Ochenta pacientes con cancer colon - rectal entraron al estudio desse Enero /82 a diciembtre /92 con un seguimiento de 6 a 126 meses.

la edad media fue de 55 años. Mayor incidencia en hombres cob una relacion 2,6/1. La sintomatologia mas  frecuente fue cambios en hábitos  intestinales (70%) y dolor abdominal (66%). El tiempo sde evolucion clinica al diagnostico tuvo una media de 5 meses.

Los estudios de diagnóstico utilizados y confiables fueron la colonoscopia (90%), rectosigmoidescopía (69.5%) y enema de bariun (85,4%) y los de extension . Labo integral, CEA, Torax , ECO y/o TAC abdominal, 52 casos (65%) pertenecian a colon y 28 (35%) a recto.

El 97-5% (78 casos) fueron adeno carcinomas, I melanoma de recto y I Linfoma no Hodgkin de colon .

Los estudios de extension mostraron un 62,7 % (32 casos) en estadíos tempranos B1- B2 de cancer de caolon  y un 48.14% (13 casos) en estadios localmente avanzado para cancer de recto.  50 pacientes (96%) con CA de colon  fueron quirurgicos, 47 (94%) tuvieron  cirugia radical. Recibieron terapia adyuvante 30 casos (60%)

24 pacientes (85%) con cancer de recto fueron quirurgicos, 19 casos (75%) con reseccion abdomino perineal.

recibieron terapia adyuvante 20 casos (83%).

la sobrevida a 5 y 10 años para los estadíos tempranos (B1 B 2) de colon fue 67% y 61 %, para el estadio C 32% hasta los 10 años.

Para cancer de recto la sobrevida a 5 y 10 años el estadio B fue 80% y 27%  respectivamente y para el Estadío C 14% a 5 años.

Palabras clave: cancer colon - rectal resultados , protocolos.

 Eight patients with colorectal cancer were included in this study from January 1982 to december 1992, with a folow up of 6 to 126 months. The avergae age was 55 years old. The ratio M/f was 2,6/1.

The most important clinical feature were changes in bowel habits (70%) and abominal pain (66%) At the diagnosis, the mean time of clinical development was five months. The diagnostic studies used and reliable procedures for the evaluations of the tumoral extension were, colonoscopy (90%) rectosigmoidoscopy (69,5%) and Barium Enema (85.47%) : lab work CEA, Rx Thorax the abominal ultrasound  or Tomography Axial Computarized. 65% (52 cases) were localized in colon and 35% (28 cases) were of Rectum. 97.5% (78 cases) were adenocarcinomas.

The clinical stages for colon cancer showed 62.7 % (32 cases had early stages (B1-B2)  and for Rectum cancer 48.14% (13 cases had advanced locally stages.

96% (50 cases) of colon cancer had exploratory laparotomy and only 47 cases (94%) had a radical surgery. The ayuvant tratment was done in 30 cases (60%). 85% (24 cases) of Rectum cancer were surgical but only 19 cases (75%) had an abdominal - perineal resection. 83% (20 cases) had a adyuvant tratment.

The survival of 5 - 10 years for erly stages (B1 - B2) of colon cancer was 67% and 61%, For C stages was 32% until 10 years.

The survival of 5 - 10 years for B stages of Rectum cancer was 80% and 27% respectively and for C stages only 14% to years 

Key words.- Colo - Ractal Cancer Protocol Results