ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA UNG THƯ TRỰC TRÀNG THẤP TẠI BỆNH VIỆN THANH NHÀN VÀ BỆNH VIỆN E

Abstract

Objective: Research clinical and paraclinical characteristics of low rectal cancer at Thanh Nhan Hospital and E Hospital. Method: Retrospective and description of cases from January 1, 2019 - June 1, 2023 at Thanh Nhan Hospital and E Hospital. Results: During a 5-year period, there were 136 cases of patients with low rectal cancer treated as inpatients at Thanh Nhan Hospital and E Hospital with men 93 (68,38%), women 43 (41,62%). Average age 63 ± 11.8 years old. The lowest is 30 years old, the highest is 89 years old. The majority of patients came to the doctor within 6 months of having their first symptoms (82.34%). Some common clinical symptoms are: Bloody mucus in the stool (95.58%), frequent defecation (82.35), change in stool pattern (73.5), tenesmus (72%). Figure The predominant macroscopic morphology of the tumor is verrucous (58.23%), verrucous (41.27%). Tumor size according to circumference: Tumor occupies ≥ 3/4 of the circumference (5.88%), occupies ¼-1/2 of the circumference (48.52%), occupies < 1/4 of the circumference (23.52%). Histopathological type: Highly and moderately differentiated adenocarcinoma accounts for 96.1%. Conclusion: TT cancer is quite common and is often detected in advanced stages. Therefore, it is necessary to have a strategy for earlier screening of subjects with risk factors to detect the disease early and treat it effectively.