Video Endoscopy of Adenocarcinoma of the Colon Cecal carcinoma has been associated with a poorer prognosis than other colon carcinomas because of the presumed longstanding obscure symptoms. Epidemiology • Colorectal carcinoma is a disease of the older population except for people with hereditary non-polyposis and polyposis syndromes or chronic inflammatory bowel disease • The male/female ratio for rectal carcinoma is 2/1 while the male/female ratio of right sided lesions is 1/1 • The remarkably higher incidence in more affluent countries and the change in incidence in migrants to the area of migration suggests a strong environmental affect which most studies relate to high dietary fat, low fiber and high refined carbohydrates.
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