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MEDISAN

versão On-line ISSN 1029-3019

Resumo

DESPAIGNE GUILLOT, Odalis; LEON COLUMBIE, Anely Rosalia; DIAZ FONDEN, Jesús  e  MONIER MARTINEZ, Yurislena. Some clinical-epidemiological, endoscopic and histological aspects in elderly with gastric cancer. MEDISAN [online]. 2021, vol.25, n.2, pp. 419-431.  Epub 19-Abr-2021. ISSN 1029-3019.

Introduction:

Gastric cancer occupies the fifth place in incidence among all types of malignancies and is the second cause of death in the world, as most of the patients are more than 60 years when being diagnosed.

Objective:

To characterize aged patients according to variables of interests.

Methods:

An observational, descriptive and series of cases study was carried out in 56 patients older than 60 years with endoscopic and histologic diagnosis of gastric cancer, who were admitted in Saturnino Lora Teaching Provincial Clinical-Surgical Hospital, during 2016-2019.

Results:

Elderly in the age group 60-69 years predominated (46.4 %), mainly of the male sex (67.8 %), and the most frequent symptoms were epigastralgia (82.1 %) and the early fullness sensation (67.8 %). Among the most relevant characteristics of the tumoral lesions there were the antropiloric location (55.3 %), the ulcerated presentation in the endoscopy (51.7 %), and the histic variety mildly differentiated adenocarcinoma (43.4 %), likewise, the existence of Helicobacter pylori was confirmed in 52,5 % of the pathological biopsy results.

Conclusions:

It is interesting to consider the presence of a gastric adenocarcinoma in patients older than 60 years expressing gastric symptoms, mainly if they are men or suffer from epigastralgia, even more if when carrying out the esophagogastroduodenoscopy, an ulcerated lesion of antropiloric location is observed.

Palavras-chave : gastric cancer; elderly; mildly differentiated adenocarcinoma; Helicobacter pylori; digestive system endoscopy.

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