Analysis of 7965 screening colonoscopies and treatment results of detected colorectal cancers – experiences of one center
Journal Title: OncoReview - Year 2016, Vol 6, Issue 3
Abstract
Introduction: Colorectal cancer is one of the most common cancers in both sexes and is one of the leading causes of death in Poland and the world. An effective method to prevent the development of colorectal cancer (CRC) is the detection of polyps during a screening colonoscopy and their removal.Objective: The aim of the study was to evaluate results of screening for early detection of colorectal cancer by colonoscopy. Material and methods: The study was based on analysis of medical records of 7965 patients who underwent colonoscopy as part of the National Screening Program (NSP) for Early Detection of Colorectal Cancer in the 2000–2014 period.Results: Polyps were removed in 2900 (36.4%) patients, among whom 1885 (23.6%) had adenomas, which were more frequent in men (32.9%). Tubular adenomas were observed in 1685 patients (21.1%), tubulo-villous adenomas were detected in 157 patients (2%) and villous adenomas – in 43 (0.5%) of them. Sixty-three (0.79%) colorectal cancers were detected in various clinical stages, including adenocarcinoma in situ in 3 patients. Probability of 5-year survival rate of colorectal cancer amounted to 74% while 10 years survival was reached in 63% of patients.Conclusions: The detection rate of polyps, adenomas and carcinomas thanks to screening colonoscopy was 36.4%, 23.6% and 0.79% respectively, while the probability of 5-year survival was 74%. An improvement in the quality of colonoscopy was observed in subsequent years of the NSP, which translated into better detection of adenomas.
Authors and Affiliations
Andrzej Nowicki, Zbigniew Kula, Marzena Lemanowicz
Keywords
Related Articles
- EP ID EP80368
- DOI -
- Views 213
- Downloads 0
Postępy w leczeniu szpiczaka mnogiego w roku 2012
Szpiczak mnogi (MM, multiple myeloma) nadal jest uznawany za rozrostową nieuleczalną chorobę nowotworową. W roku 2012 opublikowano ok. 100 artykułów pokazujących postępy w jego leczeniu. W badaniach podstawowych zwrócono...
Zmiany w błonie śluzowej przewodu pokarmowego wywołane radio- i chemioterapią nowotworów
Zapalenie błony śluzowej przewodu pokarmowego (mucositis) po radio- i chemioterapii nowotworów manifestuje się klinicznym zespołem objawów będących następstwem zmian morfologicznych błony śluzowej. Ból, owrzodzenie, wzdę...
Everolimus in clinical practice. Review of German non-interventional study of everolimus in metastatic renal cell cancer after failure of initial tyrosine kinase inhibitor therapy
Everolimus is a standard for treatment of anti-vascular endothelial growth factor (VEGF)-refractory patients with metastatic renal cell carcinoma (mRCC). A German study documented mRCC patient treated everolimus from 79...
Angioplastyka wieńcowa oraz wymiana zastawki aortalnej u dwóch chorych ze szpiczakiem mnogim - opisy przypadków
Szpiczak mnogi jest schorzeniem hematologicznym charakteryzującym się klonalnym rozrostem atypowych plazmocytów, produkujących monoklonalną immunoglobulinę. Roczna zapadalność na niego w Europie wynosi ok. 4,5/100 000 os...
Why does reimbursement of orphan drugs require a specific approach?
The greatest problem concerning the reimbursement of orphan products is their high price. In the case of orphan drugs, reimbursement and pricing decisions are highly interrelated. In decisions concerning reimbursement of...