Original Articles

Epidemiology of Colorectal Cancer in Patients admitted to Imam Reza hospital in Kermanshah from 2006 to 2011

Abstract

Background : The aim of this study was to investigate the epidemiological features of colorectal cancer in Imam Reza hospital in Kermanshah, Iran, in a five-year period. Methods: This cross-sectional study included all the patients (N=167) admitted to Imam Reza hospital in Kermanshah over a five-year period, diagnosed with colorectal cancer through performing colonoscopy and confirming via pathology. The census sampling was applied, and the data collection tool was a questionnaire on demographic variables, smoking history, and family history of cancer in immediate relatives. The data were analyzed using the descriptive statistics of frequencies and ratios, and the statistical tests of t-test and chi-square.Results: The mean age of the patients was 58.67±14.31 years old (14-87 years), and 12 % of the patients were under 40 years old. The majority of the patients (52.1%) were males, but no significant difference was found between the two genders in terms of age (P=0.939). The rectum (31.1%), the sigmoid colon (20.4 %), and the ascending colon (18.6%) were the most common tumor sites. Colon adenocarcinoma (96.4%) was the most common reported pathology, 30.5 % of the patients were cigarette smokers, and abdominal pain (22%) was the most common complaint on admission.Conclusion: Given the results of the present study, it is highly recommended that comprehensive studies should be conducted on screening colorectal cancer in high risk populations in order to reduce the incidence and prevalence of the disease and treat it more effectively based on early diagnosis.

Burt RW. Colon cancer screening. Gastroenterology. 2000; 119: 837- 53.

Li M, Gu J. Changing patterns of colorectal cancer in china over a period of 20 years. Int. j. Gasterointest cancer. 2005; 35(2): 121-26.

Fazlizadeh A, Arefpour A. Survey of 314 cases of colorectal can- cer referred to cancer department of Imam Hossein hospital. Journal of Urumiah University of Medical Sciences. 2001; 3: 120-8. [In Persian]

Yazdan Bad A. A review on epidemiology and prevention of gastric cancers. Gastric Journal. 2004; 9(3): 199. [In Persian]

Sadjadi A, Malekzadeh R, Derakhshan MH, Sepehr A, Nouraie M, Sotoudeh M, et al. Cancer occurrence in Ardabil: results of a popula- tion-based cancer registry from Iran. Int J Cancer. 2003; 107: 113-8.

Ganji A, Safavi M, Nouraei M, Naseri Moghadam S, Merat Sh, Vahe- di H, et al. Epidemiological study of gastric & hepatic diseases in Teh- ran during 2001 to 2005. Gastric Journal. 2006; 11: 41-5. [In Persian]

Mayer R.J, Kasper D.L, Fauci A.S, Longo D.L, Braunwald E, Hauser S.L, Jameson J.L, eds. Gastrointestinal tract cancer. In: Harrison’s prin- ciples of Internal medicine. 16th ed. MG Graw – Hill; 2005; 527-31.

Saidi H, Nyaim EO, Githaiga JW, Karuri D. CRC surgery trends in Kenya, 1993- 2005. World J Surg. 2008; 32: 217-23.

El-Bolkainy TN, Sakr MA, Nouh AA, El-Din NH. A comparative study of rectal and colonic carcinoma: demographic, pathologic and TNM staging analysis. J Egypt Natl Canc Inst. 2006; 18: 258-63.

Xu AG, Jiang B, Zhong XH, Liu JH. Clinical epidemiological char- acteristics of 3870 cases of colorectal cancers in Guangdong region. Zhonghua Nei Ke Za Zhi. 2006; 45(1): 9-12.

McFarlane ME, Rhoden A, Fletcher PR, Carpenter R. Cancer of the colon and rectum in a Jamaican population: diagnostic implications of the changing frequency and subsite distribution. West Indian Med J. 2004; 53(3): 170-3.

