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Revista del Nacional (Itauguá)

Print version ISSN 2072-8174

Abstract

GONZALEZ VAZQUEZ, José Manuel et al. Clinical, demographic and histopathological characteristics of postoperative colorectal cancer patients admitted to Servicio de Coloproctología at the Hospital Nacional, Itauguá - Paraguay: period 2015 and 2018. Rev. Nac. (Itauguá) [online]. 2020, vol.12, n.2, pp.73-82. ISSN 2072-8174.  https://doi.org/10.18004/rdn2020.dic.02.073.082.

Introduction:

colorectal cancer develops from precursor lesions in the colon, rectum and anus, being responsible for 16,9 % of all deaths from cancer and in men it is the third most common malignant neoplasm worldwide.

Objective:

to characterize postoperative colorectal cancer patients of the Coloproctology Service of the Hospital Nacional, Itauguá - Paraguay in the period between 2015 and 2018.

Methodology:

descriptive, retrospective, cross-sectional observational study. Cards of postoperative colorectal cancer patients from the Coloproctology Service of the Hospital Nacional, Itauguá - Paraguay in the period between 2015 and 2018 were used.

Results:

of the total of the 26 patient files reviewed, 70 % were male and the most common age range was between 60 - 71 years (52 %); the most frequent histological type of cancer was moderately differentiated adenocarcinoma 78 %, the most common stage was adenocarcinoma type II A (classification of the American Joint Committee on Cancer (AJCC-TNM) 65 %, present distant metastases 3,81 % and the most frequent location of cancer was the rectum 34,78 % .The most frequent reason for consultation was hemorrhage 70 %, the most common complication was dehiscence and there were no deaths.

Conclusion:

the highest percentage of patients belongs to the male sex and to the age group over 60 years old, moderately differentiated adenocarcinoma was frequent and the most common stage was type II A, the most frequent location was the rectum and the reason for consultation was hemorrhage (rectorrhagia), for which measures must be implemented to prevent this pathology.

Keywords : colorectal neoplasms-surgery; colon-surgery; colon-anatomy and histology; rectum-surgery; rectum-anatomy and surgery; sigmoid colon-pathology.

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