CLINICAL EVALUATION OF QUESTIONAIRE AS A SCREENING FILTER OF COLON CANCER IN EARLY STAGE

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Recently according to the change of our manners and customs and the improvement of colon diagnostics, several colon diseases such as ulcerative colitis, cancer, Crohn's disease and so on have been increasing in Japanese as in American and European. Therefore, the early detection of these colon diseases, especially cancer, must be necessary, and several new approaches have been performed in our clinic. One of the most important techmique for the screening of colon cancer is analysis of complaints caused by colon diseases.A new questionaire including 25 kinds of question of their symptoms was given to 304 subjects regardless to their complaints and then radiological and/or endoscopical examinations were carried out. Final diagnosis of these 304 subjects were advanced cancer, 53, benign polyp, 45, hemorrhoid, 24 and normal subject, 182.The results obtained by this questionaire were as follows:1) Patients with colon cancer were easily differentiated from normal subject, but not from hemorrhoid.2) Some complaints such as narrow stool, abdominal tumor, anal bleeding, weight loss were much higherly seen in the patients with colon cancer.3) Symptoms of slight abdominal pain and abdominal tumor were specific in the patients with distal colon cancer, and symptoms of anal bleeding, with proximal colon cancer.4) Patients with benign polyp were not differentiated from normal subjects and they were difficult to be screen out by this questionaire.As the questionaire was not enough to screen out polyp or colon cancer in its early stage, it is emphasized that the screening radiological and/or endoscopical examinations should be performed regardless to their complaints.
財団法人日本消化器病学会の論文

CLINICAL EVALUATION OF QUESTIONAIRE AS A SCREENING FILTER OF COLON CANCER IN EARLY STAGE

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