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Patterns and presentations of colorectal cancer at Komfo-Anokye teaching hospital Kumasi, Ghana.

Abstract Colorectal cancer is a major cause of morbidity and mortality globally and its incidence is increasing in developing countries. This study determined the incidence, clinical features and the histopathological patterns of colorectal cancer at Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana.
PMID
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Authors

Mayor MeshTerms
Keywords

Colorectal cancer

clinical patterns and presentations

incidence

rectal cancer Ghana

Journal Title the pan african medical journal
Publication Year Start




PMID- 29515739
OWN - NLM
STAT- MEDLINE
DCOM- 20180313
LR  - 20180313
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - Patterns and presentations of colorectal cancer at Komfo-Anokye teaching hospital
      Kumasi, Ghana.
PG  - 121
LID - 10.11604/pamj.2017.28.121.12927 [doi]
AB  - Introduction: Colorectal cancer is a major cause of morbidity and mortality
      globally and its incidence is increasing in developing countries. This study
      determined the incidence, clinical features and the histopathological patterns of
      colorectal cancer at Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana.
      Methods: A retrospective review of all colorectal cancer cases over a six year
      period from (2009-2015) presented to the Surgical and Oncological Department of
      KATH. Patients' records were retrieved and information on their demographics,
      clinical and pathological presentations recorded. Results: In all, 221 cases of
      colorectal cancer were identified over the study period. The mean age was 54 +/- 
      16.8 and ranged from 16 to 90 years. Sixteen (7.24%) had family history of cancer
      and the prevalence of comorbidities was (24.89%). The commonest clinical symptoms
      presented were weight loss (44.80%), bleeding per rectum (39.82%) and abdominal
      pain (38.91%) Majority of the patients presented with rectal cancers (48.87%).
      Microscopically, adenocarcinoma (68.33%) was the most common histopathological
      type. According to Tumour Node Metastasis (TNM) staging of cancer, majority of
      the patients 89(40.27%) were identified as being in late stage (TNM Stage III).
      The overall crude annual incidence was 4.62 per 100000 populations. The age
      specific standardized incidence rate was 7.93 per 100,000 population. Conclusion:
      This study has clearly showed a high incidence in colorectal cancer at KATH, with
      similar trends in clinico-pathological patterns comparable to that of most
      African countries. These include predominance of rectal cancers, high incidence
      among younger people and delayed presentation of the disease at advanced stage.
FAU - Agyemang-Yeboah, Francis
AU  - Agyemang-Yeboah F
AD  - Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah
      University of Science and Technology (KNUST), Kumasi, Ghana.
FAU - Yorke, Joseph
AU  - Yorke J
AD  - Department of Surgery, School of Medical Science Komfo Anokye Teaching Hospital, 
      Kumasi, Ghana.
FAU - Obirikorang, Christian
AU  - Obirikorang C
AD  - Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah
      University of Science and Technology (KNUST), Kumasi, Ghana.
FAU - Batu, Emmanuella Nsenbah
AU  - Batu EN
AD  - Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah
      University of Science and Technology (KNUST), Kumasi, Ghana.
FAU - Acheampong, Emmanuel
AU  - Acheampong E
AD  - Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah
      University of Science and Technology (KNUST), Kumasi, Ghana.
FAU - Frempong, Emmanuel Amankwaa
AU  - Frempong EA
AD  - Department of Oncology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
FAU - Anto, Enoch Odame
AU  - Anto EO
AD  - Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah
      University of Science and Technology (KNUST), Kumasi, Ghana.
FAU - Amankwaa, Bright
AU  - Amankwaa B
AD  - Department of Molecular Medicine, School of Medical Science, Kwame Nkrumah
      University of Science and Technology (KNUST), Kumasi, Ghana.
LA  - eng
PT  - Journal Article
DEP - 20171006
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Abdominal Pain/epidemiology/*etiology
MH  - Adenocarcinoma/*epidemiology/pathology
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Colorectal Neoplasms/*epidemiology/pathology
MH  - Female
MH  - Ghana/epidemiology
MH  - Hemorrhage/epidemiology/etiology
MH  - Hospitals, Teaching
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Staging
MH  - Retrospective Studies
MH  - Weight Loss
MH  - Young Adult
PMC - PMC5837135
OTO - NOTNLM
OT  - Colorectal cancer
OT  - clinical patterns and presentations
OT  - incidence
OT  - rectal cancer Ghana
EDAT- 2018/03/09 06:00
MHDA- 2018/03/14 06:00
CRDT- 2018/03/09 06:00
PHST- 2017/05/31 00:00 [received]
PHST- 2017/09/23 00:00 [accepted]
PHST- 2018/03/09 06:00 [entrez]
PHST- 2018/03/09 06:00 [pubmed]
PHST- 2018/03/14 06:00 [medline]
AID - 10.11604/pamj.2017.28.121.12927 [doi]
AID - PAMJ-28-121 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Oct 6;28:121. doi: 10.11604/pamj.2017.28.121.12927.
      eCollection 2017.