Ram Ratan Yadav1, Pankaj Saxena2, P. K. Bhatnagar3, Rita Saxena4, Shivcharan Navariya5, Pankaj Porwal6
ABSTRACT: Colorectal Carcinoma is most common malignancy in GIT, 3rd most common after lung and Breast.(1) These patients commonly present with altered bowel habits, bleeding PR, pain, lump abdomen.(2) In the present study 245 cases from west Rajasthan over a period of 26 months were studied for Age, Sex, Clinical presentation, Investigation, Subsequent management, Complication and Follow-up. Peak incidence of disease is in 6th decade of life with M/F ratio 1.8:1. Most common presentation was altered bowel habits. Most patients presented in advanced Duke’s C with moderately differentiated Adenocarcinoma. CEA levels were <5 ng/mL. Preoperative surgical feasibility for curative resection was present in 64.44% pts. CEA level is good indicator to monitor recurrence of the disease. Surgery is the mainstay of the treatment. There is a role of adjuvant chemotherapy in all cases of colorectal cancer. Follow-up study is mandatory in all patients for early management of recurrent disease.