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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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| Česky / Czech version | Vnitř. Lék., 48, 2002, No. 10, p. 962 - 965 |
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Screening for Colorectal Carcinoma in the Region Surrounding the City of Frýdek-
Místek Between 1999 - 2001 Urban O.1, Chalupa J.1, Řeha P.1, Örhalmi J.2, Hájek A.2, Paiger K.3,Vašutová I.4, Garčic A.5, Bubeník B.6 1Interní oddělení Nemocnice, Frýdek-Místek, přednosta prim. MUDr. Vladimír Mrózek 2Chirurgické oddělení Nemocnice, Frýdek-Místek, přednosta prim. MUDr. Zdeněk Závěšický 3Ambulance digestivní endoskopie, Frýdek-Místek, vedoucí lékař MUDr. Karel Paiger, CSc. 4Oddělení klinické biochemie Nemocnice, Frýdek-Místek, přednosta prim. RNDr. Irena Vašutová 5Privátní biochemická laboratoř při Poliklinice, Frýdek-Místek, vedoucí lékař RNDr. Antonín Garčic 6Privátní Hematologická a biochemická laboratoř, Frýdek-Místek, vedoucí lékař MUDr. Boris Bubeník |
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Summary: The results of the colorectal carcinoma screening project in the region of Frýdek-Místek for the
period of 1999 - 2001 are presented here. Of the 225 patiens diagnosed with carcinoma, 9 of the
cases (4 %) were detected using the fecal occult bleeding test. Of 1000 people tested, a factor of 2.9
patients with carcinoma and 12.5 patients with adenomatous polyps were diagnosed, with 7.3 %
test positivity. A statistically significant shift has been noted to detection in earlier stages of the
disease (p = 0.05). From 49 - 53 % of the patients operated on in the period of 1999 - 2001 had their
tumors in the stage A or B according to Dukes, a 13 - 17 % increase over the year of 1998. This
shift was due above all to educating the local population.
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