Topography and Morphology of Gastric Cancer in Nigeria: A Dual Institution Review of 622 Upper Gastrointestinal Endoscopies.

gastric cancer morphology topography

Journal

Cureus

ISSN: 2168-8184

Titre abrégé: Cureus

Pays: United States

ID NLM: 101596737

Informations de publication

Date de publication:
26 Apr 2021

Historique:

entrez: 31 5 2021

pubmed: 1 6 2021

medline: 1 6 2021

Statut: epublish

Résumé

Introduction Gastric cancer is a leading cause of cancer mortality worldwide. The burden of this disease is highest in developing countries of East Asia, Eastern Europe, and parts of Central and Southern America. Africa, despite having a similar high profile of Helicobacter pylori infection with East Asia, has a reported low prevalence of gastric cancer. There is a paucity of data on the natural history and endoscopic presentation of gastric cancer in West Africa. Aim To study the topography and morphology of gastric cancer from two institutions in Southern Nigeria. Methods A cross-sectional retrospective study of 622 consecutive cases of upper gastrointestinal (GI) endoscopy performed in two referral endoscopy facilities in Port Harcourt, Rivers State, Nigeria from February 2012 to January 2021. Variables collated from centre records included age, sex, ethnicity, symptoms, site, endoscopic classification, and histology of gastric cancers. Statistical analysis was performed using IBM SPSS version 20 (IBM Corp., Armonk, NY). Results There were 17 (2.7%) cases of histologically confirmed gastric cancer. The age range of patients was from 34 years to 99 years (mean 60.7 ± 14.6 years). There were nine males and eight females (M:F ratio of 1.1:1). Antrum and cardia were predominantly affected in 10 (60.0%) and seven (6.7%) cases, respectively. Borrmann type 1 advanced gastric tumor was seen in seven (53.8%) and adenocarcinoma, the predominant histology, in 14 (82.4%) cases. Helicobacter pylori was detected in a sole case of gastric cancer. Conclusion Gastric cancer is uncommon in our environment and with a delayed presentation. A predominance of gastric antrum topography and exophytic growth morphology is the pattern.

Identifiants

DOI: 10.7759/cureus.14693 PMID: 34055537 PMC: PMC8153965

pubmed: 34055537

doi: 10.7759/cureus.14693

pmc: PMC8153965

doi:

Types de publication

Journal Article

Langues

eng

Pagination

e14693

Informations de copyright

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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