Comparative take a look at of the pre and post intervention facts on colon rectal most cancers 2

Only 14 patients didn't agree on the examinations.

The colon became prepared before the endo luminal examinations within the equal manner for every patient in accordance a hydrate and laxative eating regimen. The material for the biopsy has been taken for laboratory effects in the identical manner for every patient as nicely. The fabric has been taken for biopsy effects an afternoon after the intervention and has been stored in formalin solution one hundred%.
Biopsy was taken for the primar tumor in the aboral part of the resectat, distal element from stapler whilst it isn't used, lateral parts consisting of meso colon and meso rectum.

Based totally at the accumulated effects and pre intervention examinations the medical classification of the tumor tiers became executed. The very last staging changed into performed based at the intra intervention statistics and publish intervention biopsy facts.

The class by way of tnm encouraged with the aid of u.I.C.C. Become used for the publish and pre intervention staging.
For the submit intervention staging we used additionally the classifications of the grade of tumor differentiation (g) and through the residual tumor (r). After that, we compared the pre and submit intervention degrees for every patient and eventually a final evaluation.

The sensitivity of the pre intervention examination were given expected having as compared with every – different and with the intra intervention and put up intervention effects.
The statistical information was determined based on:
• the average effects
• popular deviation
• z check
• wilcoxon check for evaluating the pre and post intervention data.

Results
The ratio men/women turned into 1.2/1. One hundred sixty patients had the blood group zero, ninety of them had the a blood institution, different 60 patients had b and 20 of them had ab.

Relating to the tumor localization we came throughout that it become localized within the colon in 240 sufferers and in rectum in 90 of them. The distribution of the colon tumor turned into as following: find

Colon ascendens 40 sufferers 12%
Hepatic flexure 20 patients 6%
Transverse colon 20 sufferers 6%
Lienal flexure 20 sufferers 6%
Descendent colon 50 sufferers 15%
Sigma 90 patients 27.5%
Rectum 90 sufferers 27.5%

Objective examination
In one hundred sufferers with colon tumor or 42% changed into recognized a actual fabric mass at some stage in the stomach palpation.
Out of one hundred sufferers 70 had a stage iii tumor and 30 of them level iv tumor.

Rectal touché turned into accomplished in all sufferers and resulted effective in eighty out of ninety with ca. Recti, with a sensitivity of 88%.

Both examinations recognized a number one tumor in one hundred eighty sufferers with colon rectal cancer.

Belly x-ray: number one tumor became found in a hundred and fifty sufferers with colon cancer or 62.5%. Lymphonodus had been discovered in forty sufferers out of 110 with i/o or in 36.4%. In 30 patients remote metastasis (hepatic) have been located out of 60 patients with i/o or 50% and it become now not observed by the x-ray in 20 sufferers with ascid resulted with i/o. In general the sensitivity of the x-ray in detecting the number one tumor was 45%.

Ct-scanner – become achieved in 270 sufferers. The number of patients with primary tumor, lymphonodus, remote meta and ascid are indexed in the table below:

Colon-rectal
270 sufferers primar tumor lymphonodus distant meta ascid
Ct-scanner 270 80 60 20
I/o one hundred sixty 110 60 20
Sensitivity one hundred% seventy three% 100% 100%

Fibro-colonoscopy – became accomplished in 330 sufferers. The examination changed into completed nicely in 327 patients in which cloth for the pre intervention biopsy was taken. The exam changed into now not completely done in 6 patients due to the fact the radioscopy failed to go through the gut lumen inside the descendent colon level due to a malign polyp. The irrigography became completed which determined bipolar tumors inside the lienal flexure level.

Trans rectal echo - changed into done in 90 patients with rectal most cancers. The number one tumor turned into discovered in eighty of them or 88.9%; lymphonodus had been located in 10 patients out of 40 who resulted i/o and publish intervention ( 50%).

Pre intervention biopsy – it became completed in all sufferers and adenoma carcinoma led to 270 patients, ca. Muchoid in forty sufferers and bad in 20 sufferers when the put up intervention biopsy turned into effective. The histological pre and put up intervention diagnosis resulted similar.

Based totally at the pre intervention examinations consequences the clinical staging changed into performed and the result showed 20 sufferers with a stage i tumor or 6%; level ii in 60 patients (18%); stage iii in 180 patients (55%) and degree iv in 70 sufferers (21%).

Based on the intra intervention facts the submit intervention staging become executed and the outcomes had been as inside the following desk. 30 sufferers had a stage i tumor (nine%), 110 sufferers stage ii tumor (31%), one hundred thirty sufferers stage iii tumor (forty%) and 60 patients degree iv tumor or 20%.