title: Gastric carcinoma--a big challenge in a poor economy.
abstract: BACKGROUND
  Gastric carcinoma is usually characterized with significant morbidity and mortality mainly because of late presentation. Late presentation of gastric carcinoma is a prominent feature in developing and poor countries.
  
  
  OBJECTIVE
  The purpose of this study is to present our experience with the pattern and outcome of gastric tumors at the University of Benin Teaching Hospital, Benin City, Nigeria; with emphasis on late presentation of the patients.
  
  
  METHODS
  The case files of the patients that were managed at the University of Benin Teaching Hospital for gastric tumors over a 5-year period (January 2004 to December 2006) were analyzed for biodata, symptoms and signs of disease, findings at operation, treatment offered, and outcome of treatment.
  
  
  RESULTS
  The male/female ratio was 2.3:1, with the youngest patient being 38 years while the oldest patient was 76 years old. Upper abdominal pain and a palpable mass per abdomen were the commonest symptoms and signs, respectively. Alcohol ingestion was the commonest identifiable risk factor. Only 30.4% of the patients presented within a year of the onset of symptoms. The gastric antrum was affected in over 78% of the cases, and adenocarcinoma was found in about 90% of the patients. Partial gastrectomy with gastrojejunostomy was the commonest procedure carried out. The mortality rate was 39.1%, and of the patients that died, 66.7% occurred within a year from time of diagnosis.
  
  
  CONCLUSIONS
  Most of the cases of gastric carcinoma presented in this study presented late with associated significant mortality. Health education is advised with a view to encouraging early presentation.
authors.affiliation: Department of Surgery, University of Benin Teaching Hospital, PMB 1111, Benin City, Nigeria. clementosime@yahoo.com
authors.forename: O Clement
authors.initials: OC
authors.lastname: Osime
authors.forename: M I
authors.initials: MI
authors.lastname: Momoh
authors.forename: O O
authors.initials: OO
authors.lastname: Irowa
authors.forename: A
authors.initials: A
authors.lastname: Obumse
mesh_terms: D000230:Adenocarcinoma / Q000453:epidemiology / Q000473:pathology*; D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000009:adverse effects; D057210:Delayed Diagnosis / Q000401:mortality; D003906:Developing Countries; D005260:Female; D005743:Gastrectomy; D005774:Gastrostomy; D006785:Hospitals, University; D006801:Humans; D007582:Jejunostomy; D007889:Leiomyoma / Q000453:epidemiology / Q000473:pathology*; D008223:Lymphoma / Q000453:epidemiology / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D011203:Poverty; D011379:Prognosis; D012307:Risk Factors; D021701:Sentinel Lymph Node Biopsy; D013274:Stomach Neoplasms / Q000453:epidemiology* / Q000473:pathology* / Q000601:surgery; D016019:Survival Analysis; D016896:Treatment Outcome