Colorectal Carcinoma: Diagnostic Role of Colonoscopy

Background & Aim: Colorectal carcinoma (CRC) is a leading cause of death in the world. It is 2nd most common cancer in Men & 3rd most common cancer in Women in the West. Colorectal carcinoma is more common in Developed countries. We have analyzed diagnostic role of colonoscopy in colorectal carcinoma. Methods: Patients admitted to General Surgery Department & Gastroenterology Department of SCB Medical College , Cuttack during a period of 4 years from 2012 to 2016 . A total of 840 cases of carcinoma admitted to this hospital are considered. Results: Majority constituted cauliflower (Papilliferous) type lesions i.e. 53% and tabular lesions in 40% of cases of colorectal cancer while , tubular variety of lesions was more in rural population of the country who usually seek medical advice late and thus annular variety growing to tubular variety finds scope during efflux of time. In the present study, grade I(averagely differentiation) was 75% and poorly differentiation (grade III) was 20% and grade I (well differentiation) was only 5%. Conclusion: 'Colonoscopy can be considered as gold standard for diagnosis of colorectal carcinoma.