TREATMENT OF COLORECTAL CANCER A MALAYSIAN EXPERIENCE
Keywords:
colorectal cancer, epidemiology, radiotherapy, chemotherapy, recurrence, crude survivalAbstract
Three hundred and twenty patients with colorectal cancer who had undergone treat- ment in the Institute of Radiotherapy and Oncology, Hospital Kuala Lumpur between 1986 and 1994 were analysed. Patients with tumours of the rectum or rectosigmoid colon made up the largest group (62.5%). Dukes' A disease (1.9%) appeared to be underrepresented while the proportion of patients (11.6%) under the age of 40 years was higher than other studies. The largest racial group in this series was Chinese (61.9%).
Treatment with surgery, radiotherapy and chemotherapy together with the difficulties involved was discussed. The highlights were the lack of serious toxicity of chemotherapy even when used in combination with radiotherapy. The patterns of treatment have been influenced largely by the late stage at presentation, the practical considerations in the popu- lation as well as the available resources.
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