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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1998 Jan;90(1):19–24.

Anatomic, age, and sex distribution of colorectal cancer in a New York City Hispanic population.

D Chattar-Cora 1, G D Onime 1, G F Coppa 1, I S Valentine 1, L Rivera 1
PMCID: PMC2608301  PMID: 9473925

Abstract

This study was undertaken to examine the regional distribution of colorectal cancer, the age of presentation for different subsite locations of the disease and whether there is any intersex difference in frequency of the disease, in New York City Hispanics. The charts of Hispanic patients on file with the tumor registry at Bellevue Hospital Center in New York City from 1976 to 1995 were reviewed. Demographic and pathologic data including patient age and cancer location were analyzed. Lesions of the distal colon and rectum accounted for more than 70%, while right-sided lesions were found in 20.7% of patients. The male to female ratio was 47.6% to 52.4%. The overall mean age of patients was 60.4 years. Proximal lesions presented at a later age than distal lesions, 63.2 years for the right colon and 58.5 years for the rectum; this difference in ages was significant. These results suggest that Hispanic-American patients with colorectal cancer appear to be presenting at an earlier age than the general American population. Further study is needed to determine whether Hispanic women are presenting with a higher frequency of colorectal cancer than their male counterparts and whether Hispanic patients are presenting at an earlier age than the general population with colorectal malignancies and why.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alley P. G., McNee R. K. Age and sex differences in right colon cancer. Dis Colon Rectum. 1986 Apr;29(4):227–229. doi: 10.1007/BF02553021. [DOI] [PubMed] [Google Scholar]
  2. Bristol J. B., Emmett P. M., Heaton K. W., Williamson R. C. Sugar, fat, and the risk of colorectal cancer. Br Med J (Clin Res Ed) 1985 Nov 23;291(6507):1467–1470. doi: 10.1136/bmj.291.6507.1467. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Chapuis P. H., Newland R. C., Macpherson J. G., Dent O., Payne J. E., Pheils M. T. The distribution of colorectal carcinoma and the relationship of tumour site to the survival of patients following resection. Aust N Z J Surg. 1981 Apr;51(2):127–131. doi: 10.1111/j.1445-2197.1981.tb05923.x. [DOI] [PubMed] [Google Scholar]
  4. Cooper G. S., Yuan Z., Landefeld C. S., Johanson J. F., Rimm A. A. A national population-based study of incidence of colorectal cancer and age. Implications for screening in older Americans. Cancer. 1995 Feb 1;75(3):775–781. doi: 10.1002/1097-0142(19950201)75:3<775::aid-cncr2820750305>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]
  5. Daling J. R., Weiss N. S., Klopfenstein L. L., Cochran L. E., Chow W. H., Daifuku R. Correlates of homosexual behavior and the incidence of anal cancer. JAMA. 1982 Apr 9;247(14):1988–1990. [PubMed] [Google Scholar]
  6. Davis F. G., Furner S. E., Persky V., Koch M. The influence of parity and exogenous female hormones on the risk of colorectal cancer. Int J Cancer. 1989 Apr 15;43(4):587–590. doi: 10.1002/ijc.2910430409. [DOI] [PubMed] [Google Scholar]
