Özet:

Aim: Most of the colorectal cancers develop on a pre-existing polyp background. With the widespread use of screening tests, mortality of colorectal cancers has been shown to decrease. Our aim in this pilot study is to screen individuals according to risk groups in colorectal cancers and to obtain data that will lead in the establishment of community-based information and screening programs in this direction. Method: Between October 2004 and February 2008, 358 people underwent colonoscopy for the purpose of screening. Individuals who had a family history of colorectal cancer or polyp, who had a history of colorectal polyps, and who were over the age of 40 years and wanted to voluntarily participate in the screening program although there were no risk factors were classified as average, low, medium and high risk groups. Individuals with a history of colorectal cancer and inflammatory bowel disease were excluded from the study. Results: As a result of the screening, polyps were detected in 104 (29.1%) people, and masses with malignant appearance in 9 (2.5%) people. Histopathological evaluation revealed adenomatous polyp in 67 (18.7%) individuals, inflammatory polyp in 26 (7.3%) patients, malignant polyp in 11 (3.1%) patients, and invasive cancer in 9 (2.5%) patients (n=358). Conclusion: Although the results of this pilot study do not reflect the whole society, the frequency of colorectal polyp and cancer is high in our country. In colorectal cancers, it is possible to cure the disease curatively with screening and early diagnosis before the development of cancer. In this regard, the society should be made more conscious and screening programs should be expanded.

Anahtar Kelimeler: