Colorectal cancer distribution in 220 Indian patients undergoing colonoscopy.
Loading...
Date
2009-11
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Aim Colorectal cancer is one of the major cancers in the developed world. The incidence of colorectal cancer is low in
India. The aim of the present study was to describe the anatomical
distribution and age at diagnosis of colorectal cancer
in India.
Methods Retrospective descriptive analysis of anatomical
distribution, age at diagnosis and demography of 220 cases
(149 [67.7%] men) of adenocarcinoma of the colon or rectum
diagnosed at colonoscopy over a period of five years.
Results The mean age at diagnosis was 58.4 years (SD 13.3;
range 23–85 years). Twenty-eight (12.7%) cases were below
the age of 40 years. The majority (31.8%) cases were aged
between 61–70 years. Most of the tumors (n=163, 74%)
were located distal to the splenic flexure. Multivariate logistic
regression analysis showed that bleeding per rectum (OR 2.8;
95% CI 1.2-6.2) was associated with distal cancer, and palpable
mass (OR 3.9; 95% CI 1.7–8.6) was associated with
proximal cancer.
Conclusions Almost one-third of the colorectal cancers in
this series occurred in the seventh decade and were located distal to the splenic flexure.
Description
Keywords
Age, anatomic distribution, colorectal adenocarcinoma, rectal cancer, subsite incidence
Citation
Peedikayil Musthafa Chalikandy, Nair Prem, Seena S M, Radhakrishnan Lakshmi, Sadasivan Shine, Naryanan V A, Balakrishnan V. Colorectal cancer distribution in 220 Indian patients undergoing colonoscopy. Indian Journal of Gastroenterology. 2009 Nov-Dec; 28(6): 212-215.