A Clincial Study of 268 Cases of Colorectal Cancer

Suh, Chun Won; Shim, Kang Sup; Kim, Kwang Ho; Park, Eung Bum

Abstract

This retrospective series compries 268 patients who underwent curative resection of colorectal cancer at the department of surgery, Ewha womans university hospital,from January 1990 to December 1995,and the results obtained were summerized as follows. 1) The sex ratio of male to female was 1.6:1 and peak age group was the 6th decade(29.1%). 2) The most common location of tumor was the rectum (61.2%) and the sigmoid colon (19.8%),ascending colon (11.6%) were followed.3) In the right colon cancer,the most frequent symptoms were abdominal pain and palpable mass. In the left colon,bowel habit change and bloody stool were the most common symptoms. 4) In 119 cases (49.4%) of total cases,the duration of the symptoms prior to admission was below 3 months. 5) The preoperative CEA level was less than 5ng/ml in 147 cases (56.8%). 6) The Modified Dukes stage C2 was noted in 40.3%,B2 in 30.2%,B1 in 11.9%,D in 7.5%,A in 5.2%,and C1 in 4.9%. 7) The Histologic type of cancer was adenocarcinoma in 98.9%,squamous cell cancer in 0.7%,and leiomyosarcoma in 0.4%. 8) Rectal cancer was treated with abdominoperineal resection in 111 cases (41.4%),low.anterior resection in 53 case (19.8%). 9) The Postoperative complications were devepoled in 15.3 % of total cases and the most frequent one was wound infection (39.0%).10) Pelvic cavity was the frequent metastatic site,within 3 year after operation. 11) The 3 year survival rates of 152 patients from 1990 to 1992 were 88.8% in B1, 85.3% in B2, 77.7% in C1,and 50.8% in C2 stages.