  7. Davis F. G., Persky V. W., Ferre C. D., Howe H. L., Barrett R. E., Haenszel W. M. Cancer incidence of Hispanics and non-Hispanic whites in Cook County, Illinois. Cancer. 1995 Jun 15;75(12):2939–2945. doi: 10.1002/1097-0142(19950615)75:12<2939::aid-cncr2820751222>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  8. De Llano Rodríguez I., Rodrigo Sáez L., Prados Cano D., Schleiman Helabi H. Epidemiología del cáncer de colon y recto en Asturias (1977-1981). Rev Esp Enferm Apar Dig. 1989 Dec;76(6 Pt 2):660–668. [PubMed] [Google Scholar]
  9. Devesa S. S., Chow W. H. Variation in colorectal cancer incidence in the United States by subsite of origin. Cancer. 1993 Jun 15;71(12):3819–3826. doi: 10.1002/1097-0142(19930615)71:12<3819::aid-cncr2820711206>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  10. Díaz-Plasencia J., Tantaleán E., Urtecho F., Guzmán C., Angulo M., Carranza C., Tuesta E. Cáncer colorectal: cuadro clínico y sobrevida. Rev Gastroenterol Peru. 1996 Jan-Apr;16(1):48–56. [PubMed] [Google Scholar]
  11. Fleshner P., Slater G., Aufses A. H., Jr Age and sex distribution of patients with colorectal cancer. Dis Colon Rectum. 1989 Feb;32(2):107–111. doi: 10.1007/BF02553821. [DOI] [PubMed] [Google Scholar]
  12. Franceschi S., Bidoli E., Talamini R., Barra S., La Vecchia C. Colorectal cancer in northeast Italy: reproductive, menstrual and female hormone-related factors. Eur J Cancer. 1991;27(5):604–608. doi: 10.1016/0277-5379(91)90228-6. [DOI] [PubMed] [Google Scholar]
  13. Furner S. E., Davis F. G., Nelson R. L., Haenszel W. A case-control study of large bowel cancer and hormone exposure in women. Cancer Res. 1989 Sep 1;49(17):4936–4940. [PubMed] [Google Scholar]
  14. Halvorsen T. B. Site distribution of colorectal adenocarcinomas. A retrospective study of 853 tumours. Scand J Gastroenterol. 1986 Oct;21(8):973–978. doi: 10.3109/00365528608996407. [DOI] [PubMed] [Google Scholar]
  15. Hauser H., Wolf G., Uranüs S., Klimpfinger M. Neuroendocrine tumours in various organ systems in a ten-year period. Eur J Surg Oncol. 1995 Jun;21(3):297–300. doi: 10.1016/s0748-7983(95)91624-5. [DOI] [PubMed] [Google Scholar]
  16. Heineman E. F., Zahm S. H., McLaughlin J. K., Vaught J. B. Increased risk of colorectal cancer among smokers: results of a 26-year follow-up of US veterans and a review. Int J Cancer. 1994 Dec 15;59(6):728–738. doi: 10.1002/ijc.2910590603. [DOI] [PubMed] [Google Scholar]
  17. Jain M., Cook G. M., Davis F. G., Grace M. G., Howe G. R., Miller A. B. A case-control study of diet and colo-rectal cancer. Int J Cancer. 1980 Dec 15;26(6):757–768. doi: 10.1002/ijc.2910260609. [DOI] [PubMed] [Google Scholar]
  18. Johnson H., Jr, Carstens R. Anatomical distribution of colonic carcinomas. Interracial differences in a community hospital population. Cancer. 1986 Aug 15;58(4):997–1000. doi: 10.1002/1097-0142(19860815)58:4<997::aid-cncr2820580435>3.0.co;2-2. [DOI] [PubMed] [Google Scholar]
  19. Kampman E., Bijl A. J., Kok C., van't Veer P. Reproductive and hormonal factors in male and female colon cancer. Eur J Cancer Prev. 1994 Jul;3(4):329–336. doi: 10.1097/00008469-199407000-00005. [DOI] [PubMed] [Google Scholar]
  20. Kashtan H., Papa M. Z., Stern H. S. Is age an independent variable in the morbidity and mortality of patients with colorectal cancer? A prospective study. Can J Surg. 1991 Aug;34(4):374–376. [PubMed] [Google Scholar]
