大腸 肛門癌의 臨床的 硏究 = A Clinical Study on the Colorectal and Anal Cancer

다국어 초록 (Multilingual Abstract)

A clinical study was undertaken on 172 patients of colorectal and anal cancer who was admitted during 8 years from Jan. 1978 to Dec. 1985 in the Department of Surgery, Chungnam National University Hospital.
The results were as followings;
1. In male, it was slight more prevalent than in female, the incidence ratio of male to female being 1.1:1.
2. As to the age distribution, the prevalent group was 10 years earlier compared with Western countries, i,e. 50 years (28.4%), followed by 40 years (25.3%), 60 years (17.9%), and 30 years (11.7%) in order of frequency.
3. The most prevalent site of tumor was rectum(55.7%), followed by sigmoid colon (8.9%), ascending colon (7.0%); 63.9% of tumors was located distal to the sigmoid.
4. The most frequent symptom was melena (55.6%), followed by abdominal pain (44.4%), change of bowel habit (36.1%) etc.
5. As to the duration of symptoms, 61% of patients was within 6 months, 80% within 1 year.
6. Hemoglobin on admission was under 10.0mg% in 26% of patients.
7. The diagnostic methods were barium enema, digital rectal examination, fiberoptic colonoscopy and sigmoidoscopy.
8. Resection was undertaken in 75% of patients; Miles' operation was most frequent (25.0%), followed by anterior resection (20.8%), and right hemicolectomy (16.7%).
9. 30.6% of patients had cancer metastasis; lymph node metastasis being most frequent (22.2%), followed by lilver metastasis (9.7%), bone metastasis (2.8%), and lung metastasis (1.4%).
10. Histologic examination revealed adenocarcinoma (95.7%), squamous cell carcinoma (2.1%), and malignant lymphoma (2.1%).
11. 33% of patients had complications, in which wound infection was most frequent (66.7%), followed by intestinal obstruction (20.8%), bladder dysfunction (16.7%), and fecal fistula (16.7%).
12. 92% of patients revealed good or excellent result, the mortality was 1.4%.