Mide Kanserleri: 664 Olgunun Analizi
Mide kanserleri günümüzde de ciddi tıbbi sorun olarak karşımızda durmaktadır. Hastalığın tek küratif tedavi şansı cerrahidir. Buna karşın hastalığın ileri gastrik kanser aşamasında saptanması, sürvi şansını çok olumsuz etkilemektedir. Hastalığın insidansının tüm dünyada azalma eğilimine girdiği, tümör yerleşim yerinin proksimale kaydığı konusundaki literatür verileri nedeniyle, kliniğimiz materyali içerisinde mide kanserlerinin son on yıldaki durumunu değerlendirmek istedik. Sonuç olarak, erken gastrik kanser olguları halen oldukça az sayıda saptanırken, inoperabl olgularımızın sayısı oldukça yüksek olarak bulundu.
Gastric Cancers Analysis of 664 Cases
Gastric cancer is still a serious medical problem in these days. In spite of its chance of only curative treatment is still surgery, its diagnosis at advanced gastric cancer stage affects the chance of survival in a negative manner. Because of data based on literature showed that, this disease has a declining incidence and localisation of tumour is skipping to more proximal parts, we tried to evaluate gastric cancers of last decade in our department. As a result, we determined that cases of early gastric cancer are still seen rarely whereas number of inoperable cases are remarkably high.
___
- Barr H, Greenall M. Carcinoma of the stomach. In: Morris PJ, Wood WC, eds. Oxford textbook of surgery. Vol. 2. Oxford, United Kingdom: Oxford University Press; 2000:931.
- Longmire WP Jr. A current view of gastric cancer in the US. Ann Surg. 1993;218(5):579–582. doi:10.1097/00000658-199311000-00017
- Kampschöer GH, Nakajima T, van de Velde CJ. Changing patterns in gastric adenocarcinoma. Br J Surg. 1989;76(9):914-916. doi:10.1002/bjs.1800760913
- Haenszel W, Correa P. Developments in the epidemiology of stomach cancer over the past decade. Cancer Res. 1975;35(11 Pt. 2):3452-3459.
- Fujimoto S, Takahashi M, Ohkubo H, et al. Comparative clinicopathologic features of early gastric cancer in young and older patients. Surgery. 1994;115(4):516-520.
- Wanebo HJ, Kennedy BJ, Chmiel J, Steele G Jr, Winchester D, Osteen R. Cancer of the stomach. A patient care study by the American College of Surgeons. Ann Surg. 1993;218(5):583-592. doi:10.1097/00000658-199321850-00002
- Picton TD, Owen DA, MacDonald WC. Comparison of esophagocardiac and more distal gastric cancer in patients with prior ulcer surgery. Cancer. 1993;71(1):5-8. doi: 10.1002/1097-0142(19930101)71:1<5::aid-cncr2820710103>3.0.co;2-c
- Paterson IM, Easlon DF, Cobishley CM. Gazet JC. Changing distribution of adenocarcinoma of the stomach. Br J Surg. 1987;74:481. doi:10.1002/bjs.1800740618
- Geçioğlu A. Güncel mide kanseri. Çağdaş Cerrahi Dergisi. 1997;11:3.
- Lawrence M, Shiu MH. Early gastric cancer. Twenty-eight-year experience. Ann Surg. 1991;213(4):327–334. doi:10.1097/00000658-199104000-00007
- Hioki K, Nakane Y, Yamamoto M. Surgical strategy for early gastric cancer. Br J Surg. 1990;77(12):1330-1334. doi:10.1002/bjs.1800771205
- Pruitt RE, Truss CD. Endoscopy, gastric ulcer, and gastric cancer. Follow-up endoscopy for all gastric ulcers? Dig Dis Sci. 1993;38(2):284-288. doi: 10.1007/bf01307545
- Green PH, O'Toole KM, Weinberg LM, Goldfarb JP.Early gastric cancer. Gastroenterology. 1981;81(2):247-56.
- Bringaze WL 3rd, Chappuis CW, Correa P, Cohn I Jr. Early gastric cancer. 21-year experience. Ann Surg. 1986;204(2):103–107. doi:10.1097/00000658-198608000-00001
- You WC, Blot WJ, Li JY, et al. Precancerous gastric lesions in a population at high risk of stomach cancer. Cancer Res. 1993;53(6):1317-1321.