The clinicopathological and socioeconomic features of patients with gastric cancer in Turkey (Turkish Oncology Group)

Abstract

20098 Background: The incidence of gastric cancer has declined dramatically in western countries. However it is the second most common cancer in Turkey, and its mortality rate is still high. The aim of this study was to evaluate the clinicopathological and socioeconomic features of patients with gastric cancer in Turkey. Methods: A questionnaire including the clinicopathological and socioeconomic features of gastric cancer patients diagnosed in 2004, was used in this retrospective multicentre study. The characteristic of patients in economically developed Western Turkey (WT) was compared to those in less developed Eastern Turkey (ET). Results: From sixteen centers, 971 patients with gastric cancer during the year 2004 were included in the study. Male-female ratio was 2/1. Mean age was 57 ± 12.9 years. Of patients, 75.3% had low socioeconomic status. Distal and middle gastric cancers were the most common locations (distal 39%, middle 36.5% vs upper 24.5%). The R0 resectability rate was 54.1% in all patients. There was no statistically significant difference in gender, age, smoking rate, anemia, the location of tumor and the frequency of atrophic gastritis between WT and ET. The rate of cancer resectability was lower in Eastern Turkey (ET) than Western Turkey (WT) (31.6% vs. 63.4%, p = 0.0001). Also, socioeconomic status of patients was lower in ET than those in WT (53.6% vs. 32.3%, p = 0.0001). H. pylori associated gastritis and intestinal metaplasia were more common in ET when compared with WT (75.0% vs. 40.5%, P = 0.003, and 68.4% vs. 18.1%, respectively, P = 0.0001). Conclusions: Lower socioeconomic status and lower resectability rate of gastric cancer in ET is considerable. Further epidemiological study of gastric cancer is warranted in Turkey. No significant financial relationships to disclose.

Üst Gastroi̇ntesti̇nal Si̇stem Endoskopi̇si̇ İle Üst Gastroi̇ntesti̇nal Mali̇gni̇teler: 12196 Olgunun Retrospecti̇f Anali̇z

“…Kanser nedenli ölümlerde 3.en sıkölüm sebebidir [10,11] Erkeklerde görülme oranı kadınlardan daha fazladır. Daha sık 60-70 yaş aralığında karşımıza çıkar [12,13] Ülkemizde de mide kanseri önemli sağlık problemi olarak karşımıza çıkmaktadır. Dünya ile benzer oranlarda görülen mide kanseri kadınlarda yüzbinde 6,4 erkeklerdeyüzbinde14,3 oranında görülmektedir [3].…”