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Resectable colonic carcinoma--a five year experience.

B Rehman, Abdul-Amir-Al-Dawood, A Busuttil

    Scottish Medical Journal
    |April 1, 1986
    PubMed
    Summary
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    This study analyzed 224 colon cancer cases from 1971-1975. Results show 43% five-year survival, with few early-stage tumors, indicating limited impact from focusing on high-risk groups.

    Area of Science:

    • Oncology
    • Gastroenterology
    • Surgical Pathology

    Background:

    • Colorectal cancer (carcinoma of the colon) remains a significant health concern.
    • Understanding clinical presentation and pathological features is crucial for improving patient outcomes.
    • Early detection and effective management strategies are key to enhancing survival rates.

    Purpose of the Study:

    • To investigate the clinical characteristics, presentation modes, and pathological features of resectable colon cancer.
    • To assess the long-term survival rates in patients with resectable colon cancer.
    • To evaluate the impact of focusing on conventional high-risk groups for improving overall statistics.

    Main Methods:

    • Retrospective analysis of 224 cases of resectable carcinoma of the colon.

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  • Data collected between January 1971 and December 1975.
  • Minimum five-year complete follow-up for all patients.

    • Main Results:

    • Forty-three percent of patients achieved a five-year or longer survival.
    • Only 23% of tumors were diagnosed at an early histological stage.
    • Conventional high-risk groups contributed minimally to the overall patient cohort.

    Conclusions:

    • Active surveillance of conventional high-risk groups is unlikely to significantly improve overall colon cancer survival statistics.
    • The majority of resectable colon cancers present at later histological stages.
    • Further research into novel detection and treatment strategies is warranted.