2012, Number 6
Videoendoscopic and histological characterization of patients with colorectal cancer in the Teaching Clinico-surgical Hospital Comandante Faustino Pérez Hernández
Language: Spanish
References: 18
Page: 648-656
PDF size: 386.78 Kb.
ABSTRACT
Introduction: in Cuba, colorectal cancer is the third cause of mortality after lung and prostate cancer. We developed our work with the objective of arriving to an endoscopic and histological characterization of the patients with colorectal cancer diagnosed in the mentioned hospital.Method: we carried out a descriptive study with 76 reports of videocolonoscopies made in the Teaching Clinico-surgical Hospital Comandante Faustino Pérez Hernández, from June 2006 to June 2010, and that was the universe of our work. We excluded the reviews where the procedure could not be completely finished or that were lacking of the diagnosed lesion histological result. We analyzed the following variables: age group, gender, lesion localization, endoscopic aspect, histological variety and presence of synchronic lesions. They were represented in tables and charts showing the absolute and relative frequencies.
Results: the most frequent age group was the one comprehending people aged 50-64 years old, with predomination of the male gender (56,6 %). The most frequent localization was the rectosigmoid colon (34,2 %). The most common endoscopic aspect we found was the ulcerated one (63,2 %). The most frequent histological variety was the moderately differenced adenocarcinoma (52,6 %), predominating the synchronic adenomas (43,4 %).
Conclusions: patients elder 50 years old are still the ones who tend more of suffering from colorectal cancer. The ulcerated endoscopic aspect, found in the rectosigmoid colon, histologically diagnosed as moderately differentiated carcinoma, is the result of a late diagnosis.
REFERENCES
Umpiérrez García I, Herrera Hernández N, Hernández Ortega A, Román Castellini V, Alonso Pereira Y Díaz González L. Caracterización clínica, epidemiológica y endoscópica del cáncer colorrectal en pacientes geriátricos. Presentación de dos casos. Rev Méd Electrón [Internet]. 2009 [citado 11 Nov 2011];31(5). Disponible en: http://scielo.sld.cu/scielo.php?pid=S1684-18242009000600010&script=sci_arttext.
Ruffinengo O, Tanno F, Covernton J, Corral M, Curvale C, Robinson J, et al. Cáncer colorrectal: características epidemiológicas en un centro endoscópico hospitalario de Rosario, Argentina. Acta Gastroenterol Latinoam [Internet]. 2010 [citado 11 Nov 2011];40(2). Disponible en: http://www.intramed.net/userfiles/2010/file/RUFFINENGO.pdf.
Sano Y, Horimatsu T, Fu KI, Katagiri A, Muto M, Ishikawa H. Magnifying observation of microvascular architecture of colorectal lesions using a narrow band imaging system. Dig Endosc [Internet] 2006 [citado 11 Nov 2011]; 18(Suppl 1):44-51. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1443-1661.2006.00621.x/abstract.