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ISSN 2221-2434 (Electronic)

2013, Number 2

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Finlay 2013; 3 (2)

Gastric cancer. Characterization of Patients Operated on in the Province of Cienfuegos (2009-2011)

Otzoy CHL, Torres AL, Orosco ASP

Language: Spanish
References: 37
Page: 113-121
PDF size: 133.49 Kb.


ABSTRACT

Background: gastric cancer is the most common tumor in the digestive system. It is the second cause of cancer-related death in some countries.
Objective: to characterize gastric cancers operated on in the province of Cienfuegos over a three-year period (2009-2011) from a clinical and epidemiological point of view. Methods: case series study of all patients (57) operated on for gastric cancer in the Dr. Gustavo Aldereguía Lima University General Hospital in the province of Cienfuegos in a three-year period, from January 2009 through December 2011. Variables analyzed included: sex, age, risk factors, associated diseases, anatomic location, histological type, clinical stage at diagnosis, surgical procedures used, surgery complications and patients’ condition at the time of discharge.
Results: the majority of patients were males aged 50 to 60 years. Smoking, alcohol consumption and chronic gastritis were the most predominant risk factors. Tumors were mainly located in the gastric antrum, presenting clinical stages III and IV at diagnosis. Predominant histological type was adenocarcinoma. Subtotal gastrectomy with extended lymphadenectomy was the surgical procedure performed in most of the cases. Only 5% of patients suffered from complications related to the surgery itself. 96.5% of patients were discharged.
Conclusions: gastric cancers in the province of Cienfuegos were more common in male patients older than 50 years. Diagnosis in 65% of cases was established in advanced stages of the disease: stages III and IV. 33% of patients underwent palliative procedures.


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