UICC World Cancer Congress 2006

Objective: Colorectal cancer is the third most frequently diagnosed cancer in men and women in the United States. In the developing countries like Nepal, there are limitations in diagnosis, treatment facilities and financial abilities for the treatment of cancers. Sincere efforts with these limited facilities can provide satisfactory results in treatment of colo-rectal cancer. Methods: Records of 144 patients with colo-rectal cancer who underwent different types of surgery at the department of surgical oncology from 0ctober 1999 to October 2004 were identified. Details history including age, sex, and histology, TNM staging, types of surgery and other investigational records were documented and analyzed. Results: In 144 patients, males were 81 and females 63, age ranging from 11 years to 76 years. Fifty-two patients were of less than 40 years. Among which 100 patients with rectal, 34 right sided colon and 10 with left sided colon cancers. Histologically 96% were adenocarcinoma. According to TNM staging, 2% of the patients was with stage I, 24% stage II, 60% stage III and 14% stage IV.Types of Surgery were: 53 patient underwent anterior perineal resection, 20 low anterior resection, 34 right hemicolectomy, 10 left hemicolectomy, 22 cases colostomy, 7 bypass surgery, 6 laparotomy and one underwent trans anal local excision. The patients were young, 36.1% (52/144) within 40 years, about 83.2% presented at resectable stage (stage III or less) with anal sphincter preservation in 27 %( 21/74) in rectal cancer patients.