Canan BİRDAL, Hakan DURSUN, Onur Can KILINÇ

Özofagus ve Mide Kanserinin Retrospektif Analizi

Amaç: Özofagus ve mide kanseri en sık görülen ve ölümcül maligniteler arasındadır. Bu çalışmada yeni özofagus ve mide kanseri tanısı alan hastaların verilerinin retrospektif olarak değerlendirilmesi amaçlandı. Gereç ve Yöntem: Çalışmaya özofagus kanseri tanısı almış 271 hasta ve mide kanseri tanısı alıp total/subtotal gastrektomi yapılmış 352 hasta dahil edildi. Bulgular: Özofagus kanseri tanılı hastalarda yaş ortalaması 63 ± 13,2 iken mide kanserli hastalarda 64,6 ± 11,5 idi. Özofagus kanseri tanılı hastalarda en sık görülen histopatolojik tip %77,5 ile skuamöz hücreli karsinom iken mide kanseri tanılı hastalarda en sık görülen histopatolojik tip %92,6 ile adenokarsinom idi. Özofagus kanserli hastalarda en sık görülen tümör yerleşimi özofagusun alt üçte biri iken mide kanserli hastalarda korpus idi. Mide kanserli hastaların %5,9'u erken evre mide kanseri olarak kabul edildi. Hem özofagus hem de mide kanserli hastalarda cinsiyetin, tümör lokalizasyonunun veya histopatolojik tipin sağkalım açısından anlamlı fark oluşturmadığı görüldü. Sonuç: Ülkemizde sık görülen ve mortalitesi yüksek olan özofagus ve mide kanserlerinin erken tanısı için ulusal tarama programları uygulanması düşünülebilir.

Anahtar Kelimeler:

Özofagus kanseri, mide kanseri, demografik özellikler, sağkalım

A Retrospective Analysis of Esophagus and Gastric Cancer

Aim: Esophageal and gastric cancer are among the most commonly seen and fatal malignancies. In this study we aimed to evaluate the data of patients who were newly diagnosed with esophagus and gastric cancer. Material and Methods: 271 patients that were diagnosed with esophageal cancer and 352 patients that were diagnosed with gastric cancer and had undergone total/subtotal gastrectomy were investigated in this study. Results: The mean age was 63 ± 13.2 years for patients with esophageal cancer, and 64.6 ± 11.5 for patients with gastric cancer. The most common histopathological type in patients with esophageal cancer was squamous cell carcinoma (77.5%) and the most common histopathological type in patients with gastric cancer was adenocarcinoma (92.6%). The most common tumor location in patients with esophageal cancer was lower third of esophagus and the most common tumor location in patients with gastric cancer was corpus. 5.9% of patients with gastric cancer were accepted as early stage gastric cancer. There were no significant differences between the groups in terms of survival according to gender, tumor localization or histopathological types in patients with esophageal or gastric cancer. Conclusion: National screening programs may be considered for early diagnosis of esophageal and gastric cancers, which are common and have high mortality rates in Turkey

Keywords:

Esophageal cancer, gastric cancer, demographics, survival,

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