Sociodemographic and histopathological characteristics of patients with gastric cancer in a high-risk population in Colombia
DOI:
https://doi.org/10.22516/25007440.544Keywords:
Helicobacter pylori, Gastrectomy, Gastric cancer, HistopathologyAbstract
Objective: To describe the sociodemographic and histopathological characteristics of patients diagnosed with gastric adenocarcinoma at the Clínica Oncológica Aurora between 2014 and 2017 in the city of Pasto, Colombia.
Methodology: A descriptive study was carried out in a cohort of 54 patients diagnosed with gastric cancer who underwent gastrectomy between 2014 and 2017. Sociodemographic information was taken from the medical records of the patients. The Sydney system and Lauren classification were used to determine histopathological characteristics.
Results: Most tumors were found in men older than 50 years (with a male:female ratio of 2.6:1). The predominant location was the antropyloric region. The most frequent tumor histotype was intestinal (80 %). The prevalence of Helicobacter pylori in patients was 24.07 % and it was most commonly found in the intestinal histotype. Intestinal metaplasia was the most prevalent premalignant lesion in all tumor histotypes.
Conclusions: The present study found that the age of 50 and the male sex are conditions associated with gastric cancer. This finding has already been demonstrated in previous studies. Progress in improving public health conditions, controlling H. pylori infection, and early screening of premalignant lesions is imperative, as they are determining factors of carcinogenesis in patients with non-cardia carcinomas and intestinal histotypes located in the anthrocorporal region. Although no significant differences were found among tumor histotypes, intestinal adenocarcinoma in the antropyloric region was the most frequent diagnosis.
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Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424. https://doi.org/10.3322/caac.21492
Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55(2):74-108. https://doi.org/10.3322/canjclin.55.2.74
Bravo LE, Muñoz N. Epidemiology of cancer in Colombia. Colomb Med (Cali). 2018;49(1):9-12. https://doi.org/10.25100/cm.v49i1.3877
Guggenheim DE, Shah MA. Gastric cancer epidemiology and risk factors. J Surg Oncol. 2013;107(3):230-6. https://doi.org/10.1002/jso.23262
Kelley JR, Duggan JM. Gastric cancer epidemiology and risk factors. J Clin Epidemiol. 2003;56(1):1-9. https://doi.org/10.1016/s0895-4356(02)00534-6
Lauren P. The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma. An attempt at a histo-clinical classification. Acta Pathol Microbiol Scand. 1965;64:31-49. https://doi.org/10.1111/apm.1965.64.1.31
Crew KD, Neugut AI. Epidemiology of gastric cancer. World J Gastroenterol. 2006;12(3):354-62. https://doi.org/10.3748/wjg.v12.i3.354
Correa P, Camargo MC, Piazuelo MB. Overview and Pathology of Gastric Cancer. En: Wang TC, Fox JG, Giraud AS (editores). The Biology of Gastric Cancers. Nueva York: Springer; 2009. p. 1-24. https://doi.org/10.1007/978-0-387-69182-4_1
Adrada JC, Calambás FH, Díaz JE, Delgado DO, Sierra CH. Características sociodemográficas y clínicas en una población con cáncer gástrico en el Cauca, Colombia. Rev Col Gastroenterol. 2008;23(4):309-314.
Bedoya U Á, Sansón G. F, Yépez Fuertes V. Y, Santacruz M. C, Cifuentes C. Y, Calvache P. D, et al. Prevalence and severity of gastric cancer precursor lesions in a high risk area. Rev Col Gastroenterol. 2012;27(4):275-281.
