Abstract:
INTRODUCTION:Colorectal cancer is the second most common cause of cancer related death in Hungary. AIM:The authors examined retrospectively the ratio and the clinical course of patients under the age of 50 years operated by themselves between January, 2006 and May, 2012. METHOD:During this period of time 667 patients underwent surgery for colorectal carcinoma and 44 (6.6%) were less than 50 years old. 22.2% of the operations were performed for emergency reasons. The surgical technique, TNM stage, differentiation state and localization of the tumours were analyzed as well as the histological types with unfavourable prognosis. In order to analyse risk factors a questionnaire was sent to patients of young age group. RESULTS:The majority of patients, including those under 50 years of age were diagnosed as having TNM stages III and IV. Only half of the patients returned the questionnaire. CONCLUSIONS:Due to a relatively low response rate, the importance of risk factors for colorectal carcinoma in patients under 50 years of age remains to be further investigated. :Bevezetés: A vastagbélrák Magyarországon a második leggyakoribb daganatos halálozási ok. Célkitűzés: A szerzők néhány tragikus sorsú fiatal beteg történetét ismerve az általuk operált betegek körében az 50 éven aluliak arányának, illetve további sorsának elemzését tűzték ki célul. Módszer: 2006. január 1. és 2012. június 15. között összesen 667 beteget operáltak colorectalis carcinoma miatt. Közülük 44 beteg (6,6%) volt 50 éven aluli. A műtétek 22,2%-át sürgősséggel végezték, míg 78,8%-a tervezett volt. Elemezték a műtétre került betegek műtéti megoldásait, a daganatok TNM-stádiumát, differenciáltsági fokát, a daganatok lokalizációját, az esetleges kedvezőtlen prognózisú szövettani típusokat. Az 50 éven aluli betegek kockázati tényezőinek felmérésére kérdőíveket küldtek ki. Eredmények: Mind az 50 év feletti, mind az 50 éven aluli korcsoportban az előrehaladott stádiumú esetek túlsúlyban voltak. A betegek együttműködési készsége csekély volt, mivel a kérdőívek alig több mint fele érkezett vissza. Következtetések: A követés korlátai miatt egyértelműen nem megválaszolható, hogy fiatal életkorban milyen kockázati tényezők játszhatnak szerepet a colorectalis carcinoma kialakulásában. Orv. Hetil., 2013, 154, 1345–1351.
journal_name
Orv Hetiljournal_title
Orvosi hetilapauthors
Banai Z,Bartók Á,Renteria-Delgádó RZdoi
10.1556/OH.2013.29687subject
Has Abstractpub_date
2013-08-25 00:00:00pages
1345-51issue
34eissn
0030-6002issn
1788-6120pii
0634V86572142715journal_volume
154pub_type
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