Jabeen Atta, Abdul Ghafoor Dalwani, Zubair Ahmed Yousfani, Siddique Khurram, Roohi Bano, Jamrose Durrani, Syed Zulfiquar Ali Shah.
Carcinoma of caecum; frequency and management strategies among pathologies in right iliac fossa excluding gynaecological disorders.
Professional Med J Jan ;24(1):51-6.

Objectives: To determine the frequency, clinical presentation and management strategies for carcinoma of caecum among pathologies in right iliac fossa excluding gynaecological disorders at Liaquat university hospital Hyderabad / Jamshoro. Study Design: Cross sectional multi-disciplinary study. Period: Thirty months. Setting: Liaquat University Hospital Hyderabad / Jamshoro. Patients and Methods: All the patients presented with GI symptoms, intestinal obstruction, and appendicitis or had mass in the right iliac fossa were selected and recruited and further evaluated for existence of carcinoma of caecum and preceded for management strategies. The data was analyzed in SPSS 16 and the frequency and percentage was calculated and the level of significance was p-value ≤0.05. Results: Total 50 patients were diagnosed as caecum cancer during thirty months study period. The cancer of caecum was common in older age group. The mean age ± SD for whole population and male as well as female gender was 67.53±6.98, 66.32±8.75 and 65.34±5.96 and of fifty cases, thirty two (64%) were males and eighteen (36%) were females respectively. The common presentation identified was mass in right iliac fossa in 28 patients (p=0.03) while the common operative procedure performed was ileotransverse anastomosis with right hemicolectomy in 34 patients which is non-significant in relation to age (p=0.7) whereas it was significant in context to gender (p=0.04) respectively. Conclusion: The common presentations for carcinoma of caecum detected was right iliac fossa mass while the predominant age, gender and operative procedure performed were seventy plus years, male gender population and Ileotransverse anastamosis with right hemicolectomy.

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