Colorectal carcinoma in Trinidad - abstract
West Indian med. j
; 35(Suppl): 54, April 1986.
Artigo
em Inglês
| MedCarib
| ID: med-5912
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
Colorectal cancer is the fifth commonest cause of death from malignancies in Trinidad. Data available from the Ministry of Health and the Central Statistical Office in the 10-year period 1969-1978 provided 620 cases for analysis. In addition, 152 confirmed cases from the Port-of-Spain General Hospital were reviewed. The mortality rate for cancer of the colon was 4.4 per 100,000 of population with an increasing trend over the 10-year period. The mortality rate for rectal cancer was 1.8 per 100,000 of population with a decreasing trend. The average age of diagnosis was 64.3 years with rapidly rising incidence with advancing age. The M F ratios are 1 1.05 and 1.1 1 for cancer of the colon and rectum respectively. There was a higher incidence in the Black, Chinese and Christian communities and a lower incidence in the East Indian, Hindu and Muslim communities. The Chinese had lesions predominantly on the left and the East Indians on the right side of the colon and in the rectum. The negroes had a more even distribution of the lesions. Only 51.6 percent of the lesions were in the rectum and sigmoid colon and 7.4 percent of the cancers were multiple. A relatively high percentage of Stage IV cases (39 percent) was encountered, with a correspondingly low resectability rate (67 percent) and high incidence of intestinal obstruction (29.9 percent). Fortunately, in the later years of the study, more early cancers and less Stage IV lesions had been diagnosed. The increasing incidence of colon cancer demands that a higher index of suspicion with more liberal use of barium enema and sigmoidoscopic examinations be employed in order to make earlier diagnosis and deliver prompt treatment (AU)
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Bases de dados internacionais
Base de dados:
MedCarib
Assunto principal:
Neoplasias Colorretais
Limite:
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Caribe Inglês
/
Trinidad e Tobago
Idioma:
Inglês
Revista:
West Indian med. j
Ano de publicação:
1986
Tipo de documento:
Artigo
/
Congresso e conferência