Histopathological profile of small bowel cancers in the City of Kinshasa, Democratic Republic of the Congo, from March 2011 to March 2023

Contexte et objectifs. Le cancer de l'intestin grêle est très peu documenté. L'objectif du présent travail était de décrire le profil épidémiologique et histopathologique des cancers de l'intestin grêle dans la ville de Kinshasa. Méthodes. C'était une étude descriptive d'une série des cas colligés dans quatre laboratoires d'Anatomie Pathologique de la ville de Kinshasa et sur une période de 12 ans. Les patients ayant comme diagnostic histologique des cancers de l'intestin grêle ont été répertoriés de manière exhaustive à partir des registres des laboratoires sélectionnés. Les pièces biopsiques archivées ont été relues. Résultats. Sur 812 cancers digestifs enregistrés durant la période d'étude, 43 avaient le cancer de l'intestin grêle soit une fréquence relative de 3,5 ℅. Le sexe masculin prépondérant (58,1 ℅). Les ¾ de nos patients avaient un âge compris entre 6 ans et 58 ans. Les patients plus âgés avaient un grade histologique plus élevé. La quasi-totalité de cancers de l'intestin grêle était déjà invasifs au moment du diagnostic et l'adenocarcinome était le cancer le plus fréquent. Le type histologique influençait significativement le grade (p= 0.007). Conclusion. Le cancer de l'intestin grêle dont le type le plus courant est l'adenocarcinome était invasif et rendant ainsi le pronostic plus défavorable. Ceci montre qu'il y a un problème de retard diagnostic. L'âge et le type histologique exerçaient une influence sur le niveau d'invasion des cancers de l'intestin grêle

Context and objective. Cancer of the small intestine is poorly documented. The aim of this study was to describe the histopathological profile of small bowel cancers in the City of Kinshasa. Methods.This was a descriptive study of a series of cases collected in four Pathological Anatomy laboratories in the city of Kinshasa over a 12-year period. Records of patients with histological diagnoses of small bowel cancers were exhaustively collected from the registries of the selected laboratories. Results Out of 812 digestive tract cancers recorded in studied period, 43 had cancers of the small intestine, with a relative frequency of 3.5 ℅. Male gender predominated (58.1 ℅). The ¾ of patients with small bowel cancers were between 6 and 58 years old. Older patients had a higher histological grade. Histological type had a significant influence on cancer grade (p= 0.0072). Conclusion. Almost all small bowel cancers were diagnosed at the invasion's stage, making the prognosis poorer. The high number of invasive cancers suggests that the delayed diagnosis of cancers could be the culprit in Kinshasa

Epidemiological review and clinicopathological study of gastric adenocarcinoma cases in a tertiary care center in North Chennai, India

Background: Gastric carcinoma is the third most common cause of cancer-related mortality worldwide. The Incidence of gastric carcinoma shows wide geographic and regional variation as well. The clinical presentation varies with the individual and hence histopathological evaluation plays a major role in the diagnosis and management of the patients. This study aims to evaluate the epidemiological and clinicopathological profile of gastric adenocarcinoma cases encountered in a tertiary care center in North Chennai where only limited statistical data available in literature.Methods: All the gastric adenocarcinoma cases diagnosed by histopathology who underwent total/subtotal gastrectomy were retrospectively collected for clinical as well as histopathological details for a year. Descriptive statistics were used for analysis.Results: The mean age of the study population is 59.3±11.3 with male: female sex ratio of 2.1:1. Higher prevalence noted in lower socioeconomic status (80%) and alcoholics (65%) with a history of high salted diet (62%). Most common presenting symptom was dyspepsia (94%). Upper GI endoscopy revealed antrum (42%) as the commonest site of tumor and majority were more than 5 cm size (75%). 62% of tumors were of moderately differentiated, predominantly intestinal type (86%) and mostly found to be in stage 3 (50%).Conclusions: Gastric adenocarcinoma was more common in elderly males and majority presented in advanced stage at the time of diagnosis. The General public needs to be creating awareness about variable nonspecific symptoms of an early stage of gastric carcinoma as well as the risk of poor dietary habits (high salted diet) and can enforce screening of high-risk category people.