Audit of advanced gastric cancer at Ibn Sina Hospital, Khartoum, Sudan

Abstract

Background: Worldwide, gastric cancer is the second most common cancer (second to lung cancer). In Sudan incidence and prevalence are not clear because of absence of National Cancer Registry. Aim: To find out the frequency of the gastric mesenchymal tumours, whether gender and age influences the clinico-pathological features of gastric cancer and to audit the outcome of management of advanced gastric cancer at Ibn Sina Hospital. Methods: This is a retrospective study in 139 gastric cancer patients admitted from May 1997 through November 2004. Demographic data, details of the clinical, endoscopic features of gastric cancer, as well as the operative details, and histopathology, the post-operative complication, and hospital mortality were analysed. Available data on family history of cancer; smoking and alcohol consumption was also collected. Results: Mesenchymal tumours account for 15(10.9%) of all gastric cancer. Lymphoma alone constituted 5.8% while leiomyosarcoma constituted 4.4%. Hospital mortality rate was zero%, 2.8%, and 3.6% in distal subtotal, proximal subtotal and total gastrectomy respectively. Hospital mortality was 18 (12.9%) patients. Age and sex have no significance on the clinicopathological features of advanced gastric cancer. Sudan Journal of Medical Sciences Vol. 1(1) 2006: 52-58