Epidemiology of Colonic Cancer in Baghdad City, Iraq

Aims: Colonic carcinoma is the most commonly diagnosed cancer-related morbidity and mortality worldwide with high mortality. It is the third most common among all cancer types. This study aimed to evaluate the correlation among various colonic subset distributions, their stages, grade, surgical management, and complication of colonic carcinoma. Materials Methods: This prospective study was conducted at Gastroenterology and Hepatology teaching hospital, in Baghdad, Iraq, from November 2014 to February 2016. 74 patients (43 males and 31 females) were selected. All specimens were sent for a histopathology examination. The data from physical examination, investigations, and operatives were used in the Duke’s staging system. The collected data were analyzed in SPSS 19 software. Findings: The male-to-female ratio was found to be 1.38:1 a peak age of incidence in the seventh decade. Both showed the maximum incidence numbers after 50 years of age. The main presenting symptom was abdominal pain 70%. The mean period between the onset of presenting symptoms and the final diagnosis was 7 months. The most common sites were recto-sigmoid junction (22.9%) forty eight had a high grade differentiated and 41% were Duke’s B2. Conclusion: Males are more prone to get CC than females between 50 and 60 years. Right colon cancer is more prevalent in Iraqi patients.