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KMID : 0356719960120020253
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Journal of the Korean Society of Coloproctology
1996 Volume.12 No. 2 p.253 ~ p.260
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A Clinical Study of Colorectal Cancer in Young Adults
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Seo In-Sung
Kwon Tae-Hyung
Kim Sang-Hee
Yoon Gwang-Soo
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Abstract
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Tumors are already in advanced stave at initiation of treatment in most young adults with colorectal cancer and the prognosis has been considered unfavorable. However some recent articles have shown that it is not necessarily dismal. Therefore, we evaluated retrospectively 41 cases of young adults with colorectal cancer operated at the department of surgery, Woniu Christian Hospital. From May 1985 to May 1995. The incidence of colorectal cancer in patients less than 40 years of age was 10.2%(41/401) and the male versus female ratio revealed 1 : 1.2. The location of primary tumor was
most frequent in rectum(61.0%) and sigmoid colon(14.0%). The most frequent symptoms in colon cancer was abdominal pain and the most frequent symptom in rectal cancer was hematochezia. The patients whose clinical symptom had been for less than 6 months before visiting the hospital was about 68.3%. The rate of curative resection was 73.2%. By Antler-Coiler classification, there were stage A no case, stage B 7 cases (17.1%), stage C 23 cases (56.1%) and stage D 11 cases(26.8%). The most common pathologic type was moderately differentiated adenocarcinoma. The 5 year cumulative
survival rate was 44.5%. In conclusion, the outcome in young adults with colorectal cancer is similar to that of overall colorectal cancer patients and the prognosis was not unfavorable.
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KEYWORD
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Colorectal Neoplasms, Young Adults
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