Johnson O, Ersumo T, Ali A
Department of Surgery, Faculty of Medicine, Addis Ababa University, Ethiopia.
East Afr Med J. 2000 Jan;77(1):27-30.
To provide a baseline epidemiologic information on gastric cancer from Ethiopia based on hospital data.
Prospective study.
Department of Surgery, Tikur Anbessa Hospital, Faculty of Medicine, Addis Ababa University, Addis Ababa.
Ninety six patients treated for gastric cancer from 1992-1996.
Data including demographic and clinical features, pathology of the disease and treatment outcome were analysed on 96 of 125 cases of gastric cancer.
Duration of symptoms, diagnosis and stage of disease at the time of definitive diagnosis, and postoperative mortality.
Sixty eight patients were males and 28 females. The mean age was 48.2 +/- 12.7 (range 20-73) years. The histopathology was adenocarcinoma with a Laurence intestinal type in 89 cases. Majority of the cases (90%) had advanced (stage III-IV) tumours. More than forty four per cent of cases had resectable lesions. Postoperative mortality rate was 18.6%. Twenty seven of the 70 cases operated on (57 survived the operations) could be followed up only for less than one year.
This study, although based on the relative frequency in a hospital material, indicates that gastric cancer is not rare in Ethiopia. Patients appear to present late with advanced cancers.
基于医院数据提供埃塞俄比亚胃癌的基线流行病学信息。
前瞻性研究。
亚的斯亚贝巴大学医学院提库尔安贝萨医院外科。
1992年至1996年期间接受胃癌治疗的96例患者。
对125例胃癌病例中的96例进行分析，数据包括人口统计学和临床特征、疾病病理学及治疗结果。
症状持续时间、确诊时疾病的诊断及分期，以及术后死亡率。
男性68例，女性28例。平均年龄为48.2±12.7岁（范围20 - 73岁）。组织病理学检查显示89例为Laurence肠型腺癌。大多数病例（90%）患有晚期（III - IV期）肿瘤。超过44%的病例有可切除病变。术后死亡率为18.6%。70例接受手术的病例中有27例（57例术后存活）仅能随访不到一年。
本研究虽然基于医院资料中的相对频率，但表明胃癌在埃塞俄比亚并不罕见。患者似乎多为晚期癌症才前来就诊。
