title: Pediatric carcinoma of rectum--Varanasi experience.
abstract: BACKGROUND
  Primary gastrointestinal system malignancies constitute approximately 2% of pediatric neoplasm and of these; colorectal carcinoma is the second most common malignancy. This is one of the rarer diseases in children.
  
  
  OBJECTIVE
  We reviewed our records to study the clinical features, outcome and the follow-up of this condition with evaluation of the prognostic factors.
  
  
  METHODS
  Tertiary care Pediatric Surgery centre. Retrospective study.
  
  
  METHODS
  The data of all patients with diagnosis of colorectal carcinoma from January 1986 to January 2006 were reviewed. The confirmation of the diagnosis was by biopsy from the lesion. The age, sex, family history, clinical features, response to the treatment and follow-up were studied.
  
  
  RESULTS
  There were four male patients. All had bleeding per rectum as the presenting complaint. Three patients had advanced disease at presentation. All the patients had signet cell adenocarcinoma. The two patients expired and one was lost to follow-up. One patient is alive after one year of follow up and is receiving treatment.
  
  
  CONCLUSIONS
  Colorectal cancer in children though rare can be a reality, hence any children presenting with pain in abdomen along with doubtful history of constipation and rectal bleeding should be examined carefully with special emphasis on digital rectal examination.
authors.affiliation: Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, Uttar Pradesh, India.
authors.forename: A
authors.initials: A
authors.lastname: Pandey
authors.forename: An
authors.initials: A
authors.lastname: Gangopadhyay
authors.forename: Sp
authors.initials: S
authors.lastname: Sharma
authors.forename: V
authors.initials: V
authors.lastname: Kumar
authors.forename: Dk
authors.initials: D
authors.lastname: Gupta
authors.forename: Sc
authors.initials: S
authors.lastname: Gopal
authors.forename: Rb
authors.initials: R
authors.lastname: Singh
mesh_terms: D018279:Carcinoma, Signet Ring Cell / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002648:Child; D015179:Colorectal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D051517:Digital Rectal Examination; D006471:Gastrointestinal Hemorrhage; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate; D014057:Tomography, X-Ray Computed