Clinicopathological profile of patients underwent gastrectomy for gastric cancer in the Southwest region of Paraná between 2015 and 2020
DOI:
https://doi.org/10.5433/1679-0367.2024v45n2p211Keywords:
Medical oncology, Stomach neoplasms, AdenocarcinomaAbstract
Introduction: gastric cancer is one of the five most common types of cancer. Stomach tumors have a multifactorial etiology. Nonspecific symptomatology in the initial stages favors an advanced condition at the time of diagnosis.
Objective: to characterize the profile of patients diagnosed with stomach cancer who underwent gastrectomy at the Francisco Beltrão Cancer Hospital (CEONC).
Material and Method: this is a descriptive observational study of 76 patients treated at CEONC in Francisco Beltrão, from 2015 to 2020. Patients not submitted to surgical procedure or diagnosed with benign pathologies were excluded.
Results: most gastric tumors were histologically classified as adenocarcinoma (84.21%), and this tumor type was more prevalent in patients over 60 years of age. The rate of advanced tumors that could not be totally resected is high, and surgeries with free margins were 46.88% in adenocarcinomas. Regarding the surgical procedure of choice, total gastrectomy was the surgery performed on most gastric tumors. As for staging using the TNM system, 35.94% of cases were classified as T3 or T4 when it was possible to obtain such information.
Conclusion: gastric cancer is silent in the initial stages, making early diagnosis difficult. The advanced stage of diagnosis limits treatment options, leading to high mortality rates. Therefore, the need for research directed to the subject is evident, in order to understand the epidemiological profile of the region, as a tool for decision-making.
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