Colorectal Cancer: Epidemiological Profile and Management at Conakry University Hospital (Guinea)

Abstract

<i>Background:</i> the incidence of colorectal cancer is increasing in African countries, but remains poorly elucidated. The aim of this study was to determine the epidemiological profile and the management of colorectal cancer in Conakry university hospital. <i>Patients and Method</i>: This was a 5-year retrospective descriptive study from January 2015 to December 2019 including consecutive cases of colorectal cancers recorded in the university hospital of Conakry (Guinea). <i>Results:</i> Over the 5-year period, we collected 79 cases of colorectal cancer, representing 1.75% of all digestive cancers. The 51-70 age group was the most represented (39.24%), and male patients were the most common (54%). In 38% of cases, patients were admitted with acute intestinal obstruction. Ulcero- budding tumors were dominant (88.6%). The most common histological type was Lieberkuhnian adenocarcinoma (89.62%). Postoperative course was favorable in 67% of cases. In our sample, stage IV was most represented (69%), followed by stage III (23.4%). The lack of adjuvant treatment and long term follow made very hard to determine the patient’s survival time. <i>Conclusion:</i> Colorectal cancer remains a major public health problem. It is the 2nd leading cause of cancer mortality after lung cancer.