Fehim Safia, Bouhaous Racheda, Diaf Mustapha, Drici Amine Mokhtar, Khaled Meghit Boumediene
Department of Biology, Department of Biology, Djillali Liabes University, Sidi bel Abbes, Algeria.
Biotoxicology Laboratory, Department of Biology, Djillali Liabes University, Sidi bel Abbes, Algeria.
J Gastrointest Oncol. 2017 Aug;8(4):659-664. doi: 10.21037/jgo.2017.06.02.
Gastric cancer (GC) remains a public health issue despite the global incidence decrease over the last decades. GC is the third leading cause of cancer-related death worldwide and stills of poor prognosis due to its late detection. The overall objective of our study was to describe the epidemiological, clinical, and histopathological aspects of stomach cancer. However, the specific purpose was to determine the gastric precancerous lesions among patients with histologically confirmed GC admitted at the gastroenterology department of the University Hospital of Sidi-Bel-Abbes city, Algeria.
We retrospectively analyzed the patients' medical records admitted from 2010 to 2015. Intended for the statistical analysis of the enrolled data, we executed Student t-test and Chi-squared test, significance level was set at 5%. Histologic evidence objectified the biopsies performed during endoscopy; Hematoxylin and Eosin staining as well as the slides interpretation were executed at the level of the pathology department as a routine examination.
116 cases of GC were recorded. The mean age of the whole studied cohort was 58.96±14.75 years. We reported a sex ratio of 1.36 with a peak frequency observed in male gender (57.76%). Gastric precancerous lesions, as well as tumor histology, and topography were revealed. In our context, adenocarcinoma was significantly higher among male patients and linitis plastica was expressively related to female gender (P=0.01).
Management of gastric precancerous lesions additionally to early diagnosis represent effective preventive and therapeutic methods of GC.
尽管过去几十年全球胃癌发病率有所下降,但胃癌仍是一个公共卫生问题。胃癌是全球癌症相关死亡的第三大主要原因,由于其发现较晚,预后仍然较差。我们研究的总体目标是描述胃癌的流行病学、临床和组织病理学特征。然而,具体目的是确定在阿尔及利亚西迪 - 贝勒 - 阿巴斯市大学医院胃肠病科收治的组织学确诊胃癌患者中的胃癌前病变。
我们回顾性分析了2010年至2015年收治患者的病历。为了对纳入的数据进行统计分析,我们进行了学生t检验和卡方检验,显著性水平设定为5%。组织学证据通过内镜检查时进行的活检来证实;苏木精和伊红染色以及玻片解读在病理科作为常规检查进行。
记录了116例胃癌病例。整个研究队列的平均年龄为58.96±14.75岁。我们报告的性别比为1.36,男性的发病频率最高(57.76%)。揭示了胃癌前病变、肿瘤组织学和部位。在我们的研究中,男性患者腺癌的发生率显著更高,皮革胃与女性显著相关(P = 0.01)。
除早期诊断外,胃癌前病变的管理是胃癌有效的预防和治疗方法。