A One-year Study of Colorectal Cancer in a Tertiary Care Hospital

A One-year Study of Colorectal Cancer in a Tertiary Care Hospital

Malignant neoplasms are more common than benign lesions in the colorectum. Patients above 50 years are affected more commonly, and the maximum incidence of both benign and malignant lesions is seen in the 6th decade. In this study, it was also seen that females were more affected (marginally) as compared to males in the present study. Rectum is the most frequent site of occurrence of neoplasms. Adenocarcinoma is the commonest tumour of colorectum. The prevalence of CRCs in age, site, and histopathological type was comparable to other studies done in India and abroad. The commonest polypoidal lesion is adenomatous polyp followed by hyperplastic polyp.

An increasing incidence of colorectal malignancies has been observed in patients less than 50 years of age. Family history, consumption of alcohol and red meat, obesity, and cigarette smoking are risk factors associated with malignant neoplasms in this area. Thus, any patient having a change in bowel habits, iron deficiency anaemia, abdominal pain, blood or mucus in stool, should be examined (digital rectal examination) and investigated by proctosigmoidoscopy/ colonoscopy and other radiological tests for early diagnosis and management of colorectal carcinoma.

Primary Adenocarcinoma of Small Intestine: A Case Report

Primary Adenocarcinoma of Small Intestine: A Case Report

Here we present a case of adenocarcinoma of small bowel with extensive metastasis to the peritoneum, forming serosal nodules in the large bowel and consequently causing ischemic perforation of a segment of large bowel.

Case report:
A 75-year-old female, ex-smoker (beedi) for 20 years, presented with a chief complaint of moderate to high grade fever for 20 days, vomiting dark brown-black vomitus for 2 days, loose black tarry stools for 2 days. Patient was pale, with decreased bilateral breath sounds. There was bilateral massive pleural effusion, perforation of large bowel and peritonitis.

Exploratory laparotomy revealed a 3 x 3 cm perforation in the splenic flexure of the colon and multiple aphthoid ulcers in the transverse colon. Multiple peritoneal deposits and pelvic seedlings were observed. The medial surface of spleen was sloughed off. There was a growth noted in the mesentery of the small bowel 60 cm distal to duodeno jejunal flexure which was believed by the surgeon to be a metastasis from adenocarcinoma of large bowel. Resection of large bowel segment, resection anastomosis of the jejunal segment with the growth and, splenectomy was done and specimens were sent for histopathology.