Colorectal Cancer in County Durham-England a Clinical and Statistical Study.

Current Health Sciences Journal Pub Date : 2021-07-01 Epub Date: 2021-09-30 DOI:10.12865/CHSJ.47.03.02
Daniel Sorin Ilie, Mircea-Sebastian Şerbanescu, Nina Ionovici, Cristina Jana Busuioc, Laurenţiu Mogoantă
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Abstract

Colorectal cancer is one of the most frequently occurring malignancies which associates increasing mortality and morbidity rates. According to data provided by the World Health Organization, colorectal cancer deaths account for approximately 13% of all cancer fatalities. The carcinogenesis of this type of malignancy is a very complex process characterized by various molecular changes which in turn are influenced by factors likes sex, diet, intestinal microbiota, exposure to environmental factors, hosts' immune response and also genetic factors. Our study looked at a total number of 1024 patients, which were all diagnosed with colorectal cancer in a hospital in the north of England, a country that is known for both a high prevalence of this type of cancer but also its robust screening programmers. In our analyses, we concluded that this type of malignancies affected mostly males, aged between 60 and 80. The most commonly affected regions were the rectum, the sigmoid colon and also the cecum. The majority of colorectal cancers (51%) were diagnosed by GPs (general practitioners) or other medical specialties; 43.55% of all cases presented as surgical emergencies and 5.47% were diagnosed through national screening programs. Majority of tumors were diagnosed in late stages, mainly T3 and T4 whilst in was observed that rectal cancers were mainly diagnosed in T2 and T3 stages.

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英国达勒姆郡结直肠癌的临床与统计研究。
结直肠癌是最常见的恶性肿瘤之一,其死亡率和发病率都在不断上升。根据世界卫生组织提供的数据,结直肠癌死亡人数约占所有癌症死亡人数的13%。这类恶性肿瘤的癌变是一个非常复杂的过程,其特征是各种分子变化,而这些分子变化又受性别、饮食、肠道菌群、暴露环境因素、宿主免疫反应以及遗传因素等因素的影响。我们的研究调查了1024名患者,他们都在英格兰北部的一家医院被诊断出患有结肠直肠癌,这个国家以这种癌症的高患病率而闻名,同时也以其强大的筛查程序而闻名。在我们的分析中,我们得出结论,这种类型的恶性肿瘤主要影响60至80岁的男性。最常见的受累部位是直肠、乙状结肠和盲肠。大多数结直肠癌(51%)是由全科医生或其他医学专业诊断的;43.55%的病例为外科急诊,5.47%的病例是通过国家筛查项目诊断出来的。大多数肿瘤诊断为晚期,以T3和T4期为主,而直肠癌主要诊断为T2和T3期。
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