Introduction: the colic cancer constitutes a problem of public health in the Western countries, with mortality and high incidence rates. In our context, the real importance of this affection is badly evaluated, from where the interest of studies of hospital series making it possible to make an approach of it
Materials and methods: It is about a retrospective study on 63 cases of colic cancers at the service of surgery of HMMI Meknes, over one 5 years period going from 2009 to 2013
Results: The annual incidence of the cases of colic cancers hospitalized with the service is estimated at 12 +/- 3,4 patients/year.The mean age of our patients was of 45,36 years, with the extreme ones going from 21 to 81 years, with a sex ratio man/woman of 1,4.The duration of evolution of functional symptomatology before the discovery of cancer was of 11 months.The principal clinical signs were the abdominal pain (76,1%), AEG (65%), disorders of transit (58,7%), rectorragies (52,3%). An abdominal mass was found with the clinical examination at 29% of the patients. Our patients has had various explorations, among which: the coloscopy which was carried out in 49,2% of the cases, the rectosigmoidoscopy carried out in 17,4% of the cases, the rectal injection baryta in 61,9%, and abdominal echography in 90% of the cases. These cancers interested the right colonist (38%), the transverse colonist (5%), the left colonist (47%), and the recto-sigmoidian junction (10%). One of our patients had rectal cancer associated colic cancer. The adenocarcinoma prevailed in our series with 92%, the other histological types were represented by: the LMNH (2%), neuro-endocrine carcinoma (4%) and little differentiated carcinoma (4%). The operability was 95, 2%, while the resecability was to 85%. 5% of the operated patients had profited from exploring laparotomy, while 10% of the operated patients had profited from derivations. The curative resections were 40 is a percentage of 80% versus 10 palliative resections (20%). Mortality in our series was 3% and morbidity was 15%. 6 patients (12, 2% of the patients who had surgical resections) had presented locoregional repetitions and 5 patients had presented general repetitions. Total survival, all confused stages, is 88, 4% to 1 year, from 76, 4% to 3 years and from 72,8% to 5 years
Discussion: The cancer of the colonist is distinguished primarily in our series, by its appearance at relatively young subjects (23, 8% the patients were old less than 40 years) and by the delay diagnosis
Conclusion: the assumption of responsibility of the cancer of the colonist must be multidisciplinary and must be well codified. The early tracking is to be promoted, in order to be able to carry out a curative surgical resection at a stage still limited of the disease, thus allowing an improvement in term of prognostic