Awad Heyam A, Hajeer Manar H, Abulihya Mohand W, Al-Chalabi Mohammad A, Al Khader Ali A
Department of Histopathology, Forensic Medicine and Microbiology, University of Jordan, Jordan University Hospital, Amman, Jordan. E-mail.
Saudi Med J. 2017 Sep;38(9):965-967. doi: 10.15537/smj.2017.9.19371.
To discover the epidemiologic distribution of gastric malignancies among Jordan University Hospital patients and to compare this distribution with the neighboring Arab countries. Methods: Retrospective study covering the period between January 2006, and May 2016, in Jordan University Hospital, Amman, Jordan. All cases were retrieved from the computer system and analyzed using IBM SPSS version 23 software. Results: One hundred and sixty-five cases were analyzed. Male-to-female ratio was 1.2:1. The mean age was 58.6 with 32.1% of patients aged 50 or younger. Primary adenocarcinoma was the most common tumor, half of which were diffuse type, followed by carcinoid tumors (15.2 %), lymphomas (10.3%), and gastrointestinal stromal tumors (8.5%). Proximally located tumors accounted for 15.4%. Helicobacter pylori were present in approximately half of the cases and 34.6% of cases contained intestinal metaplasia. Conclusion: Jordan is a low-risk area for gastric cancer, but carcinoma occurs at a young age and is associated with gastritis, Helicobacter pylori infection, and intestinal metaplasia in a large proportion of cases. Better strategic health planning and early detection is needed, especially in young patients suffering from gastritis.
旨在发现约旦大学医院患者中胃恶性肿瘤的流行病学分布，并将该分布与周边阿拉伯国家进行比较。方法：回顾性研究涵盖2006年1月至2016年5月期间，在约旦安曼的约旦大学医院进行。所有病例均从计算机系统中检索出来，并使用IBM SPSS 23版软件进行分析。结果：共分析了165例病例。男女比例为1.2:1。平均年龄为58.6岁，32.1%的患者年龄在50岁及以下。原发性腺癌是最常见的肿瘤，其中一半为弥漫型，其次是类癌肿瘤（15.2%）、淋巴瘤（10.3%）和胃肠道间质瘤（8.5%）。近端肿瘤占15.4%。约一半的病例中存在幽门螺杆菌，34.6%的病例有肠化生。结论：约旦是胃癌低风险地区，但癌症在年轻时发生，且在很大比例的病例中与胃炎、幽门螺杆菌感染和肠化生有关。需要更好的战略健康规划和早期检测，尤其是在患有胃炎的年轻患者中。
