Læknablaðið - 15.06.1996, Síða 28

LÆKNABLAÐIÐ 1996; 82
454
Fig. 1. The number ofright and left colon cancer in Landspít-
alinn University Hospital (1980-1992).
<1 1-4 4-12 12-24 24-48 >48
Weeks
Fig. 2. Timefrom ihe onset of symptoms until the diagnosis of
colon cancer patients in Landspítalinn (1980-1992).
Table IV. The symptoms of!68 patients diagnosed with colonic carcinoma at Landspítalinn University Hospital 1980-1992*
Main symptoms Right n=104 (%) Left n=64 (%)
General symptoms
Anemia 61 (59) 8 (13)
Weight loss 23 (22) 14 (22)
Fever 12 (12) 9 (14)
Bulk 2 (2) 2 (3)
G-i tractsymptoms
Abdominal pain 60 (58) 37 (58)
Bleeding total 38 (37) 42 (66)
Fresh blood in stools 15 (14) 24 (38)
Rectal bleeding 9 0) 12 (19)
Dark stools 8 (8) 4 (6)
Melena 6 (6) 2 (3)
Change in bowel habits-total 48 (46) 35 (55)
Constipation 22 (21) 10 (16)
Diarrhoea 16 (15) 17 (27)
Unregular stools 6 (6) 3 (5)
Altered consistence 3 (3) 5 (8)
Other
Intestinal obstruction 12 (12) 12 (19)
Hematuria 0 (0) 2 (3)
Polyurea 0 (0) 1 (2)
* Patients can have more than one symptom.
Mynd 2 sýnir tímalengd frá upphafi ein-
kenna til greiningar. Einkenni fyrir greiningu
lengur en í þrjá mánuði höfðu 59 sjúklingar
(38%) en 35 (23%) lengur en sex mánuði.
Sautján greindust innan viku frá upphafi ein-
kenna (11%). Ekki reyndist munur á tímalengd
einkenna hjá sjúklingum með hægri og vinstri
ristilkrabbamein.
Fjarmeinvörp (meinvörp utan skurðsvæðis)
við greiningu höfðu alls 46 sjúklingar (26%)
(tafla V) og voru þau algengust í lifur eða hjá
36 sjúklingum. Meinvörp í eitlum eingöngu
(Duke’s C) hafði 51 sjúklingur (29%). Af sjúk-
Table V. Distant metastasis in patients diagnosed with colonic
carcinoma at Landspítalinn University Hospital 1980-1992. *
Localization n=46
Liver" 36
Retroperitoneum 7
Omentum 6
Lungs 5
Small bowel 4
Spleen 2
Ovaries 2
Bone 2
Other*** 2
* Patients can have mets in more than one system.
** 34 patients with more than one liver mets.
*** Uterus (n=1), muscle (n=1).