Abstract

Introduction: Prognosis is excellent in colonic carcinoma in case of well differentiated growth. All efforts must be done todiagnose the malignancy at an earlier stage for a better outcome specially if it is well differentiated growth. Objectives: To compare thedifferent modes of presentation of carcinoma of large bowel in a tertiary care hospital and their association with pathological findings.Material & Methods: It is a cross sectional retrospective study. Patients with histological proof of carcinoma were included in the study.Data over the period of two year was collected and analyzed. Results: This study included one hundred patients. Mean age was 49.56years and 56 % of the patients were males. 40 % of the patients present between the ages of 40 to 60 years. Mean time of start ofsymptoms and the time of presentation in the hospital was 6.5 months ranges from 1 to 24 months. 76 % of the patients had history ofaltered bowel habits and 60% had anorexia and weight loss. 41.66% of patients had well differentiated growth while 37.55% of patientshad moderately differentiated adenocarcinoma. Conclusions: Majority of the patients with colonic carcinoma had well or moderatelydifferentiated growth. If they are diagnosed and properly treated at an early stage, outcome is good.

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