Fuszek P, Horváth HC, Speer G, Papp J, Haller P, Halász J, et al. Change in location of colorectal cancer in Hungarian patients between 1993- 2004. Orv Hetil. 2006; 147(16): 741-6.

Jalali S.M, Kordjazi I.D, Jalali S.A. Epidemiological characteristic of colorectal cancer in patients referred to Imam Khomeini hospital dur- ing (1981-2001). Journal of Iran University of Medical Sciences. 2005; 11(43): 723-30.

Tirgar Fakhari H, Janbabaei GH, Bari Z, Eshghi F. The epidemiolog- ic and clinical pathologic characteristic of colorectal cancer from 1999 to 2007 in Sari, Iran. Journal of Mazandaran University of Medical Sci- ences. 2009; 18(67): 58-66.

Fateh SH, Amini M. An epidemiologic study of colorectal cancer in Arak During 1994-2004. Iranian Journal of Surgery. 2008; 16(2): 11-7.

Arthur KE, Perurena J. Colorectal cancer. A study of 133 surgical cases. Rev Med Panama. 1993; 18(1): 1-15.

Nick Shoar M.R, Saghebi S.R, Shakiba M. Investigation of age, sex and anatomical distribution of colorectal cancer in 2107 patient. Ejou- handeh. 2004; 9(3(39)): 127-32.

Schwartz SI. Principles of surgery. 8th ed. New York: MC Graw Hill; 2005; 1328-52.

Ansari R, Mahdavinia M, Sadjadi A, Nouraie M, Kamangar F, Bishehsari F, et al. Incidence and age distribution of colorectal cancer in Iran: Results of a population- based cancer registry. Cancer Lett 2005; 240(1): 143-7.

Semnani S.H, Kazeminezhad V, Abd elahi N. The Epidemiological aspect of colorectal cancer in Gorgan. Journal of Gorgan University of Medical Sciences. 2003-2004; 5(12): 13-8. [In Persian]

Salari A.A, Dehghan H.R, Evaluation and treatment of colorectal cancer in Shahid Rahnemoon and Afshar hospitals, Yazd-Iran. Journal of Shahid Sadoughi University of Medical Sciences. 2007; 15(3): 20-5.

Corman ML. Colon and Rectal surgery. 4th ed. New York: Lippin- cott Company; 1999; 625-762.

Abdollahi A, Feyzollah M. The prevalence of colorectal tumors in two medical centers in Tehran 2004 and 2007. Medical Science Journal of Islamic Azad University. 2009; 19(1(55)): 65-8.

Béjar L, Gili M, Díaz V, Ramírez G, López J, Cabanillas JL, et al. Incidence and mortality by colorectal cancer in Spain during 1951-2006 and its relationship with behavioral factors. Eur J Cancer Prev. 2009. Epub ahead of print.

Peppone LJ, Hyland A, Moysich KB, Reid ME, Piazza KM, Pur- nell JQ, et al. Examining the association between cigarette smoking and colorectal cancer using historical case-control data. Cancer Epidemiol. 2009; 33(3-4): 182-8.

Safaee A, Moghimi-Dehkordi B, Pourhoseingholi MA, Vahedi M, Maserat E, Ghiasi S, et al. Risk of colorectal cancer in relatives: a case control study. Indian J Cancer. 2010; 47(1): 27-30.

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IssueVol 5 No 1&2 (2013) QRcode
SectionOriginal Articles
Keywords
Adenocarcinoma Lymphoma Constipation Abdominal pain Gastrointestinal bleeding Kermanshah

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How to Cite
1.
Navabi SJ, Beiranvand B, Pournia Y, Izadi B, Hosseini J, Obeidavi Z, Nasiri B, Rahbar S. Epidemiology of Colorectal Cancer in Patients admitted to Imam Reza hospital in Kermanshah from 2006 to 2011. Basic Clin Cancer Res. 2012;5(1&2):2-7.