Colorectal cancers of rare histologic types compared with adenocarcinomas

To examine clinical characteristics of colorectal cancers of rare histologic types compared with adenocarcinomas. Review of a population-based registry with complete ascertainment. There were 7,422 colorectal cancers, 4,900 (66 percent) colonic and 2,522 (34 percent) rectal. Two hundred fifty-five c...

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Veröffentlicht in:Diseases of the colon & rectum 1994-12, Vol.37 (12), p.1277-1280
Hauptverfasser: DISARIO, J. A, BURT, R. W, KENDRICK, M. L, MCWHORTER, W. P
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container_end_page 1280
container_issue 12
container_start_page 1277
container_title Diseases of the colon & rectum
container_volume 37
creator DISARIO, J. A
BURT, R. W
KENDRICK, M. L
MCWHORTER, W. P
description To examine clinical characteristics of colorectal cancers of rare histologic types compared with adenocarcinomas. Review of a population-based registry with complete ascertainment. There were 7,422 colorectal cancers, 4,900 (66 percent) colonic and 2,522 (34 percent) rectal. Two hundred fifty-five cancers (3 percent) were of nonadenocarcinoma varieties including 75 (33 percent) squamous, 74 (33 percent) malignant carcinoids, 37 (16 percent) transitional cell-like, 25 (11 percent) lymphomas, 9 (4 percent) sarcomas, and 2 (0.9 percent) melanomas. Sixty (1.2 percent) of the colon cancers occurred in the appendix, and proportionately more carcinoids accounted for these tumors. Compared with adenocarcinomas, colonic and rectal carcinoids and colonic lymphomas accounted for a larger proportion of cancers in the younger age groups. The elderly had proportionately fewer colonic carcinoids. Colonic carcinoids, rectal squamous-cell cancers, and rectal transitional cell-like cancers were more common in women. Colonic lymphomas had a worse prognosis than adenocarcinomas. Survival was better with colonic and rectal carcinoids and rectal transitional cell-like cancers than with adenocarcinomas. Colorectal cancers of histologic varieties other than adenocarcinoma have distinctive epidemiologic and clinical traits.
doi_str_mv 10.1007/BF02257796
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Compared with adenocarcinomas, colonic and rectal carcinoids and colonic lymphomas accounted for a larger proportion of cancers in the younger age groups. The elderly had proportionately fewer colonic carcinoids. Colonic carcinoids, rectal squamous-cell cancers, and rectal transitional cell-like cancers were more common in women. Colonic lymphomas had a worse prognosis than adenocarcinomas. Survival was better with colonic and rectal carcinoids and rectal transitional cell-like cancers than with adenocarcinomas. 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Sixty (1.2 percent) of the colon cancers occurred in the appendix, and proportionately more carcinoids accounted for these tumors. Compared with adenocarcinomas, colonic and rectal carcinoids and colonic lymphomas accounted for a larger proportion of cancers in the younger age groups. The elderly had proportionately fewer colonic carcinoids. Colonic carcinoids, rectal squamous-cell cancers, and rectal transitional cell-like cancers were more common in women. Colonic lymphomas had a worse prognosis than adenocarcinomas. Survival was better with colonic and rectal carcinoids and rectal transitional cell-like cancers than with adenocarcinomas. Colorectal cancers of histologic varieties other than adenocarcinoma have distinctive epidemiologic and clinical traits.</description><subject>Adenocarcinoma - epidemiology</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoid Tumor - epidemiology</subject><subject>Carcinoma, Squamous Cell - epidemiology</subject><subject>Carcinoma, Transitional Cell - epidemiology</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - mortality</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. 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Abdomen</topic><topic>Humans</topic><topic>Lymphoma - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melanoma - epidemiology</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Sarcoma - epidemiology</topic><topic>Sex Distribution</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Survival Rate</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DISARIO, J. A</creatorcontrib><creatorcontrib>BURT, R. W</creatorcontrib><creatorcontrib>KENDRICK, M. L</creatorcontrib><creatorcontrib>MCWHORTER, W. 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P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colorectal cancers of rare histologic types compared with adenocarcinomas</atitle><jtitle>Diseases of the colon &amp; rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>1994-12-01</date><risdate>1994</risdate><volume>37</volume><issue>12</issue><spage>1277</spage><epage>1280</epage><pages>1277-1280</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>To examine clinical characteristics of colorectal cancers of rare histologic types compared with adenocarcinomas. Review of a population-based registry with complete ascertainment. There were 7,422 colorectal cancers, 4,900 (66 percent) colonic and 2,522 (34 percent) rectal. 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source MEDLINE; Springer Nature - Complete Springer Journals; Journals@Ovid Complete
subjects Adenocarcinoma - epidemiology
Adult
Age Distribution
Aged
Biological and medical sciences
Carcinoid Tumor - epidemiology
Carcinoma, Squamous Cell - epidemiology
Carcinoma, Transitional Cell - epidemiology
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - mortality
Colorectal Neoplasms - pathology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Lymphoma - epidemiology
Male
Medical sciences
Melanoma - epidemiology
Middle Aged
Retrospective Studies
Sarcoma - epidemiology
Sex Distribution
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Survival Rate
Tumors
title Colorectal cancers of rare histologic types compared with adenocarcinomas
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