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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 2 Issue 4 October-December 2016

Original Articles

Do Colonic Cancers Behave Differently In Younger Aged Patients?
Manoj Thillai, Pulkit Sethi, Naveen Alexander, Surendran Paramsivam, Shweta Mallick, Arpit Gupta

Aim & Objectives - To compare and analyze the various clinical and pathological factors of colonic malignancies presenting in young patients.Material and Methoeds: retrospective comparative analysis was done on patients admitted in Sri Ramachandra University from January 2011 to January 2013 with the diagnosis of colonic cancer. Patients were divided into 2 groups based on their age of disease presentation. A total of 50 patients were included andfactors like sex, duration of symptoms, presenting complaints, family history, complications at presentation, tumor site, tumor histology & grade, surgery performed were analyzed for all these patients.Level of significance p < 0.05 was used. Analysis was performed using the SPSS 14.0 statistical package. Results:There was a male predominance in the disease occurrence within both the groups. Abdomen pain was the most common presenting complaint occurring in 74 % of the patients. There was no significant difference in disease presentation between the two groups. The duration of onset of disease was shorter in the younger group of patients when compared to the other group [2.40 months vs 5.90 months]. Predisposing malignant conditions and family history of colorectal cancer were present in a majority of the younger group patients in comparison to the older age group. (24%vs12%).Left sided malignancies were more common in the younger group [72%]. There was no such predilection towards right or left side in the older age group.Poorly differentiated High Grade G III tumors were most common in the ≤50 age group with incidence of 44 %. Adenocarcinoma was the most common type in both the groups (64 %, 72 % in <50 age and >50 age group). In the ≤50 age group, there was equal incidence of Curative Left hemi colectomy and Palliative Hartman’s procedure (32 % each).In the >50 age group, there was increased incidence of Curative Right hemi colectomy (40%).Conclusion: young patient reveal certain different characteristics than the older population. There was trend towardshigher percentage of GIII High grade poorly differentiated tumors in the younger age, Although the reasons for these discrepancies remain unclear, it is possible that both environmental and genetic factors play some role. A bigger sample size and longer study period with follow up will be required to come to more definitive conclusions regarding the tumor behavior. Keywords- Colonic Tumors, Age, Prognosis

 
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