| Revista: | Jornal brasileiro de patologia e medicina laboratorial |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000297105 |
| ISSN: | 1676-2444 |
| Autors: | Lemes, Laura A.O1 Neunschwander, Leticia C Matta, Lincoln A.C Osorio Filho, Jose Soares, Paula Cristina M Cabral, Monica Maria D.A Nogueira, Ana Margarida M.F2 Rodrigues, Marco Antonio G |
| Institucions: | 1Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais. Brasil 2Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, Minas Gerais. Brasil |
| Any: | 2003 |
| Volum: | 39 |
| Número: | 1 |
| Paginació: | 57-65 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | Background and aims: Gastric carcinoma (GC) is highly prevalent in our population. There are few studies about GC characteristics in Brazil, therefore, we report our data in a series of GC examined in a 10 years period. Material and methods: Surgical specimens from 289 patients submitted to gastrectomy were examined according to a standardized protocol. Results: Most of the tumors (n = 170, 59%) had distal localization, 230 were advanced, mainly Borrmann III type, and 36 cases were early tumors, mainly type II; 115 cases (40%) were expansive and 122 (42%) were infiltrative according to Ming's; 178 cases (62%) were intestinal-type (IGC), 61 (21%) were diffuse-type (DGC) and 50 cases (17%) were mixed type. Among IGC, 116 patients were men (65%) and 61 (35%) were women (1,9:1), mean age of 67.1± 11.8 years; among DGC 36 patients were men (59%) and 25 (41%) were women (1.4:1), mean age 59.3 ± 14.2 years, significantly lower than in IGC (p = 0.001). IGC were predominantly Borrmann types I or II, whereas DGC were commonly Borrmann types III or IV (p = 0.004). DGC were in more advanced stages than IGC (p = 0.02). Nerve invasion was more frequent in DGC cases (p < 10-7). Chronic atrophic gastritis and intestinal metaplasia were quite common among IGC (81% and 67%) and DGC (77% and 59%). Conclusions: Our data are similar to those reported from medium and high GC risk populations. Intestinal-type distally located GC are predominant and most of the cases are advanced tumors without any possibility of curative treatment |
| Resumen en portugués | A maioria dos casos é de CG avançado sem possibilidade de cura no momento do diagnóstico |
| Disciplines | Medicina |
| Paraules clau: | Diagnóstico, Gastroenterología, Oncología, Carcinoma gástrico, Adenocarcinoma, Estómago, Patología, Cáncer |
| Keyword: | Medicine, Diagnosis, Gastroenterology, Oncology, Gastric carcinoma, Adenocarcinoma, Stomach, Pathology, Cancer |
| Text complet: | Texto completo (Ver HTML) |
