[Hospital registry of pancreatic tumors. Experience of the Hospital Clínic in Barcelona (Spain)].
OBJECTIVE
To describe the characteristics of patients included in the pancreatic tumor registry of the Hospital Clínic of Barcelona.


METHODS
All patients with pancreatic tumors attended between July 1990 and March 2003 were registered. Data collection included: age, gender, date of diagnosis, diagnosis, histology, size, location and tumor stage, and treatment. The correlation between tumor stage and age, date of diagnosis, and tumor location was also evaluated.


RESULTS
Six hundred thirty patients with pancreatic tumors were included, representing an incidence of 60 patients/year. The mean age was 66 years and the male-to-female ratio was 1,18:1. The most frequent lesion was malignant tumor of the pancreas (92%), and the most frequent histological type was pancreatic ductal adenocarcinoma (73%). The most frequent location was the head of the pancreas (64%). In 28% of the patients, pancreatic cancer was diagnosed in stage I and II. Resection was performed in 31% of patients, whereas 48% of the patients received no treatment. The ratio between local (stage I)/disseminated (stage IV) disease was 0,34. The ratio between stage I/IV increased with age, diagnosis prior to 1994, and tumor location in the head of the pancreas.


CONCLUSIONS
Hospital tumor registries can be used to define the profile of the attended population, which can help to delineate the best diagnostic-therapeutic strategy and can be useful in clinical research.
Soriano-Izquierdo
A
A
Servicio de Gastroenterología, Institut de Malalties Digestives, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, España.
Castells
A
A
Pellisé
M
M
Ayuso
C
C
Ayuso
J R
JR
de Caralt
T M
TM
Fernández-Esparrach
G
G
Ginès
M A
MA
García-Criado
A
A
Martín
M
M
Maurel
J
J
Miquel
R
R
Bombí
J A
JA
Gascón
P
P
Biete
A
A
Piqué
J M
JM
Fernández-Cruz
L
L
Navarro
S
S
D000328:Adult; D000368:Aged; D005260:Female; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*; D012042:Registries; D013030:Spain / Q000453:epidemiology