Article:
Colorectal cancer in different age groups in a tertiary hospital in Nepal

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorPoudyal, Nandu Silwal
dc.contributor.authorChaudhary, Sitaram
dc.contributor.authorBasnet, Bhupendra Kumar
dc.contributor.authorPoudel, Bidhan Nidhi
dc.contributor.authorShrestha, Barun
dc.contributor.authorMandal, Amrendra Kumar
dc.contributor.authorSharma, Mukesh
dc.creator.affiliationGastroenterology Unit, Department of Medicine, NAMS, Bir Hospital, Kathmandu, Nepal.
dc.creator.affiliationGastroenterology Unit, Department of Medicine, NAMS, Bir Hospital, Kathmandu, Nepal.
dc.creator.affiliationGastroenterology Unit, Department of Medicine, NAMS, Bir Hospital, Kathmandu, Nepal.
dc.creator.affiliationGastroenterology Unit, Department of Medicine, NAMS, Bir Hospital, Kathmandu, Nepal.
dc.creator.affiliationGastroenterology Unit, Department of Medicine, NAMS, Bir Hospital, Kathmandu, Nepal.
dc.creator.affiliationGastroenterology Unit, Department of Medicine, NAMS, Bir Hospital, Kathmandu, Nepal.
dc.creator.affiliationGastroenterology Unit, Department of Medicine, NAMS, Bir Hospital, Kathmandu, Nepal.
dc.date.accessioned2026-09-21T05:33:10Z
dc.date.available2026-09-21T05:33:10Z
dc.date.issued2017
dc.description.abstractAbstract Introduction: Some studies have suggested that colorectal cancer at a younger age had distinct biological characteristics: different clinical presentations, more advanced stage at time of diagnosis and poorly differentiated carcinoma. The aim of the study is to analyze clinical and histopathological differences between younger (≤40 years of age) and older (>40 years of age) colorectal cancer patients. Methods: A cross-sectional analysis was conducted amongst the colorectal cancer patients who visited Bir Hospital between July 2015 and April 2017. All colonoscopically diagnosed and histopathologically proven cases of colon cancer were included. Chi-square test and independent t – test was performed to analyze the difference between clinical presentations and histopathological findings among two groups of patients and p value of <0.05 was considered as significant. Results: Thirty younger patients and thirty older patients were enrolled without any differences in gender proportion. There were no statistical differences between clinical presentation and histological grade and type in younger and older patients. The younger patients had more complaints of altered bowel habit (p <0.001) while older patients mostly presented with per rectal bleeding (p< 0.008). Conclusions: In this study, colorectal cancer at younger ages showed similar characteristics to those of older patients except altered bowel habit was more common in younger patients while per rectal bleeding was more common in older patients. Although colorectal cancer incidence increases with age, younger patients with altered bowel habits, weight loss, anemia and anorexia should also be given due medical attention and undergo evaluation promptly. Keywords: Carcinoma; Colon; Per rectal bleeding; Younger group.
dc.identifier.doihttps://doi.org/10.31729/jnma.3113
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7768
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectCarcinoma
dc.subjectColon
dc.subjectPer rectal bleeding
dc.subjectYounger group
dc.titleColorectal cancer in different age groups in a tertiary hospital in Nepal
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage206
oaire.citation.startPage203
relation.isJournalIssueOfPublication67f4f287-6893-47e1-b45e-2cf1554665ce
relation.isJournalIssueOfPublication.latestForDiscovery67f4f287-6893-47e1-b45e-2cf1554665ce
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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