Malign mide tümörleri: 233 olgunun analizi

Atatürk Üniversitesi Tıp Fakültesi Genel Cerrahi AD'na yatırılarak opere edilmiş mide kanserli hastaların özelliklerini incelemek amacıyla 233 hastanın kayıtları retrospektif olarak incelendi. Hastaların 177'si erkek, 149'u 50-70 yaş gurubunda olduğu görüldü. Geç dönemlerde doktora müracaat eden hastalarda en sık semptom sırasıyla kilo kaybı, kusma, dispeptik şikayetler, epigastrik ağrı ve halsizlik idi. Patolojik laboratuar bulguları sıklık sırasına göre sedimantasyon hızında artış, hipoproteinemi ve anemi idi. Serimizde tanı genellikle geç evrelerde konulduğu için hastalarımızın ancak %20.2'ine küratif işlem yapılabildi. Mevcut veriler ülkemizde mide kanseri tanısının hala geç dönemlerde konulduğunu göstermektedir. Bu da küratif tedaviyi imkansız kılmaktadır.

Gastric cancer: Analysis of 233 cases

The reports of 233 patients, who were treated for gastric cancer at Department of General Surgery Atatürk University-School of Medicine, have been reviewed, Of the patients 177 were male, and 149 aged between 50-70 years. Weight loss, vomiting, dyspeptic symptoms, epigastric pain and fatigue were the most common compliant in patients who were admitted to hospital in late stages. High sedimentation rate, hipoproteinemia and anemia were the most common laboratory findings. Of the patients only 20.2% were undergone curative surgery because of late admittance to hospital. Like most of the countries, in Turkey, diagnosis of the gastric cancer still delay until late stages, and it cause decrease in rate of curative treatment.

___

  • 1. Hanks JB, Jones RS, Minasi JS. Tumors of the stomach and duodenum. In Zuidema GD. (ed) Shackelford's Surgery of the Alimentary Tract. 4th Ed. Philadelphia: W.B. Saunders 1996: 88-96
  • 2. Hendricks JC. Malignant tumors of stomach. Surg Clin North Am 1986; 66: 683-693
  • 3. Moody FG, Miller TA. Stomac. In Schwartz SI, Shires T, Spencer F(eds). Principles of Surgery. 6th Ed New York: 1994; 1123-1152
  • 4. Orlando R, Welch JP. Carcinoma of the stomach after gastric operation. Am J Surg 1981;141:487-491
  • 5. Dougherty SH, Foster CA, Eisenberg MM. Stomach cancer following gastric surgery for benign disease. Arch Surg 1982; 117: 294-297
  • 6. Smith JW, Brennan MF. Surgical treatment of gastric cancer. Surg Clin North Am 1992; 72: 381-399
  • 7. Longo WE, Zucker KA, Zidon MJ. Detection of early gastric cancer in an agressive endoscopy unit. Ann Surg 1989; 55: 100-104
  • 8. Cady B, Ramsden DA, Stein A, Haggitt RC. Gasric cancer. Am J Surg 1977; 133: 423-429
  • 9. Adashek K, Sanger J, Longmire WP. Cancer of the stomach. Ann Surg 1979; 189: 6-10
  • 10. Farley DR, Donohue JH. Early gastric cancer. Surg Clin North Am 1992; 72: 401-421
  • 11. Meyers WC, Damiano RJ, Postlethwait RW; Rotolo FS. Adenocarcinoma of the stomach. Ann Surg 1987; 205: 1-8
  • 12. Lawrence M, Shiu MH. Early gastric cancer: Twenty- eight-year experience. Ann Surg 1991; 213: 327-334
  • 13. Bringaze WL, Chappius CW, Cohn I, Correa P. Early gastric cancer 21-year experience. Ann Surg 1986; 204:103-107
  • 14. Dingtork. Epidemiyoloji. Mide Kanseri. DingtOrk C (ed). Ankara: TTK Basimevi, 1989: 24-39
  • 15. Scott HW, Longmire WP Jr, Gray FJ. Carcinoma of the stomach. In Scott HW, Sawyers JL (eds). Surgery of the stomach, Duodenum, and Small Intestine. 2th Ed. Boston: Blackwell 1992: 333-360
  • 16. Yan C, Brooks JR. Surgical management of gastric adeno- carcinoma. Am J Surg 1985; 149: 771-774
  • 17. Behrns KE, Dalton RR, Heerden JA, Sarr MG. Extrended lymph node dissection for gastric cacer. Surg Clin North Am 1992;72: 433-443