Clinical, demographic and histopathological characteristics of postoperative colorectal cancer patients admitted to Servicio de Coloproctología at the Hospital Nacional, Itauguá - Paraguay: period 2015 and 2018

Abstract

Introduction: colorectal cancer develops from precursor lesions in the colon, rectum and anus, being
responsible for 16,9 % of all deaths from cancer and in men it is the third most common malignant
neoplasm worldwide.
Objective: to characterize postoperative colorectal cancer patients of the Coloproctology Service of the
Hospital Nacional, Itauguá - Paraguay in the period between 2015 and 2018.
Methodology: descriptive, retrospective, cross-sectional observational study. Cards of postoperative
colorectal cancer patients from the Coloproctology Service of the Hospital Nacional, Itauguá - Paraguay
in the period between 2015 and 2018 were used.
Results: of the total of the 26 patient files reviewed, 70 % were male and the most common age range
was between 60 - 71 years (52 %); the most frequent histological type of cancer was moderately
differentiated adenocarcinoma 78 %, the most common stage was adenocarcinoma type II A
(classification of the American Joint Committee on Cancer (AJCC-TNM) 65 %, present distant metastases 3,81 % and the most frequent location of cancer was the rectum 34,78 % .The most frequent reason for consultation was hemorrhage 70 %, the most common complication was dehiscence and there were no deaths.
Conclusion: the highest percentage of patients belongs to the male sex and to the age group over 60
years old, moderately differentiated adenocarcinoma was frequent and the most common stage was type II A, the most frequent location was the rectum and the reason for consultation was hemorrhage
(rectorrhagia), for which measures must be implemented to prevent this pathology.