Carcinoma of rectum

ABSTRACT

To document our experience of management of carcinoma of rectum. Design: Descriptive study. Place and Duration Chandka Medical College Hospital, of five years duration. Subject And The Study spread over a period of 5 years from 1998 to 2003. The data was recorded on a structured Performa. Fifty patients of rectal carcinoma were diagnosed and managed at Chandka Medical College Teaching Hospital Larkana over a period of 5 years. The male to female ratio was 3.21, 80% patients presented with bleeding per rectum. On digital rectal examination [DRE], in 70% the tumor was at lower rectum, 20% at middle rectum and 10% at upper rectum. On histopathology, 90% cases were reported as adenocarcinoma. According to Duke's classification, 50% were in stage-III. 60% [30 patients] were managed with abdomino-perineal resection. The mortality was 4%. We conclude that carcinoma of rectum can be diagnosed at early stage in patients presenting with symptoms of ano-rectal conditions when examined properly including DRE, proctoscopy and biopsy of suspected lesions