[Cancer of the stomach: an epidemiologic, diagnostic and therapeutic study].
The authors report 203 cases of gastric cancer collected between 1974 and 1987 without prior selection. Analysis of these records provided the following information: From an epidemiological viewpoint, there was no predominance of blood group A; a certain number of gastric lesions preceded or coexisted with the cancer. From a clinical viewpoint epigastric pain and general physical deterioration were the most frequent presenting signs. Physical examination was normal in 32.5% of patients, while 34.4% presented a palpable epigastric mass. Diagnosis was confirmed by a combination of radiology (transit studies of oesophagus, stomach and duodenum) and endoscopy with multiple biopsies. These procedures were carried out in 88% and 72% of patients respectively. 87% of patients were operable and resection was possible in 50%. Subtotal gastrectomy was performed in 61% of cases where resection was possible. The overall operative mortality was 8.5% and 20% for extended total gastrectomy. Actuarial survival was only correctly evaluated in 42% of operated patients. It was estimated to be 5%.
Yacoubi
A
A
Bensari
F
F
Chad
B
B
Zizi
M
M
Taghy
A
A
Belmahi
A
A
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012509:Sarcoma / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D012737:Sex Factors; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*
Les cancers de l'estomac. Etude épidémiologique, diagnostique et thérapeutique.