colostomy. In 12 patients (70.58%) the histology injury were poorly differentiated in 5 patients (29.41%) well differentiated. The Dukes C-D stadium were present in 9 patients (52.94%) being in 8 patients (47.05%) A-B the survival in one year was of (64.7%) 11 patients for year. Conclusion: The cancer frequency in young people increased in last years. The little importance of the symptomatology from of the patient and the low medical suspect delayed the diagnosis; inciding in the stadium and the histologic difference that define the diagnosis.

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