Relationship Between Family History, Bloody Stool, Palpable Mass, Anemia and MSCT Abdomen and Kolon Carsinoma Cross-Sectional Study at Dr.Kariadi General Hospital in 2016

Ricat Hinaywan Malik*  -  Department of Medical Services, Sultan Agung Islamic Hospital/ Faculty of Medicine, Sultan Agung Islamic University, Semarang, Indonesia, Indonesia
Winarto Winarto  -  Department of Microbiology & Eyes, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia, Indonesia
Selamat Budijitno  -  Department of Surgical Oncology, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia, Indonesia
Udadi Sadhana  -  Department of Pathology Anatomy, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia, Indonesia
Yan Wisnu Prajoko  -  Department of Surgical Oncology, Dr. Kariadi Hospital/Faculty of Medicine, Diponegoro University, Semarang, Indonesia, Indonesia

(*) Corresponding Author

Background: Colon cancer, a colorectal cancer, is the third most common epithelial malignancy in the world. Family history, bloody stool, palpable mass, anemia, and abdominal MSCT are symptoms and signs of colon carcinoma.

Objective: To determine the relationship between the 5 variables and the incidence of colon carcinoma at Dr. Kariadi Hospital, Semarang in 2016.

Methods: a Cross-sectional observational analytical study using medical record (RM) and complementary primary data. The inclusion criteria were
the complete medical record, and clinical diagnosis of suspected colon carcinoma. Data obtained from the department of Anatomy Pathology/PA (11,794PA results) were traced to the medical record section (46 patients with suspected colon carcinoma). The incomplete data were confirmed by: contacting the patient/family, obtaining the archive in the laboratory and radiology resulting in 27 patients meeting the inclusion criteria. Analysis was done using chi-square test, Spearman-Kendall bivariate correlation, and logistic regression.

Results: Abdominal MSCT was moderately associated with colon carcinoma (p = 0.003; r = 0.488), while family history, bloody stool, palpable mass, and anemia were not associated with colon cancer. Analysis between predictors of outcome: Bloody stool was moderately associated with anemia (p = 0.006; r = 0.411), and anemia was weakly associated MSCT (p = 0.035; r = 0.351). Abdominal MSCT was the predictive factor for colon carcinoma (p = 0.021).

Conclusion: Abdominal MSCT was found to be associated with the incidence of colon carcinoma. Bloody stool was associated with anemia, and anemia was associated with abdominal MSCT. MSCT was the predictive factor for colon cancer.

Keywords : predictors;diagnosis;family history;bloody stool;palpable mass;anemia;MSCT abdomen;colon carcinoma

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