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印度东部胃癌的临床病理特征和发病率:一项回顾性研究。

Clinicopathological Characteristics and Incidence of Gastric Cancer in Eastern India: A Retrospective Study.

机构信息

Department of Signal Transduction and Biogenic Amines, Chittaranjan National Cancer Institute, 37, S. P. Mukherjee Road, Kolkata, 700026, India.

Department of Epidemiology and Biostatistics, Chittaranjan National Cancer Institute, 37, S. P. Mukherjee Road, Kolkata, 700026, India.

出版信息

J Gastrointest Cancer. 2021 Sep;52(3):863-871. doi: 10.1007/s12029-020-00478-w.

Abstract

PURPOSE

To study the association of gastric cancer with various clinicopathological traits in eastern India which can be used as an important factor for further analysis, understanding of the diseases and amelioration of patients.

METHODS

The retrospective study includes the patients who underwent subtotal or total gastrectomy from surgical oncology department of Chittaranjan National Cancer Institute (hospital) of West Bengal, India between 2014 and 2018. The study includes 751 gastric cancer patients from Chittaranjan National Cancer Institute. We used electronic hospital records to collect data on various clinical parameters and other information. We used Microsoft Office Excel 2007 spreadsheets for the statistical analyses.

RESULTS

Incidence of gastric cancer is associated with mid age (40-59 years) group male patients and lymph node metastasis. Frequency of gastric cancer is highest in the antrum (42.21%). Of the mid age group gastric cancer patients, 35.02% were having much high risk of developing diffused type of adenocarcinoma (P < 0.00001). Tobacco intake in form of smoking was found as an important risk factor in gastric cancer development with risk ratio and odds ratio of 1.18 and 3.14 respectively.

CONCLUSION

Collectively, the results of the present study confirm that incidence of diffused type of gastric cancer is increasing as an alarming rate in mid age group male patients and tobacco intake in the form of smoking as an independent risk factor for this type of cancer in eastern India. This result can be used to manage gastric carcinoma in future prospective clinical studies and in patient's improvement.

摘要

目的

研究印度东部胃癌与各种临床病理特征的关联,这些关联可以作为进一步分析、了解疾病和改善患者状况的重要因素。

方法

本回顾性研究纳入了 2014 年至 2018 年间在印度西孟加拉邦恰尔坦加詹国家癌症研究所(医院)外科肿瘤学部门接受胃大部或全胃切除术的患者。该研究纳入了恰尔坦加詹国家癌症研究所的 751 例胃癌患者。我们使用电子病历收集各种临床参数和其他信息。我们使用 Microsoft Office Excel 2007 电子表格进行统计分析。

结果

胃癌的发病率与中年(40-59 岁)组男性患者和淋巴结转移相关。胃癌在胃窦部(42.21%)的发病率最高。在中年组胃癌患者中,35.02%有很高的发展弥漫型腺癌的风险(P<0.00001)。以吸烟形式摄入的烟草被认为是胃癌发展的一个重要危险因素,风险比和优势比分别为 1.18 和 3.14。

结论

综上所述,本研究的结果证实,弥漫型胃癌的发病率在中年男性患者中呈上升趋势,以吸烟形式摄入的烟草是这种癌症的独立危险因素。这一结果可用于未来前瞻性临床研究和改善患者状况。

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