Published: 2021-10-28

Pattern of colorectal cancers at tertiary rural hospital in Central India

Tushar S. Khachane, Sangram Karandikar


Background: In India the incidence of colorectal cancers is moderate to low but the five year survival of colorectal cancers in India is one of the lowest in the world. The poor survival rate warrants the assessment of reasons. Population based data is available only from few regions in India. Hospital based data may give a crude idea regarding the cancer distribution in the respective areas.

Methods: The present study was carried out at a tertiary rural hospital in central India. A total of 216 cases of primary malignant tumors of colon and rectum presenting over a period of 10 year interval from 1994 to 2004 were analyzed for demographic and clinical presentation.

ResultsThe peak incidence of cancer of colon and rectum was in 7th and 6th decade respectively. The M: F ratio was found to be 1.6: 1 for colorectal cancers combined. The mean age of presentation was 50.6 years. 25% patients with colorectal cancers were below age of 40 years. 48.3% patients with cancer of colon and 79.5% with cancer of rectum had locoregional disease, while 38.2% and 15.7% had distant spread respectively.

Conclusions: Rectal cancer was found to be much commoner than colonic cancer supporting the case of independent etiologies. The incidence of colorectal cancer in young patients was high. Disease confined to the primary organ when the patient is first treated was very low.


Colorectal, Cancer, Demographic

Full Text:



Torre LA, Bary F, Siegel RL, Ferlay J, Lortet-tieulent J, Jemal A. Global cancer statistics, 2012. CA a Cancer J Clin. 2015;62(2):87-108.

Allemani C, Weir HK, Carreira H, Harewood R, Spika D, Wang XS, et al. Global Surveillance of cancer survival 1995 - 2009 : analysis of individual data for 25,676,887 patients from 279 population - based registries in 67 countries (CONCORD-2). Lancet. 2015;385:977-1010.

Three year report of the population based cancer registries: 2009 – 2011. Available at: 2011/ALL_CONTENT. Accessed on 12 August 2021.

Corman ML, Swinton NW, Kafe DDO. Colorectal Carcinoma at the Lahey Clinic 1962-1966. Am J Surg. 1973;424-8.

Falterman KW, Hill CB, Morkey JC, Fox JW, Cohn I. Cancer of the colon, rectum, and anus: A review of 2313 cases. Cancer. 1974;34:951-9.

Mc Dermott FT, Hughes ESR, Johnson WR, Price AB. Local recurrence after potentially curative resection for rectal cancer in a series of 1008 patients. Br J Surg. 1985;72:34-7.

Leena Devi KR, Suvarna N Pattern of Gastrointestinal Tumours in North Kerala. Indian J Cancer. 1980;17:159-60.

Tahiyani NDA, Goel TC, Dubey PC. Colorectal carcinoma in young patients. Indian J Surg. 1978;192-4.

O'Connell JB, Melinda A, Magyend, Livingaston EH, Yo CK. Colorectal cancer in the young. Am J Surg. 2004;187:343-8.

Goligher J. Surgery of the Anus Rectum and Colon. 5th Edition. 1999;1:426.

Parkin DM, Whelan SL, Ferlay J, Raymond L, Yound J. Cancer incidence in five continents Volume 7. Lyon International Agency for Research on Cancer. 1997.

Dinshaw KA, Rao DN, Shroff PD. Hospital Cancer Registry: Annual report 1994. Mumbai. Tata Memorial Hospital. 1997.

Abrams JS, Elective resection for colorectal cancer in Vermont: 1971-1975. Am J Surg. 1980;139:78-82.

Mohandas KM, Desai DC. Epidimiology of digestive tract cancers in India. Indian J Gastroenterol. 1999;18:118-21.

Umpleby HC, Williamson RCN. Carcinoma of the large bowel in the first four decades. Br J Surg. 1984;71:272-7.

Goligher J. Surgery of the Anus Rectum and Colon. 5th Edition. 1999;1:434-7.

Dutton JW, Hreno A, Hampson LG. Mortality and prognosis of obstructing carcinoma of the large Bowel. Am J Surg. 1976;131:36-40.

O'hman U. Prognossi in patients with obstructing colorectal carcinoma. Am J Surg. 1982;143:742-7.