Ayaz Gul, Rashid Aslam, Syed Iftikhar Alam, Waqar Alam.
Colorectal carcinoma; frequency of common histological types in patients below 40 years of age presenting to tertiary care hospital.
Professional Med J Jan ;18(4):566-70.

Objective: Colorectal cancer is the second commonest cause of death in the world. Its incidence in young patients is on rise. Objective: To determine the common types of colorectal carcinoma in patients below 40 years of age presenting to tertiary care level hospital. Study Design: Descriptive study Setting: It was carried out at Surgical Department, KTH, Peshawar Period: January 2007 to January 2008. Materials and methods: Total of 50 patients younger than forty years of age with colorectal cancer were included in study for the determination of histologic types. Results: There were 66% males and 34% were females. The commonest affected age group was 31-35 years old having 46% cases. On history 86% patients complained of altered bowel habits and on clinical examination anemia was present in 72% patients. Left and right sided tumors were found in 70% and 30% patients respectively. Adenocarcinoma was the commonest type found in 94% cases followed by lymphoma (4%). Conclusions: The incidence in young age group (= 39 years) was highest There was slight male preponderance. Adenocarcinoma was the commonest tumor.

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