  21. Kemppainen M., Räihä I., Rajala T., Sourander L. Characteristics of colorectal cancer in elderly patients. Gerontology. 1993;39(4):222–227. doi: 10.1159/000213537. [DOI] [PubMed] [Google Scholar]
  22. Lee Y. S. Carcinoma of the large bowel in Singapore--a pathological study. Ann Acad Med Singapore. 1988 Jan;17(1):55–65. [PubMed] [Google Scholar]
  23. Levi F., La Vecchia C., Randimbison L., Te V. C., Franceschi S. Patterns of large bowel cancer by subsite, age, sex and marital status. Tumori. 1991 Jun 30;77(3):246–251. doi: 10.1177/030089169107700313. [DOI] [PubMed] [Google Scholar]
  24. Lichtman S. M., Mandel F., Hoexter B., Goldman I. S., Budman D. R., Labow S., Moseson M., Stiel L., McKinley M. Prospective analysis of colorectal carcinoma. Determination of an age-site and stage relationship and the correlation of DNA index with clinicopathologic parameters. Dis Colon Rectum. 1994 Dec;37(12):1286–1290. doi: 10.1007/BF02257798. [DOI] [PubMed] [Google Scholar]
  25. Mallin K., Anderson K. Cancer mortality in Illinois Mexican and Puerto Rican immigrants, 1979-1984. Int J Cancer. 1988 May 15;41(5):670–676. doi: 10.1002/ijc.2910410506. [DOI] [PubMed] [Google Scholar]
  26. Martin J., Suarez L. Cancer mortality among Mexican Americans and other whites in Texas, 1969-80. Am J Public Health. 1987 Jul;77(7):851–853. doi: 10.2105/ajph.77.7.851. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Menck H. R., Henderson B. E., Pike M. C., Mack T., Martin S. P., SooHoo J. Cancer incidence in the Mexican-American. J Natl Cancer Inst. 1975 Sep;55(3):531–536. doi: 10.1093/jnci/55.3.531. [DOI] [PubMed] [Google Scholar]
  28. Nomura A. M., Kolonel L. N., Hinds M. W. Trends in the anatomical distribution of colorectal carcinoma in Hawaii, 1960-1978. Dig Dis Sci. 1981 Dec;26(12):1116–1120. doi: 10.1007/BF01295978. [DOI] [PubMed] [Google Scholar]
  29. Peters R. K., Pike M. C., Chang W. W., Mack T. M. Reproductive factors and colon cancers. Br J Cancer. 1990 May;61(5):741–748. doi: 10.1038/bjc.1990.166. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Pollastri E., Brosutti O., Montenovo A., Bergero A., Moroni J. Adenocarcinoma del canal anal. Reporte de un caso y revisión de la literatura. Acta Gastroenterol Latinoam. 1994;24(4):239–244. [PubMed] [Google Scholar]
  31. Ponz de Leon M., Sacchetti C., Sassatelli R., Zanghieri G., Roncucci L., Scalmati A. Evidence for the existence of different types of large bowel tumor: suggestions from the clinical data of a population-based registry. J Surg Oncol. 1990 May;44(1):35–43. doi: 10.1002/jso.2930440109. [DOI] [PubMed] [Google Scholar]
  32. Potter J. D., McMichael A. J. Large bowel cancer in women in relation to reproductive and hormonal factors: a case-control study. J Natl Cancer Inst. 1983 Oct;71(4):703–709. [PubMed] [Google Scholar]
  33. Rosenwaike I. Cancer mortality among Mexican immigrants in the United States. Public Health Rep. 1988 Mar-Apr;103(2):195–201. [PMC free article] [PubMed] [Google Scholar]
  34. Rosenwaike I., Shai D. Trends in cancer mortality among Puerto Rican-born migrants to New York City. Int J Epidemiol. 1986 Mar;15(1):30–35. doi: 10.1093/ije/15.1.30. [DOI] [PubMed] [Google Scholar]
