Diagnosis and Management of Colorectal Cancer– An Experience from Tertiary Care Hospital of Chhattisgarh

Dr. P.M. Luka; Dr. Narendra Prasad Narsingh; Dr. Akash Agrawal

Volume : V, Issue : VI, June - 2015

Diagnosis and Management of Colorectal Cancer– An Experience from Tertiary Care Hospital of Chhattisgarh

Dr. P. M. Luka, Dr. Narendra Prasad Narsingh, Dr. Akash Agrawal

Abstract :

Introduction– Colorectal cancer remains a major health problem especially in developed countries where it ranks as the third most common cause of cancer in both men and women. Surgical management is primary treatment modality for treatment of colorectal carcinoma and pathologic assessment of resected specimen is essential for patient management. Therefore, the present study was conducted on management of colorectal carcinoma cases with reference to patients attending a tertiary care hospital of Raipur city (C.G.), India. Material and Methods– The present retro prospective study was carried out in the Department of Surgery of Pt. J. N. M. Medical College and associated Dr. B.R.A.M. Hospital, Raipur (CG) during study period January 2007 to September 2014. After the proper selection of patients according to the inclusion and exclusion criteria, 240 patients of colorectal carcinoma were found in department of surgery and regional cancer centre. Out of these 65 patients were of colon carcinoma and 175 patients were of rectal carcinoma. Ethical considerations were met through institutional ethical committee. Results– Majority of the patients were found in 5th and 6th decade. Mean age of presentation was 43.79 years. Males were found to be more susceptible to colorectal carcinoma. Average male to female ratio was 3.44:1. Out of 240 cases, 32.5% underwent definitive surgery, 40.42% underwent palliative surgery and 64.58% underwent chemo radiotherapy. 27 cases (11.25%) did not take any treatment. Conclusion– As most of the cases are presenting in late stage in the current study area and thus, definitive surgery is not possible hence, steps need to be taken for early detection of colorectal carcinoma.