Kısaoğlu, Abdullah Atatürk University - School of Medicine - Department of General Surgery, Turkey , Özoğul, Bünyami Atatürk University - School of Medicine - Department of General Surgery, Turkey , Atamanalp, Sabri Selçuk Atatürk University - School of Medicine - Department of General Surgery, Turkey , Yıldırgan, Mehmet İlhan Atatürk University - School of Medicine - Department of General Surgery, Turkey , Öztürk, Gürkan Atatürk University - School of Medicine - Department of General Surgery, Turkey , Bulut, Özgür Hakan Atatürk University - School of Medicine - Department of General Surgery, Turkey , Korkut, Ercan Atatürk University - School of Medicine - Department of General Surgery, Turkey

Evaluation of colorectal cancers in young patients

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Objective: Even though the colorectal cancer is less common in young patients, it has a worseprognosis. The incidence of colorectal cancer in this age group is increasing in recent years. In thisstudy we investigated young patients with colorectal cancer, whose follow-ups and treatmentswere performed in our clinic, according to the literature. Method: In our clinic the records of 39 patients under 40 years of age were examined between January 2005 and September 2013 retrospectively. Age and gender of the patients, tumor localizations, the shape of the operation and the tumor pathological features were recorded. Results: 19 patients (48.7%) were female, 20 (51.3%) were male and mean age was 32.6 (19-39) years. 34 patients (87.2%) operated electively and 5 patients (12.8%) had emergency surgery. The localization of the tumor was mostly in the rectum (41.0%, n = 16). For 13 (33.3%) patients, who have the tumor localized in the right column, right hemicolectomy was performed. For patients, who have the tumor localized in the rectum, mostly low anterior resection was performed and totally for 7 patients, a stoma was opened. Pathological investigation revealed mucinous adenocarcinoma in 17 (43.6%) patients. Conclusion: Rectal cancer is more common in young patients with colorectal cancer and is often diagnosed at an advanced stage. Therefore in this patient group, complaints, which cause suspicion of colorectal cancer, should be examined carefully and advanced inspection methods should be performed.

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Colorectal cancer , young patient

Cumhuriyet Medical Journal

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