Ayite Ayikoé Etienne, Adodo Koamivi, Dosseh Ekué, Abita Thiare, Ocloo Atsu
Service de Chirurgie générale B, CHU de Lomé-Tokoin, Lomé-Togo.
Tunis Med. 2004 Aug;82(8):747-52.
The objectives were to study diagnostic means, therapeutic methods and their results at the two university hospitals in LOME.
It is about descriptive retrospective study carry out at Tokoin and Campus hospitals, from 1st January 1990 to 31 December 1999 (10 years). Patients were chosen on the histological proof.
With 63 cases colliged in 10 years on 104 cancers of digestive tract, gastric cancer occupped the uppermost (60.6%) in digestive cancers. Sex-ratio was 1.7 and average age of the patients was 52, 6 years old with extreme of 20 and 85 years old. The clinic was dominated by abdominal pains (71.4%). Vegetative ulcerous (50%) and ulcerous (21.7%) lesions were the most frequent with a predominance of pyloric antrum localisation (71.7%). Adenocarcinoma was histologic type frequently refound (87.3%). On the therapeutic way 29 patients have benefited surgical treatment, 46% of operability. Resection rate was 32% and palliative treatment was 51.7%. The postoperative mortality rate was 13.8%.
Gastric cancer prognosis remain bad with a survival of 7% in one year and 21% in 3 months.
目的是研究洛美两所大学医院的诊断方法、治疗方法及其结果。
这是一项在托科因医院和校园医院进行的描述性回顾性研究，时间跨度为1990年1月1日至1999年12月31日（10年）。患者根据组织学证据选取。
10年间在104例消化道癌症中收集到63例病例，胃癌在消化道癌症中占比最高（60.6%）。男女比例为1.7，患者平均年龄为52.6岁，年龄范围在20岁至85岁之间。临床表现以腹痛为主（71.4%）。营养性溃疡（50%）和溃疡性（21.7%）病变最为常见，主要位于幽门窦（71.7%）。腺癌是最常见的组织学类型（87.3%）。在治疗方面，29例患者接受了手术治疗，手术可操作性为46%。切除率为32%，姑息治疗率为51.7%。术后死亡率为13.8%。
胃癌预后仍然很差，一年生存率为7%，三个月生存率为21%。
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