Late Presentation of Colorectal Cancer at Tobruk Medical Center

Colorectal cancer (CRC) is a leading cause of cancer-related mortality worldwide, with delayed presentation posing a significant challenge to early diagnosis and improved survival rates. Understanding the causes of late presentation and its impact on disease progression is crucial for developing effective interventions. This study aims to explore the relationship between delayed presentation of colorectal cancer and its effects on disease staging and patient outcomes at Tobruk Medical Center. A retrospective analysis of 103 patients with pathologically confirmed colorectal cancer diagnosed between January 2017 and January 2022 was conducted. Data on demographic characteristics, diagnostic timelines, and tumor staging were analyzed, categorizing delays as long (≥ 60 days) or short (< 60 days) based on the time from symptom onset to first medical consultation. The study revealed that 76.7% of patients experienced long delays in seeking medical care, which often resulted in advanced-stage disease at the time of diagnosis. Acute complications, such as intestinal obstruction, were observed in 59 patients, while 15 presented with distant metastases (Stage III or IV). These findings emphasize the urgent need for strategies to enhance early detection of colorectal cancer through public awareness campaigns, regular screening programs, and improved diagnostic protocols in healthcare facilities. Addressing these factors could significantly reduce complications and improve survival rates for CRC patients. Keywords: Colorectal cancer, delayed presentation, disease progression, early detection, Tobruk Medical Center.