Rerknimitr R, Ratanapanich W, Kongkam P, Kullavanijaya P. Differences in characteristics of colorectal neoplasm between young and elderly Thais. World J Gastroenterol 2006; 12(47): 7684-7689 [PMID: 17171800 DOI: 10.3748/wjg.v12.i47.7684]
Corresponding Author of This Article
Rungsun Rerknimitr, MD, Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand. rungsun@pol.net
Article-Type of This Article
Rapid Communication
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World J Gastroenterol. Dec 21, 2006; 12(47): 7684-7689 Published online Dec 21, 2006. doi: 10.3748/wjg.v12.i47.7684
Table 1 General characteristics of patients
Characteristic
Men
Women
Total
n
788
1034
1822
Mean age (yr)
56.4
56.7
56.6
Age range (yr)
14-91
14-100
14-100
Table 2 Age groups and colonoscopic findings
Colonoscopic
Younger age group
Older age group
Total
finding
(< 60 yr) (%)
(≥60 yr) (%)
n
%
Normal
42.9
33.6
704
38.6
Colorectal polyps
12.8
25.2
337
18.5
-colorectal adenoma
7.0
14.0
185
10.5
-nonadenoma
5.8
11.2
152
8.0
Colorectal cancer
5.1
7.1
109
6.0
IBD
2.4
1.0
33
1.8
Other diagnoses
36.8
33.0
639
35.1
Total (%)
100
100
100
N
989
833
1822
Table 3 Age groups and site distribution of “colorectal malignancy related lesions”
Cancer site
Younger age group
Older age group
Total
(< 60 yr) (%)
(≥60 yr) (%)
n
%
Right-sided
37.5
39.3
115
38.6
adenoma
20.3
29.1
75
24.7
cancer
17.2
10.2
40
13.7
Left-sided
62.5
60.7
180
61.4
adenoma
38.7
37.1
110
37.9
cancer
23.8
22.9
70
23.5
Total (%)
100
100
-
100
N
120
175
295
-
Table 4 Locations of colorectal malignancy related lesions and indication for colonoscopy in elderly patients
Indication
Right-sided
Left-sided
Total
lesions (%)
lesions (%)
n
%
Anemia
20.0
18.5
34
19.1
Abnormal radiography
4.3
0.9
4
2.2
Bowel habit change
41.4
29.6
61
34.3
Family history
5.7
1.9
6
3.4
Stool occult blood positive
1.4
5.6
7
3.9
Abdominal mass
2.9
6.5
9
5
Abdominal pain
2.9
6.5
9
5
Hematochezia
5.7
22.2
27
15.7
Check-up
12.9
5.6
13
8.4
Weight loss
2.9
2.8
5
2.8
Total (%)
100
100
100
N
69
106
175
Table 5 Cancer staging by age groups
Cancer
Younger age group
Older age group
Total
staging
(< 60 yr) (%)
(≥60 yr) (%)
n
%
Duke A
14.3
13.6
15
13.9
Duke B
46.9
40.7
47
43.5
Duke C
8.2
23.7
18
16.7
Duke D
30.6
22.0
29
25.9
Total (%)
100
100
100
N
50
59
109
Citation: Rerknimitr R, Ratanapanich W, Kongkam P, Kullavanijaya P. Differences in characteristics of colorectal neoplasm between young and elderly Thais. World J Gastroenterol 2006; 12(47): 7684-7689