Gastric carcinoma: location, morphological and histological profile

ABSTRACT

To know the common tumor location, morphological and histological types of gastric carcinoma. This cross sectional study was conducted in gastroenterology unit HMC from January to August 2010. One hundred and thirteen patients of more than 30 years of age and having endoscopic and biopsy proven gastric carcinoma were included in the study. All patients after necessary investigation were prepared for endoscopic examination, upper gastrointestinal endoscopy was done and findings were recorded. Biopsies of the lesions were taken for histopathological confirmation. Seventy five [66.4%] patients were male and 38 [33.6%] were female. The mean age was 56.02 +/- 12.11 years. Antrum was involved in 29[25.7%] cases alone, body alone was involved in 16[14.2%] cases, body and antrum in combination were involved in 15[13.3%] cases, cardia and fundus in 15[13.3%] cases, cardia alone in 13[11.5%] cases, fundus alone in 6[5.3%] cases, fundus, antrum and body in combination in 5[4.4%] cases, cardia, fundus and body in combination in 3[2.7%] cases and cardia and body in combination were involved in 2[1.8%] cases, while stomach was diffusely involved in 9[8.0%] cases. Tumor was polypoid/fungating in 51[45.1%] cases, ulcerated in 43[38.1%], infiltrating in 17[15.0%] and fungating and ulcerated in 2[1.8%] cases. Intestinal type gastric carcinoma was present in 39[34.5%] cases and diffuse type gastric carcinoma was present in 74[65.5%] cases. Gastric carcinoma is a male predominant neoplasm which commonly involves the antrum, usually as fungating or ulcerated lesion and majority of gastric carcinoma are diffused type gastric carcinomas