Publication:

Carcinoma stomach and its analysis on presentation in Government Vellore Medical College: institutional study

Background Cancer stomach is one of the five commonest cancer contributing to cancer mortality and morbidity.It is a curable disease if detected early but unfortunately most of the patients present in the locally advanced stage. Stage at presentation is the single most important prognostic factorand which determines the resectability of the disease.

Methods The present study is a Retrospective study and the study period was between January 2016 to January 2018. The inclusion Criteria were all patients above 30 years of age reporting with histopathological diagnosis of carcinoma Stomach to determine the age at presentation, stage at presentation, gender distribution, type of surgery done and the common histopathological diagnosis.

Results This study showed highest incidence of carcinoma stomach in the age group of 30- 50yrs.Male and female ratio was1.4:1. Around 58% patient presented in the locally advanced stage stage III A, IIIB and IIIC and 8% with liver metastasis.As already mentioned most of the patient present to the hospital in a late stage and stage is the most important prognostic factor.

Conclusions To conclude the present study showed a high incidence in the age group 30 to 50yrs and the most common affected gender was male. Pylorus and Pyloric antrum was the common site of presentation. Most of the patient around 58% presented in a locally advanced stage.