มะเร็งลำไส้ใหญ่ในโรงพยาบาลพระมงกุฎเกล้า พ.ศ.2542-2548 และอัตราการรอดชีวิตใน 5 ปี

บทคัดย่อ

Adenocarcinoma of colon and rectum was the second most common malignancy found in Phramongkutklao hospital. The objective of the study was to collect the epidemiology of adenocarcinoma of colon and rectum  in Phramongkutklao hospital. Methods: Patients with adenocarcinoma of colon and rectum who was first operated  in Phramongkutklao hospital between 1997-2004 were included in the study. Epidemiology of adenocarcinoma of colon and rectum was collected. Results: 485 patients were included in the study (male 283 female 202). Age 18-95 (average 63). The most common chief complain was bloody stool. Digital examination and sidmoidoscopy ould  reach the tumor in 68% of cases. Sigmoid and rectum were the most common site. 5-year survival  rate in stage 1, 2, 3, 4 were 92, 62, 43, 10 percent respectively. Conclusions: Multiple investigations were necessary for detecting the early stage of adenocarcinoma of colon and rectum and had to be repeated postoperatively.