  35. Slater G., Papatestas A. E., Tartter P. I., Mulvihill M., Aufses A. H., Jr Age distribution of right- and left-sided colorectal cancers. Am J Gastroenterol. 1982 Feb;77(2):63–66. [PubMed] [Google Scholar]
  36. Smart C. R. Screening and early diagnosis. Cancer. 1992 Sep 1;70(5 Suppl):1246–1251. doi: 10.1002/1097-0142(19920901)70:3+<1246::aid-cncr2820701509>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  37. Stewart R. J., Robson R. A., Stewart A. W., Stewart J. M., Macbeth W. A. Cancer of the large bowel in a defined population: Canterbury, New Zealand, 1970--4. Br J Surg. 1979 May;66(5):309–314. doi: 10.1002/bjs.1800660505. [DOI] [PubMed] [Google Scholar]
  38. Stewart R. J., Stewart A. W., Turnbull P. R., Isbister W. H. Sex differences in subsite incidence of large-bowel cancer. Dis Colon Rectum. 1983 Oct;26(10):658–660. doi: 10.1007/BF02553336. [DOI] [PubMed] [Google Scholar]
  39. Tarazi R., Nelson R. L. Anal adenocarcinoma: a comprehensive review. Semin Surg Oncol. 1994 May-Jun;10(3):235–240. doi: 10.1002/ssu.2980100312. [DOI] [PubMed] [Google Scholar]
  40. Taylor R. H., Moffet F. J. Profile of colorectal cancer at a community hospital with a multiethnic population. Am J Surg. 1994 May;167(5):509–512. doi: 10.1016/0002-9610(94)90246-1. [DOI] [PubMed] [Google Scholar]
  41. Thomas C. R., Jr, Jarosz R., Evans N. Racial differences in the anatomical distribution of colon cancer. Arch Surg. 1992 Oct;127(10):1241–1245. doi: 10.1001/archsurg.1992.01420100107018. [DOI] [PubMed] [Google Scholar]
  42. Trapido E. J., Burciaga Valdez R., Obeso J. L., Strickman-Stein N., Rotger A., Pérez-Stable E. J. Epidemiology of cancer among Hispanics in the United States. J Natl Cancer Inst Monogr. 1995;(18):17–28. [PubMed] [Google Scholar]
  43. Warshauer M. E., Silverman D. T., Schottenfeld D., Pollack E. S. Stomach and colorectal cancers in Puerto Rican-born residents of New York City. J Natl Cancer Inst. 1986 Apr;76(4):591–595. doi: 10.1093/jnci/76.4.591. [DOI] [PubMed] [Google Scholar]
  44. Whittemore A. S., Wu-Williams A. H., Lee M., Zheng S., Gallagher R. P., Jiao D. A., Zhou L., Wang X. H., Chen K., Jung D. Diet, physical activity, and colorectal cancer among Chinese in North America and China. J Natl Cancer Inst. 1990 Jun 6;82(11):915–926. doi: 10.1093/jnci/82.11.915. [DOI] [PubMed] [Google Scholar]
  45. Winawer S. J., Schottenfeld D., Flehinger B. J. Colorectal cancer screening. J Natl Cancer Inst. 1991 Feb 20;83(4):243–253. doi: 10.1093/jnci/83.4.243. [DOI] [PubMed] [Google Scholar]
  46. Wolfgang P. E., Semeiks P. A., Burnett W. S. Cancer incidence in New York City Hispanics, 1982 to 1985. Ethn Dis. 1991 Summer;1(3):263–272. [PubMed] [Google Scholar]
  47. Wu A. H., Paganini-Hill A., Ross R. K., Henderson B. E. Alcohol, physical activity and other risk factors for colorectal cancer: a prospective study. Br J Cancer. 1987 Jun;55(6):687–694. doi: 10.1038/bjc.1987.140. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. dos Santos Silva I., Swerdlow A. J. Sex differences in the risks of hormone-dependent cancers. Am J Epidemiol. 1993 Jul 1;138(1):10–28. doi: 10.1093/oxfordjournals.aje.a116773. [DOI] [PubMed] [Google Scholar]

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