Caracterización del cáncer de colon / Characterization of colon cancer

Objetivo: Determinar las características clínico-quirúrgicas e histológicas de un grupo de pacientes con diagnóstico de cáncer de colon, y causas de morbi-mortalidad. Material: estudio observacional descriptivo, retrospectivo, transversal de 40 pacientes con diagnostico histológico de cáncer de colon, de ambos sexos, ingresados en el Servicio de Cirugía del Hospital Central de IPS, de enero a julio del año de 2016.Resultados:52,5% correspondió al género masculino, con un promedio de 60 años. Los motivos de consulta más frecuentes fueron 33% dolor abdominal, 15% rectorragía, 10% obstrucción intestinal. El asiento más común para estos fueron el colon sigmoides 50%, ciego 20%, ascendente 15%, transverso 7,5%, esplénico 5%, descendente 2,5%. Fueron operados de manera electiva 90% de los pacientes. El tipo histopatológico más común fue el adenocarcinoma 95%. La vía de absceso más utilizada fue la convencional en 90% y laparoscópica 10%. Las complicaciones observadas fueron la dehiscencia de la anastomosis 15% e infección del sitio quirúrgico 25%. No hubo diferencia entre la sutura mecánica y manual en cuanto a la dehiscencia. El hígado fue el sitio más frecuente de asiento de las metástasis. La estancia hospitalaria media fue de 16 días. Pacientes mayores a 60 años reportan mayor estancia hospitalaria. La mortalidad intrahospitalaria fue baja y en la mayoría de los casos tribuida al acto quirúrgico. Influyendo también el estado previo del paciente.

Objective: To determine the clinical-surgical and histological characteristics of a group of patients diagnosed with colon cancer, and causes of morbidity and mortality of them. Material: a study descriptive, retrospective, of transverse cut about 40 patients with histological diagnosis of colon cancer, over 16 years, of both sexes admitted to the Department of Surgery of the Central Hospital of IPS, since January to July of 2016. Results: 52.5% were male, the most number of cases in the age range between 60-70 years, with predominance an average of 60 years. The most frequent reasons for medical consultation were 33% abdominal pain, bleeding by anus 15%, 10% intestinal obstruction. The most common seat for the tumor was the sigmoid colon were 50%, 20% cecun, ascending colon 15%, transverse 7.5%, colon spleen 5% descending colon 2.5%. They were operated elective so 90% of patients. The most common histological type was adenocarcinoma 95%. The way most comon used was abscess more conventional laparoscopic 90%. The observed complications were anastomotic leakage in 15% and surgical site infection by 25%. There was no difference between mechanical and manual suture regarding dehiscence. 62% the liver was the most frequent site of metastases seat. The average hospital stay was 16 days. Observed shorter stay in males. Shorter stay in patients undergoing elective surgery. patients over 60 years reported longer hospital stay. The hospital mortality was low and in most cases was inherent in the surgery, also influencing the previous state of the patient.

Clinico-pathological study of lung malignancies in Mahabubnagar District, Telengana

Background and objectives: The objective of the present study was to study the the clinicopathological profile of the lung cancer in Mahabubnagar. Materials and methods: We performed a retrospective analysis of histopathologically proven cases of bronchogenic carcinoma admitted in our hospital from January 2011 to May 2016. Results: Our study included 67 patients with confirmed cases of lung cancer. Male to female ratio was 1.7:1. The common age group was 40-60 years (52.2%). The most common histopathological type was Adenocarcinoma (38.8%) followed by Squamous cell carcinoma (31.4%). Endobronchial biopsy has more yields in squamous cell carcinoma 8 cases (38.1%), CT Guided biopsy has more yields in Adenocarcinoma 14 cases (53.8%), Small cell carcinoma 4 cases (66.7%), and in carcinoma in situ 6 cases (55.4%), pleural biopsy has highest yield in the diagnosis of malignant mesothelioma 1 case (100%). Among all the procedures CT Guided biopsy has the highest diagnostic yield 29 cases (43.2%). Conclusion: CT guided biopsy has the highest yield for the diagnosis of lung malignancies especially if the tumour is peripherally located.