Aim We aimed to draw attention to the importance of early diagnosis, and to remind that the diagnosis of malign gastrointestinal system tumors should be considered for young adults. For this purpose, our clinical experiences are shared.
Material and MethodThirty patients under 40 year-old that have been operated in our center between the hear 2012 and 2016 for gastric, colorectal and pancreatic cancers were involved in our study. The data of patients were retrospectively obtained from their files. The diagnoses, demographical characteristics, familial cancer histories, surgeries and nonsurgical treatments, and pathological stages of the patients were recorded. Furthermore, the follow-up and survival durations of the patients were also recorded..
ResultsThe ratio of female/male was 0.57. Mean age were in gastric, colorectal and pancreas cancer respectively, 34± 4.5, 33.7± 4, 30.6± 3.7. The most frequently seen symptoms are loss of weight, stomachache, constipation, and rectal hemorrhage, respectively. Gastric cancer was seen in 13 (43%) patients, colorectal cancer in 14 (46%) patients, and pancreatic cancer in 3 (11%) patients. Mean followup period were in gastric, colorectal and pancreas cancer respectively,13.9±7.8, 21.9±15.2, 25.3± 19.7 month. Survival rate were in gastric, colorectal and pancreas cancer respectively, 38% 71%, 66%. The lymph node involvement and advanced stage (Stage III and IV) were detected in 16 of the patients. 4 of the patients were diagnosed in Stage 1, 9 in Stage 2, 10 in Stage 3, and 7 in Stage 4.
ConclusionThe malign gastrointestinal system tumors are also seen among younger than age 40 years, young adults. While gastric and colorectal cancers are seen more frequently, the incidence of pancreatic cancer is less. As histological type, the most frequently seen gastric cancer is signet ring cell adenocarcinoma. The lowest rate of survival is seen in gastric cancer cases.
( Sakarya Med J 2016, 6(4):217-223 )Keywords Young adult, gastric, pancreas, colorectal cancer.
Öz Amaç Çalışmamızda malign gastrointestinal sistem tümörlerinin genç erişkinlerde daha ileri evrelerde tanı aldığına ve daha agresif seyirli olduğuna vurgu yaparak erken tanının önemine dikkat çekmek, genç erişkinlerde de malign gastrointestinal sistem tümörü tanısının akılda tutulması gerektiğinin belirtilmesi amaçlanmıştır. Bu amaç ışığında klinik deneyimlerimiz paylaşılmıştır.
Materyal ve MetodMerkezimizde