Kolorektal Karsinomalarda Tedavi Gecikimini Etkileyen Faktörler

Year 1982, Volume: 35 Issue: 3, 587 - 500, 30.09.1982

Dikmen Anbal

Abstract

İkiyüz kırk dokuz kolorektal kanser vakası retrospektif olarak incelenerek, şikayetlerin başlamasından cerrahi tedaviye kadar geçen süre ve bu süreyi uzatan etkenler araştırılmıştır. Ortalama gecikme süresi Rektum kanseri için 8,5, kolon kanserleri için ise 7,3 ay olarak saptanmıştır. Bu rakamlar son yıllardaki yayınlara kıyasla oldukça yüksektir. Vakaların % 70,9 unda başta ihmallerin neden olduğu ortalama 7,9 aylik bir gecikme süresi hesaplanmıştır. Daha önemli olanı vakaların % 19,6 sı erken dönemde doktora başvurduklarım ifade etmeleridir, Buna göre hekimin hastayı eksik değerIendirmesi ve tanı yanılması nedeniyle sebep olduğu gecikme süresi 6-8 ay arasında değişmektedir.

Keywords

Rektum , retrospektif , kolorektal

Factors influencing delay in treatment of congers, (Retrospective analysis of 249 cases)

Abstract

Two hundred and forty nine cases of malignant tumors of the colon and rectum were reviewed to determine the delay interval from onset of symtoms to operation and the factors contributing to the delay. The mean overall delay interval was 8,5 months for rectum and 7,3 months for the colon concers, which is relatively long as compered with the findings reported in the literatüre during recent year, In 70,9 % there was a mean delay of 7,9 months because of failure of the patient to consult a physicion in the early stages of the disease. More serious was the finding in 19,6 % of the patients of a doctor caused delay of 6-8 months, because of hasty, erroneous diagnosis made without comprehensive investigation. Our findings indicate direct correlation between duration of the delay and spread Of the malignancy, with an evident tendency for a shorter delay interval among patients with carcinoma classified as Duke's stage B. Both the public and general physicians must be educated as to the importance of early consultation and careful consideration of the patients complaints.

Keywords

rectum , literatüre , malignancy

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