Jiménez F, Demaría J L, Ahumada C A
Sección gastroenterologia, Hospital Dr. José María Cullen, Santa Fe, Argentina.
Acta Gastroenterol Latinoam. 1999;29(5):319-23.
Esophagus cancer has a very bad pathological prognosis. Risk factors considered are: smoking consumption and deficiency of vitamins A and C. The mortality rates of cancer of the stomach vary notably according to geographic region. Factors such as genetics, races, smoking, socioeconomic conditions are some of stomach cancer development. 646 symptomatic patients were studied in the gastroenterology unit at. J.M. Cullen hospital. Histopathologically, 22 (3.3%) cancer of the esophagus and 13 (2%) cancers of stomach were detected. All esophagus cancers were squamous cells; 82% were males and 18% females. 50% were located on the middle third zone. 92.3% of stomach cancers were adenocarcinoma; 83% were males and 17% females. A 50.8% were located in corporo-fundic zone. All the cancers both of the esophagus as well as of the stomach, were in the advanced phase. The cancer of esophagus has appeared most frequently among cancers of the tract in our hospital, with significant difference among province and national registers.
食管癌具有非常差的病理预后。考虑的风险因素有:吸烟以及维生素A和C缺乏。胃癌的死亡率根据地理区域有显著差异。遗传、种族、吸烟、社会经济状况等因素是胃癌发生发展的部分因素。在J.M.卡伦医院的胃肠病科对646例有症状的患者进行了研究。组织病理学检查发现,食管癌22例(3.3%),胃癌13例(2%)。所有食管癌均为鳞状细胞癌;男性占82%,女性占18%。50%位于中段。92.3%的胃癌为腺癌;男性占83%,女性占17%。50.8%位于胃体-胃底部。所有食管癌和胃癌均处于晚期。食管癌在我院消化道癌症中最为常见,与省级和全国登记数据有显著差异。