Neoplasia colorretal até 40 anos: experiência em cinco anos
| Autor: | Galdino José Sitonio Formiga, Monteiro Ep, Elisângela Plazas Monteiro, Enzo Martins Taglietti, Juliana Barreto Salem, Idblan Carvalho de Albuquerque |
|---|---|
| Jazyk: | portugalština |
| Rok vydání: | 2006 |
| Předmět: |
lcsh:Internal medicine
medicine.medical_specialty lcsh:Specialties of internal medicine Colorectal cancer lcsh:Medicine Rectum colorectal cancer Disease patients under 40 years estadio lcsh:RC581-951 medicine cancer In patient idade lcsh:RC799-869 Family history lcsh:RC31-1245 câncer business.industry câncer colorretal lcsh:R Advanced stage pacientes menores de 40 anos Gastroenterology Retrospective cohort study medicine.disease stage Surgery medicine.anatomical_structure age Curative surgery lcsh:Diseases of the digestive system. Gastroenterology business |
| Zdroj: | Revista Brasileira de Coloproctologia, Volume: 26, Issue: 2, Pages: 156-161, Published: JUN 2006 Revista Brasilera de Coloproctologia, Vol 26, Iss 2, Pp 156-161 (2006) Revista Brasileira de Coloproctologia v.26 n.2 2006 Revista Brasileira de Coloproctologia Sociedade Brasileira de Coloproctologia (SBC) instacron:CEC |
| Popis: | Neoplasia colorretal é incomum em menores de 40 anos, ocorrendo numa freqüência de 2,1 a 14,6%. Neste estudo retrospectivo demonstramos a experiência com pacientes portadores de neoplasia colorretal, submetidos a tratamento cirúrgico ao longo de cinco anos. Dos 453 pacientes operados por neoplasia colorretal no período, 48 (10,6%) tinham 40 anos ou menos. A faixa etária média foi de 32,5 anos, predominando no sexo masculino (60,4%). O tempo médio entre o início dos sintomas e o diagnóstico foi de sete meses. História familiar foi positiva em oito (16,7%), negativa em 28 (58,3%) e desconhecida em 12 (25%). Sangramento foi o sintoma mais comum e o reto a principal localização (62,5%). Cirurgia com intenção curativa foi realizada em 30 casos (62,5%). A maioria encontrava-se em estádio III e IV (66,7%). O seguimento ambulatorial médio foi de 26,7 meses, ocorrendo 12 óbitos neste período.Colorectal cancer is an unusual disease in patients under 40 years of age, occurring with a frequency of 2.1 to 14.6%. In this retrospective study, we reviewed all patients with colorectal cancer under 40 years of age, submitted to surgery over a 5 year period. From all the 453 patients operated on with this disease at that period 48 (10.6%) were 40 years old or less. The average age was 32.5 years and the majority of patients were male (60.4%). The average time between the appearance of the symptoms and the diagnosis was 7 months. Family history was positive in eight (16.7%), negative in 28 (58.3%) and unknown in 12 (25%) patients. Rectal bleeding was the most important symptom and the rectum was the main location of the disease (62.5%). Thirty patients (62.5%) were submitted to curative surgery. The majority of patients (66.7%) presented the disease in advanced stages (III and IV). The average follow -up was 26.7 months with 12 deaths occurring in this period. |
| Databáze: | OpenAIRE |
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