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Issue: No. 98 (2026): CHÀO MỪNG NGÀY KHOA HỌC, CÔNG NGHỆ VÀ ĐỔI MỚI SÁNG TẠO VIỆT NAM NĂM 2026
Section: Article
DOI: 10.58490/ctjump.2026i98.4595
Date Published: 25/05/2026
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Tran, N. Y., Mai, V. D., Nguyen, V. T., Nguyen, V. H., Doan, T. M., & Pham, V. N. (2026). CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH SIGMOID COLON CANCER AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL. Cantho Journal of Medicine and Pharmacy, 98, 22-29. https://doi.org/10.58490/ctjump.2026i98.4595

CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH SIGMOID COLON CANCER AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Nhu Y Tran1, Van Doi Mai1, , Van Tuan Nguyen1, Van Hien Nguyen1, Tien My Doan2, Van Nang Pham1
1 Can Tho University of Medicine and Pharmacy
2 Cho Ray Hospital

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Abstract

Background: Colorectal cancer is one of the most common malignancies and a leading cause of cancer-related mortality. Among colonic cancers, sigmoid colon cancer is a frequent site, accounting for approximately 25-36% of cases. Diagnosis is based on clinical manifestations, imaging findings, and histopathology. Objective: To investigate the clinical and paraclinical characteristics of patients with sigmoid colon cancer at Can Tho University of Medicine and Pharmacy Hospital from 2024 to 2026. Materials and methods: A prospective descriptive caseseries study was conducted on 47 patients with sigmoid colon cancer treated at Can Tho University of Medicine and Pharmacy Hospital from April 2024 to January 2026. Results: The male-to-female ratio was 1.24:1. The mean age was 62.64 ± 11.65 years. Weight loss was observed in 36.17% of patients, anemia in 34.04%, and elevated CEA levels in 42.55%. Abdominal ultrasonography detected tumors in 40.43% of cases, including 4.26% with suspected metastatic lymph nodes. Colonoscopy revealed fungating lesions in 74.47% of patients. On computed tomography, tumors were located in the sigmoid colon in 87.23% and at the rectosigmoid junction in 12.77%; T3 lesions accounted for 42.55%. Preoperatively, adenocarcinoma was confirmed in 100% of cases, and stage III disease was recorded in 78.72%. Conclusion: Sigmoid colon cancer commonly occurs in older adults and is often diagnosed at an advanced stage. Hematochezia, abdominal pain, and weight loss are prominent clinical features at this stage. 

Keywords

Sigmoid colon cancer, clinical symptoms, pathology

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