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COLORECTAL CARCINOMA IN THE YOUNG
Author(s) -
Wong S. K. Cyril,
Cheung P. S. Y.,
Boey John,
Lai C. K.,
Cheung H.
Publication year - 1985
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1985.tb00875.x
Subject(s) - medicine , adenocarcinoma , colorectal adenocarcinoma , presentation (obstetrics) , carcinoma , young adult , surgery , general surgery , gastroenterology , cancer
Four hundred and five patients with colorectal adenocarcinoma were seen over a five year period in the Department of Surgery, University of Hong Kong. These patients were divided into two concurrent groups according to the age of 40. Thirty patients (7.4%) were below age of 40 at the time of presentation. This young group of patients had both a higher combined proportion of C and D tumours (76.6% to 50%) and a higher proportion of poorly differentiated tumours (20% to 5.5%). The curative and palliative resections rates were similar. Life tables of patients who underwent curative resections showed young patients to have a significantly poorer overall disease‐free interval as well as overall determinant survival. In comparing only the Dukes C patients, the young patients still showed a higher recurrence rate.