Abstract

Colorectal carcinoma is the commonest gastrointestinal malignancy and one of the most common cancers worldwide. Colorectal carcinoma does not have any early signs. Unless a patient presents with tumor complication. Adenocarcinoma is by far the predominant histopathological type. Aim: Aim of the study was to study the various modes of clinical presentation and to evaluate pathological variants, distribution among various segments, associated prognosis and also to study the various therapeutic modalities available for effective management of colorectal carcinoma. Methods: 25 patients positively diagnosed as colon or rectal carcinoma were included in this study. The detailed history and proper clinical findings were noted. Relevant surgical procedures were done depending on site of growth, mode of presentation. The operative findings were entered and post-operative period was monitored. The patients were followed up for a variable period of time. Results: Colorectal carcinoma occurs predominantly in the group of 50-69 years. The overall common in males. The commonest symptoms were pain abdomen and Bleeding per rectum. Commonest site is sigmoid and rectum. Ulcero proliferative variety is most common. Commonest. Histological variety is moderately differentiated carcinoma. Conclusions: Colorectal carcinoma occurs predominantly in the age group of 50-69 years. The overall incidence common in males (52%). Lack of dietary fiber seems to be a common risk factor. The commonest symptoms were pain abdomen and bleeding per rectum. Patients presenting with obstruction have a poor prognosis. Surgery is the mainstay of treatment and when done with adequate preparations, has a good prognosis in early cases. Commonest histopathological variety is moderately differentiated adeno carcinoma. For better results, patients must be screened and cases must be detected in early stages.

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