Gastric neoplasia: a Clinicopathological study

ABSTRACT

A clinicopathological study of 94 patients with gastric neoplasia was done. Eighty nine patients had cancer stomach with a mean age of 57.3 years while 5 patients had benign gastric tumor with a mean age of 47 years. The most common presenting symptoms were weight loss, sense of epigastric fullness after meals and constitutional symptoms as easy fatiguability and malaise. Barium swallow, endoscopy, ultrasound and/or CT was done to diagnose the disease. Gastrectomy was carried out in 53 patients, esophagogastrectomy in 2 patients, palliative resection in 30 patients, bypass in 5 patients while nothing could be done in 4 patients. The histopathological study showed adenocarcinoma in 62 patients, 40 of them were undifferentiated and 22 were differentiated. Two had signet ring carcinoma while 10 with mucoid carcinoma. Non-Hodgkin's lymphoma were found in 15 patients. Benign tumors were; 2 leiomyoma, 2 leiomyoblastoma and 1 schwanoma. Regular follow up of 56 patients was carried out ranging from 6-34 months. Fourteen patients died during this period, however, the survival in patients with lymphoma was better. All patients with benign tumors are alive