Clinicopathological Pattern of Gastric Cancer of Yemeni Patients in Ibb Governorate

Abstract

Objectives: To study the clinicopathological pattern of gastric cancer in-cluding the location of the tumor in the stomach and to compare our results with other studies. Design: Prospective study of patients confirmed with gastric malignancy during the period from July 2016 to July 2017. Setting: Specialized center of gastrointestinal and liver diseases in Ibb city, Yemen. Subjects: All patients with histopathological confirmation of gastric malig-nancy. Results: During the study period, we had 69 patients with gastric cancer; among them 48 were males and 21 were females, with male: Female ratio is 2.2:1. The age ranged between 35 years and 90 years and the mean age was 65.87 ± 12.79 years. Most of the patients presented with epigastric pain (87%), weight loss (72.5%), pallor (65.2%), dysphagia (47.8%), vomiting (42%), palpable epigastric mass (20.3%) and hematemesis/melena (18.8%). The cardiofundal location was encountered in 33 cases (47.8% ), 22 (45.8%) males and 11 (52.4%) females, the corpus location in 24 cases (26%), 20 (41.7%) males and 4 (19%) females, the antral location in 8 cases (11.6%), 4 (8.3%) males and 4 (19%) females and the whole stomach in 4 cases (5.8%), 2 (4.2%) males and 2 (9.5%) females. Adenocarcinoma constituted about 94.2%, of which the intestinal type was 87.5% and the diffuse type was 12.5%. The non-epithelial tumor was encounter 4.3%, of which 2.9% were lymphoma and 1.4% were GIST. Conclusion: In our studied patients, proximally located gastric cancer was the most common in both sexes.