Clinico-pathological patterns of colorectal cancer in Saudi Arabia: Younger with an advanced stage presentation

<b>Aim: </b> Colorectal cancer (CRC) is the third most common cancer in the world. The aim of this study was to identify the clinical and pathological features of CRC in a tertiary care hospital in Saudi Arabia.<b> Materials and Methods:</b> This is a retrospective study of...

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Main Author: Aljebreen Abdulrahman
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2007;volume=13;issue=2;spage=84;epage=87;aulast=Aljebreen
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author Aljebreen Abdulrahman
author_facet Aljebreen Abdulrahman
author_sort Aljebreen Abdulrahman
collection DOAJ
description <b>Aim: </b> Colorectal cancer (CRC) is the third most common cancer in the world. The aim of this study was to identify the clinical and pathological features of CRC in a tertiary care hospital in Saudi Arabia.<b> Materials and Methods:</b> This is a retrospective study of all patients diagnosed to have CRC at King Khalid University Hospital in Riyadh, Saudi Arabia over a 10 year period (1995-2005). The data collected from medical files, endoscopy and imaging reports included age, gender, clinical presentation, smoking, relevant past or family history, site and size of the tumor, stage, carcinoembryonic antigen level and tumor grade. <b> Results:</b> A total of 113 patients were included over the 10 year period. The average age at diagnosis was 55 years (S.D.=15), 58&#x0025; of the patients were males and 42&#x0025; were females. Thirty-seven percent of the patients were 50 years of age or younger. The most common clinical presentation was abdominal pain (68&#x0025;) followed by rectal bleeding (62&#x0025;) and weight loss (55&#x0025;). Left-sided lesions and rectal cancer constituted 76&#x0025; and 48&#x0025; of all CRC tumors respectively. Sixty-eight percent of lesions were stage C and above. Forty-five percent of patients presented with complete large bowel obstruction. <b> Conclusion: </b> In this analysis, we found that Saudi patients were more likely to present with colorectal cancer at a more advanced stage of the disease and at younger ages compared to Western populations. This data suggests the need for a mass screening program to be implemented for this common and preventable cancer in Saudi Arabia.
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spelling doaj.art-78e288be30aa47748badbf8d2c4c1f912022-12-22T01:28:53ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37672007-01-011328487Clinico-pathological patterns of colorectal cancer in Saudi Arabia: Younger with an advanced stage presentationAljebreen Abdulrahman<b>Aim: </b> Colorectal cancer (CRC) is the third most common cancer in the world. The aim of this study was to identify the clinical and pathological features of CRC in a tertiary care hospital in Saudi Arabia.<b> Materials and Methods:</b> This is a retrospective study of all patients diagnosed to have CRC at King Khalid University Hospital in Riyadh, Saudi Arabia over a 10 year period (1995-2005). The data collected from medical files, endoscopy and imaging reports included age, gender, clinical presentation, smoking, relevant past or family history, site and size of the tumor, stage, carcinoembryonic antigen level and tumor grade. <b> Results:</b> A total of 113 patients were included over the 10 year period. The average age at diagnosis was 55 years (S.D.=15), 58&#x0025; of the patients were males and 42&#x0025; were females. Thirty-seven percent of the patients were 50 years of age or younger. The most common clinical presentation was abdominal pain (68&#x0025;) followed by rectal bleeding (62&#x0025;) and weight loss (55&#x0025;). Left-sided lesions and rectal cancer constituted 76&#x0025; and 48&#x0025; of all CRC tumors respectively. Sixty-eight percent of lesions were stage C and above. Forty-five percent of patients presented with complete large bowel obstruction. <b> Conclusion: </b> In this analysis, we found that Saudi patients were more likely to present with colorectal cancer at a more advanced stage of the disease and at younger ages compared to Western populations. This data suggests the need for a mass screening program to be implemented for this common and preventable cancer in Saudi Arabia.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2007;volume=13;issue=2;spage=84;epage=87;aulast=AljebreenColon cancerrectal cancerSaudi Arabiastage.
spellingShingle Aljebreen Abdulrahman
Clinico-pathological patterns of colorectal cancer in Saudi Arabia: Younger with an advanced stage presentation
The Saudi Journal of Gastroenterology
Colon cancer
rectal cancer
Saudi Arabia
stage.
title Clinico-pathological patterns of colorectal cancer in Saudi Arabia: Younger with an advanced stage presentation
title_full Clinico-pathological patterns of colorectal cancer in Saudi Arabia: Younger with an advanced stage presentation
title_fullStr Clinico-pathological patterns of colorectal cancer in Saudi Arabia: Younger with an advanced stage presentation
title_full_unstemmed Clinico-pathological patterns of colorectal cancer in Saudi Arabia: Younger with an advanced stage presentation
title_short Clinico-pathological patterns of colorectal cancer in Saudi Arabia: Younger with an advanced stage presentation
title_sort clinico pathological patterns of colorectal cancer in saudi arabia younger with an advanced stage presentation
topic Colon cancer
rectal cancer
Saudi Arabia
stage.
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2007;volume=13;issue=2;spage=84;epage=87;aulast=Aljebreen
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