Research Article

Synchronous Tumours Of Colon And Rectum

  • Tamer Akça
  • Ahmet Dağ
  • Tahsin Çolak
  • Mehmet Çağlıkulekçi
  • Musa Dirlik
  • Ethem Şahan

Turk J Colorectal Dis 2010;20(4):166-171

OBJECTIVE:

Synchronous colorectal tumours (SCT) are rare lesions. When these tumours are detected, operative strategy and postoperative follow-up protocols must be altered. The aim of this study is to present features of patients with SCT. METHODS: Gender, age, presentation, duration of symptoms, diagnostic techniques, location and number of tumour, surgical techniques, histopathology, stage of tumour and duration of survival evaluated.

METHODS:

Gender, age, presentation, duration of symptoms, diagnostic techniques, location and number of tumour, surgical techniques, histopathology, stage of tumour and duration of survival evaluated.

RESULTS:

There was 10 male, 3 female patients with ages between 46-92 years old. Diagnoses had been made in the preoperative period in nine patients and during surgery in four patients. Two SCT were detected in 11 patients, 3 SCT were detected in 2 patients and metastasis to liver was detected in 4 patients. All patients were treated with various types of colon resection. Metastatectomy were added in 3 patients. Nine patients died in postoperative second, forth, sixth and ninth month. Five patients survived between 1 to 53 months.

CONCLUSION:

Complete preoperative evaluation in order to detect synchronous tumours is very important in patients admitted with colorectal tumours. If this cannot be achieved, we think that careful exploration during surgery, selection of appropriate surgical method and strict follow-up after surgery are very important measures in the treatment of these patients

Keywords: Colon, Colonoscopy, Rectum, Synchronous tumour