Colorectal Cancer in Bangladesh: Demographic Details, Risk Factors, Diagnosis & Treatment Patterns

Abstract

Colorectal cancer is the 3m most common cancer in both male & female in the world. Colorectal patients are also increasing in Bangladesh. In our study it was found that out of 31 patients 87.1% were male & 12.9% were female. Most of the patients (32.26%) were in age range between 31-40 years & 83.87% were married. It was observed that 90.32% patients were Muslim & 48.38% were coming from sub-urban area. Most of the patients were s.s.c. or less (41.94%) educated & 58.06% patients were coming from lower middle class family where as 45.16% patients were non-smoker. It was found that Stage I patients were 77.42% & 100% patients had hepatic & renal abnormality. Most of them were loss weights (83.9%) & 61.29% of patients skin color were changed after affecting colorectal cancer. In all case (100%) patients were diagnosis by Digital rectal exam (DRE) , Fecal occult blood test (FOBT), Sigmoidoscopy & Colonoscopy. The most important risk factors were history of ulcerative colotis(28.56%), diet(25%), polyps(l7.86%) etc. The sign and symptoms included decrease appetite (11.15%), feeling of incomplete defecation (11.15%), fever (10.77%), weight loss (10%) etc. The patients were treated with antipsychotic agents (46.1 %), antibiotics (26.6%), antiulcerents (24.8%) & anticancer drugs (5.5%). Anticancer drugs were given only those patients who were in Stage II to Stage IV. In Bangladesh the colorectal cancer diagnosis & treatment patterns are not like as developed countries. For this cause, there are so many patients are died without diagnosis the disease. Illiteracy also helps to increase the death rate.