Zabaleta J. Multifactorial Etiology of Gastric Cancer. En: Dumitrescu RG, Verma M (editores). Cancer Epigenetics: Methods and Protocols. Totowa, NJ: Humana Press; 2012. p. 411-35. https://doi.org/10.1007/978-1-61779-612-8_26
Yu J, He Y, Guo Z. Age trend of the male to female sex ratio in surgical gastric cancer patients at a single institution. World J Surg Oncol. 2014;12:269. https://doi.org/10.1186/1477-7819-12-269
Rawla P, Barsouk A. Epidemiology of gastric cancer: global trends, risk factors and prevention. Prz Gastroenterol. 2019;14(1):26-38. https://doi.org/10.5114/pg.2018.80001
Zheng H, Takahashi H, Murai Y, Cui Z, Nomoto K, Miwa S, Tsuneyama K, Takano Y. Pathobiological characteristics of intestinal and diffuse-type gastric carcinoma in Japan: an immunostaining study on the tissue microarray. J Clin Pathol. 2007;60(3):273-7. https://doi.org/10.1136/jcp.2006.038778
Rampazzo A, Mott GL, Fontana K, Fagundes RB. Gastric adenocarcinoma trends in the central region of Rio Grande do Sul (Southern Brazil): what has changed in 25 years? Arq Gastroenterol. 2012;49(3):178-83. https://doi.org/10.1590/s0004-28032012000300002
Halling KC, Harper J, Moskaluk CA, Thibodeau SN, Petroni GR, Yustein AS, Tosi P, Minacci C, Roviello F, Piva P, Hamilton SR, Jackson CE, Powell SM. Origin of microsatellite instability in gastric cancer. Am J Pathol. 1999;155(1):205-11. https://doi.org/10.1016/S0002-9440(10)65114-0
Nardone G. Review article: molecular basis of gastric carcinogenesis. Aliment Pharmacol Ther. 2003;17 Suppl 2:75-81. https://doi.org/10.1046/j.1365-2036.17.s2.10.x
Bresciani C, Perez RO, Gama-Rodrigues J. Familial gastric cancer. Arq Gastroenterol. 2003;40(2):114-7. https://doi.org/10.1590/s0004-28032003000200010
Hooi JKY, Lai WY, Ng WK, Suen MMY, Underwood FE, Tanyingoh D, Malfertheiner P, Graham DY, Wong VWS, Wu JCY, Chan FKL, Sung JJY, Kaplan GG, Ng SC. Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis. Gastroenterology. 2017;153(2):420-429. https://doi.org/10.1053/j.gastro.2017.04.022
Bravo LE, Cortés A, Carrascal E, Jaramillo R, García LS, Bravo PE, Badel A, Bravo PA. Helicobacter pylori: patología y prevalencia en biopsias gástricas en Colombia. Colombia Médica. 2003;34(3):124-131.
Chacaltana Mendoza A, Soriano Álvarez C, Frisancho Velarde O. Factores de riesgo asociados a metaplasia intestinal gástrica en pacientes sin enfermedad gastroduodenal significativa: ¿Está siempre asociada la infección por Helicobacter pylori? Rev Gastroenterol Perú. 2012;32(1):50-7.
van der Woude CJ, Kleibeuker JH, Tiebosch AT, Homan M, Beuving A, Jansen PL, Moshage H. Diffuse and intestinal type gastric carcinomas differ in their expression of apoptosis related proteins. J Clin Pathol. 2003;56(9):699-702. https://doi.org/10.1136/jcp.56.9.699
Sipponen P, Kekki M, Siurala M. Atrophic chronic gastritis and intestinal metaplasia in gastric carcinoma. Comparison with a representative population sample. Cancer. 1983;52(6):1062-8. https://doi.org/10.1002/1097-0142(19830915)52:6<1062::aid-cncr2820520622>3.0.co;2-p
Crew KD, Neugut AI. Epidemiology of gastric cancer. World J Gastroenterol. 2006;12(3):354-62. https://doi.org/10.3748/wjg.v12.i3.354
Sitarz R, Skierucha M, Mielko J, Offerhaus GJA, Maciejewski R, Polkowski WP. Gastric cancer: epidemiology, prevention, classification, and treatment. Cancer Manag Res. 2018;10:239-248. https://doi.org/10.2147/CMAR.S149619
Corvalán A, Akiba S, Valenzuela MT, Cumsille MA, Koriyama C, Argandoña J, Backhouse C, Bal M, Mena F, Palma M, Eizuru Y. Características clínico-moleculares del cáncer gástrico cardial asociado al virus Epstein Barr. Rev Med Chil. 2005;133(7):753-60. https://doi.org/10.4067/s0034-98872005000700001
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