MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG, GIẢI PHẪU BỆNH TRONG ĐIỀU TRỊ PHẪU THUẬT UNG THƯ BIỂU MÔ TRỰC TRÀNG

Abstract

Objectives: Describing clinical and histopathological characteristics of rectal cancer patients at Viet Duc hospital. Subjects and methods: The descriptive cross-sectional study on 109 patients diagnosed rectal carcinoma and surgical treatment at Department of colorectal and perineal surgery, Viet Duc hospital from October, 2016 to May, 2019. Results: The average age of rectal cancer was 63.48 ± 12.22 (years old), mainly male, accounting for 66.97%; age group accounted for the highest proportion was from 60 - 69 with 33.94%. The main reason admitted hospital was bloody defecation (82.57%). The average time to detect the disease was 3.72 ± 4.20 (month), mainly patients with early detection of the disease in the first 3 months accounted for 66.06%. Mainly, patients had symptoms of bloody defecation, accounting for 90.83%, weight loss accounted for 39.45%. Mass-ulcer type (40.37%), rectal adenocarcinoma type (87.16%) accounted for the main proportion, most tumors had a medium differentiation (83.49%). Most had not had regional lymph node metastasis (59.63%). The invasive stage of T3 rectal cancer accounted for the main proportion (68.80%). Conclusion: The prevalence of rectal cancer was mainly male, the average age was 63.48 ± 12.22 (age). The main reason admitted hospital was bloody defecation (82.57%). The time to detect the disease was mainly in the first 3 months. Symptoms of bloody defecation (90.83%), weight loss (39.45%). Mass-ulcer type (40.37%), rectal adenocarcinoma type (87.16%) accounted for the main proportion, most tumors had a medium differentiation (83.49%). Rectal cancer without regional lymph node metastasis (59.63%). The invasive stage of T3 rectal cancer accounted for the main proportion (68.80%).