Baseline demographics, endoscopic findings and histopathology were recorded and evaluated using Pearson’s chi-square. Results: Nineteen patients (15.8%) were categorized
as early-onset CRC while 101 patients (84.2%) were late-onset. The incidence of early-onset CRC was estimated at 1.2%; and late-onset CRC at 3.2%. No gender predilection this website was noted (p-value 0.184). Rectal bleeding was the most common chief complaint for both early-onset and late-onset colorectal cancer. Early-onset cancers were well-differentiated adenocarcinoma (52.6%) followed by mucinous adenocarcinoma (21.1%). Well-differentiated adenocarcinoma in the late-onset group was observed in 57.4% followed by high-grade dysplasia in the
background of adenoma (19.8%). There was a statistically significant difference in the histology in both groups (p-value 0.006). Conclusion: Early-onset cancers were predominantly well-differentiated adenocarcinoma followed by mucinous adenocarcinoma compared to late-onset cancers with well-differentiated adenocarcinoma followed by high-grade dysplasia. No significant difference was seen as to gender predilection, site of involvement and presence of synchronous lesions. Key Word(s): 1. colorectal cancer; Table 1. Characteristics of Early- and Late-Onset CRC Characteristic Early-Onset (n=18) Late-Onset (n=101) p-value N % N % Age, mean ± SD 44 ± 5.37 68 ± 10.9 Sex Female 11 55.5 44 43.6 0.184 Male 8 44.4 57 56.4 Location Cecum 0 0 8 7.9 0.371 Ascending MLN0128 clinical trial 0 0 11 10.9 Transverse 1 5.3 7 6.9 Descending 0 0 7 6.9 Sigmoid 6 31.6 21 20.8 Rectosigmoid 3 15.8 20 19.8 Rectal 9 47.4 27 26.7 Histopathology Adenocarcinoma Well-differentiated 10 52.6 58 57.4
0.006 Moderate 2 10.5 6 5.9 Poor 0 0 3 3.0 Intramucosal AdenoCa 1 5.3 12 11.9 Adenoma with dysplasia 0 0 High-grade 2 10.5 20 19.8 Low-grade 0 0 1 1.0 Mucinous AdenoCa 4 21.11 ASK1 1 1.0 Presence of polyps on multiple locations Yes 7 38.8 47 46.5 0.464 No 11 61.1 54 53.5 Two sites of cancer Yes 1 5.5 6 5.9 1.000 No 17 94.4 95 94.1 Presenting Author: RONA MARIEAGUILAR ATA Corresponding Author: RONA MARIEAGUILAR ATA Affiliations: Makati Objective: Current data on the prevalence of colorectal neoplasia in the country are lacking. The objectives of the present study are: to determine the prevalence of colorectal polyps and colorectal neoplasia among patients undergoing first-time colonoscopy; and to determine the distribution patterns and risk factors associated with colorectal neoplasia. Methods: A cross-sectional analysis of patients undergoing first-time colonoscopy was performed. Demographic, clinical, endoscopic and histopathologic data were recorded. Data analysis was done using frequencies and percentages Logistic regression analysis was used to determine the risk factors associated with the presence of colonic polyps.