Clinical features of colorectal carcinoma

Aim: to record the frequency of clinical features of colorectal carcinoma. methods: this study included 100 cases of colorectal carcinoma at the department of surgery,services hospital lahore,during 1st january 2016 to 31st december 2016. digital rectal examination,proctosigmoidoscopy,abdominal ultrasound,contrast studies,colonoscopy,computerized tomography and i/v urography in selected cases was done. the common demographic information including age,gender and clinical presentation of these cases were recorded. results: the mean age as 45.87±6.58 years,majority of the patients were between 41-70 years of age i.e.,66(66%) while 34(34%) were between 20-40 years of age,57(57%) cases were male whereas 43(43%) were females. involved site of colorectal cancer shows rectum in 49(49%),6(6%) anal canal,2(2%) ascending colon,3(3%) descending colon,1(1%) transverse colon,25(25%) sigmoid while 14(14%) involved caecum site. regarding clinical presentation of colorectal cancer,altered bowel habits were recorded in 91(91%),abdominal pain in 80(80%),weight loss in 78(78%),bleeding per rectum in 53(53%),tenesmus in 48(48%) and abdominal distension in 29(29%). conclusion: we concluded that altered bowel habits is the leading clinical feature of colorectal carcinoma followed by per rectum bleeding,weight loss and abdominal pain while younger age population was also recorded in higher proportion.