The Colon and Rectum Tumors Profiles in The Year of 2006-2011 at RSUP Dr Sardjito Yogyakarta

Ardean Bernandito, Imam Sofii

Digestive Surgery Division, Department of Surgery Dr. Sardjito Hospital

Background: Colon cancer or colorectal cancer is malignant cancer which is included in the 10 most cases in the world. In 2008, the colorectal cancer was in the third rank of the cancer cases that happened in the United States both in men and women

Method: This study is a descriptive research with retrospective samples which is taken since January 2006 until December 2011. The data is gathered from the medical records of the patients in RSUP Dr. Sardjito Yogyakarta. The samples which fulfill the inclusion criteria are taken as the data.

Result: From the 287 samples there are 119 male patients (41.5%) and 168 female patients (58.5%) with the age 20 is the youngest and 85 is the oldest (most of the patients are in the age of 53 and 69, SD + 14.419. The percentage based on the main complaints of diarrhea is 34 patients (11.8%), constipation is 53 patients (18.5%), blood stool is 149 patients (51.9%), hard stool is 19 patients (6.6%). Based on the location of the tumour, in Ca Recti is 120 patients (41.8%), in Ca Sigmoid is 37 patients (12.9%), in transverse colon tumour, is 25 patients (8.7%), in colon sinistra tumour is 6 patients (2.1%), in colon dextra tumour, is 19 patients (6.6%), and in ca cecum is 4 patients (1.4%). The supporting checks that are held are USG Abdomen on 72 patients (22.5%), photo thorax on 163 patients (56.8%), colon in loop on 53 patients, CT Scan Abdomen on 33 patients (22.5%), and colonoscopy on 39 patients (13.6%). The operations that are held are anastomosis resection 32.8%, delay anastomosis resection 29.3%, palliative colostomy 11.1%, and Miles procedure 5.6%. The treatments to handle the recurrence that are held are chemotherapy 4.2%, radiotherapy 0.3%, and radiochemotherapy 5.2%. The stadiums of the tumors are Dukes A 1%, Dukes B 35%, Dukes C 38%, and Dukes D 5%.

Conclusion: The samples of this study are 287 patients consisting of 119 males (41.5%) and 168 females (58.5%). The youngest age of the patients is 20 and the oldest age is 85 (most of them are 53 and 69 years old, SD + 14.419). The most complaint blood stool on 149 patients (51.9%), Most of the tumors are located in Ca Recti in 120 patients (41.8%). The operations that are held are anastomosis resection 32.8%, delay anastomosis resection 29.3%, palliative colostomy 11.1%, and Miles procedure 5.6%. The treatments to handle the recurrence are chemotherapy 4.2%, radiotherapy 0.3%, radiochemotherapy 5.2%. The most stadium is Dukes C 38%.

Keywords: Colorectal carcinoma, sex, age, tumor location, stadium