Abid Halim, Zia-ud Din Afridi, Munir Khattak.
Colorectal carcinoma in patients below 40 years of age with suspected clinical features.
Pak J Surg Jan ;34(3):184-7.

Objective: the aim of the study was to know the frequency of colorectal carcinoma in patients below 40 years of age presenting with suspected clinical features. Materials and methods: This descriptive cross sectional study was carried out at department of general surgery, KTH, Peshawar, during 2 years from February 2016 to February 2018 including 70 patients below 40 years of age presented with bleeding per rectum, altered bowel habits, abdominal pain, persistent Diarrhea, loss of appetite, tenesmus, abdominal distension mass per abdomen and loss of weight. Results: there were 52 (74.29%) males and 28 (25.71%) females with mean age of 36.90 years ± 2.45SD. The most common affected age group was 31-35 years old having 45 (64.29%) cases. Colorectal carcinoma was confirmed in 22 (31.42%) patients. The common clinical symptom was altered bowel habits in 49 (70%), abdominal pain and weight loss in 45 (64.29%) patients. Left and right sided colorectal tumors were in 55 (78.57%) and 25 (21.43%) patients respectively. Conclusions: the clinical suspicion for colorectal carcinoma should be kept high in young age group (> 40 years) with suspected clinical features.

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