TY - JOUR TT - Evaluation of Younger than Age 40 Years Patients Operated Due to Gastric, Colorectal and Pancreatic Cancer AU - Uysal, Erdal PY - 2016 DA - December JF - Sakarya Tıp Dergisi PB - Sakarya Üniversitesi WT - DergiPark SN - 2146-409X SP - 217 EP - 222 VL - 6 IS - 4 KW - Genç erişkin KW - mide KW - kolorektal KW - pankreas KW - kanser N2 - 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 Method: Thirty 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.. Results: The 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. Conclusion: The 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. CR - Referans1 Llanos O, Butte JM, Crovari F, Duarte I, Guzmán S. Survival of young patients after gastrectomy for gastric cancer. World J Surg. 2006;30 (1):17-20. CR - Referans2 Goldvaser H, Purim O, Kundel Y, Shepshelovich D, Shochat T, Shemesh-Bar L, et al. Colorectal cancer in young patients: is it a distinct clinical entity? Int J ClinOncol. 2016;21(4):684-95. CR - Referans3 Levine MS, Laufer I, Thompson JJ. Carcinoma of the gastric cardia in young people. AJR Am J Roentgenol. 1983;140 (1):69-72. CR - Referans. Lüttges J, Stigge C, Pacena M, et al. Rare ductal adenocarcinoma of the pancreas in patients younger than age 40 years. Cancer 2004;100 (1):173-82. CR - Referans5 O'Connell JB, Maggard MA, Liu JH, Etzioni DA, Livingston EH, Ko CY. Do young colon cancer patients have worse outcomes? World J Surg. 2004;28 (6):558-62. UR - https://dergipark.org.tr/tr/pub/smj/issue//341944 L1 - https://dergipark.org.tr/tr/download/article-file/347476 ER -