OBJECTIVE: To find out the frequency of colorectal carcinoma in our population.
DESIGN: Case Series.
METHODS: All patients with colorectal carcinoma admitted in surgical department of People’s
Medical College Hospital, Nawabshah Sindh – Pakistan from September 1996 to September
2001 were included in the study.
RESULTS: Total fifty-six patients with age range of 14 to 70 years; thirty males and twenty six
females were studied. Most of the patients were in fifth and sixth decades of their life. Only ten
patients with colorectal carcinoma were in twenty-one to thirty years age group while two patients
were below the age of twenty years. Common sites involved were rectum (46.43%) followed
by sigmoid colon (28.57%). Bleeding per rectum (62.05%) and altered bowel habits
(35.71%) were the commonest symptoms. Histo-pathologically, twenty patients had well differentiated
adeno-carcinoma (35.72%) where as eighteen patients had anaplastic tumour (32.14%)
and mucinous adeno-carcinoma was found in five patients (8.92%).
CONCLUSION: Colorectal carcinoma is affecting even the younger age group in our set up.
Bleeding per rectum and altered bowel habits are the main symptoms and these symptoms irrespective
of the age should be thoroughly investigated.
Carcinoma. Rectum. Colon.