Serdar Olt, Hasan Ergenç, Meltem Baykara, Erkan Arpacı, Selçuk Yaylacı, Hakan Demirci, Ali Tamer

Onkoloji kliniğinde takip ettiğimiz hastaların geriye dönük incelenmesi.

Amaç: Onkoloji kliniğimizde takip ettiğimiz hastaların özelliklerini ortaya koymak ve güncel literatür bilgileri eşliğinde yorumlamak.Gereç ve Yöntem: Onkoloji kliniğimizde 2010-2012 yılları arasında takip ettiğimiz 1252 kanser hastasının dosyaları retrospektif olarak değerlendirildi. Hastaların primer tümör lokalizasyonu, yaşı, cinsiyeti, ailede kanser öyküsü olup olmadığı, diyabetes mellitus varlığı, sigara ve alkol kullanımı, cinsiyete göre en sık görülen kanser tipleri ve tanı anında metastaz varlığı dökümante edildi. Bulgular: Çalışmaya dahil edilen 1252 hastanın 680'i (%54.3) kadın, 572'i (%45.7) erkekti. Tüm hastaların yaş ortalaması 63 idi. Hastaların 10'u (%0.8) alkol, 381'i (%30.4) sigara kullanıyordu. Ailede kanser öyküsü olan hasta sayısı 185 (%14.8) ve tanı anında diyabetik olan hasta sayısı 166 (%13,3) olarak kaydedildi. Hastaların 324'ü (%25) meme kanseri, 237'si (%18.9) akciğer kanseri, 157'si (%12.5) kolon kanseri, 107'si (%8.5) rektum kanseri, 94'ü (%7.5) mide kanseri, 38'i (%3) over kanseri, 27'si (%2.1) primeri bilinmeyen kanser, 26'sı (%2) endometrium kanseri, 24'ü (%1.9) prostat kanseri, 19'u (%1.5) pankreas kanseri, 14'ü (%1.1) testis kanseri ve 185'i (%14.7) diğer kanserler olarak saptandı. Tanı anında hastaların %41.1'inde metastaz saptandı. Erkek hastalarda en sık saptanan 3 kanser türü sırasıyla; akciğer kanseri (%35.9), kolorektal kanser (%23) ve mide kanseri (%10.8) olarak saptandı. Kadın hastalarda en sık saptanan üç kanser türü sırasıyla; meme kanseri (%46.6), kolorektal kanser (%18.4) ve akciğer kanseri (%5.2) olarak saptandı.Sonuç: Çalışmamızda tüm hastalarda en sık görülen ilk üç malignite sırasıyla; meme kanseri, akciğer kanseri ve kolon kanseri olarak tespit edildi. Evresi yüksek kanserlerde yüksek mortalite ve tedavi maliyetleri ile düşük prognoz düşünüldüğünde erken tanı açısından kanser tarama programlarının etkin bir şekilde uygulanmasının gerekliliğini vurgulamak istedik.

Anahtar Kelimeler:

Kanser, epidemiyoloji, kanser tarama programları

Retrospective evaluation of patients followed up in the oncology clinic.

Aim: To evaluate characteristics of the oncology patients accompanied by the current literature.Materials and Methods: We scanned archive files of 1252 cancer patients followed up in our oncology clinic between the years 2010 and 2012. We documented patients age, gender, primary tumor localization, cigarette and alcohol consumption, presence of cancer in family, presence of diabetes mellitus, presence of metastasis at the time of diagnosis, and cancer prevalence according to the gender. Results: 54.3% of the 1252 patients included in the study were female and 45.7 were male. The average age of patients were 63. 0.8% of patients were using alcohol and 30.4% of patients were smoking cigarette. Primary tumor localization ratios were; 25% breast, 18.9% lung, 12.5% colon, 8.5% rectum, 7.5% stomach, 3% ovarium, 2.1% primary unknow origin, 2% endometrium, 1.9% prostate and 1.5% pancreas respectively. The most commonly diagnosed type of cancer was breast cancer in woman and lung cancer in man.Conclusion: In our study the most common cancer types were; breast cancer, lung cancer and colon cancer respectively. We want to highlight the necessity of cancer screening programs for early diagnosis of cancer because of its poor prognosis, high mortality rates and high cost of treatment.

Keywords:

Cancer, epidemiology, cancer screening programs,

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