A Retrospective Study of Gastric Cancer Cases

Objective: Gastric cancer is the fifth most commen neoplasm in terms of incidence in men and women in Europa. Male to female ratio was determined as 1.6:1. Gastric cancer is the second most commen neoplasm in men and third most commen neoplasm in female in deaths due to cancer in our country. Prognosis of gastric cancer is generally reserved. The low survival rate is due to the delay in diagnosis, most cases being diagnosed in an advanced stage. Material and Methods: Between 1995 and 2009, 204 gastric cancer patients were retrospectively evaluated who was treated surgically in Faculty of Medicine, Suleyman Demirel University. It was observed that tumors of the 131 patients were curatively resected. The great portion (80%) of these patients were in locally advanced stages (stage IIIa, IIIb and IV). Age, gender, symptoms, tumor localisation, T, N, M, stage, tumor differantiation, histologic type, occurence of vascular and perineural invasion, surgery type, resection type, dissection type, count of dissected lymph nodes, metastatic lymph nodes, ratio of metastatic lymph nodes, complications, morbidity and mortality, adjuvant chemotherapy schedules, adjuvant radiotherapy and other adjuvant therapies, and surviaval of these patients were analyzed. For detecting the effects of these factors upon survival, logictic regression analysis was performed. Survival times were analyzed with Kaplan-Meier method. Results: It was seen that surgical morbidity was 15.2%, and mortality was 7.6% in curatively resected 131 patients. Stage and the ratio of metastatic lymph nodes were evaluated as significantly important in survival (p< 0.05). Survival ratio for 5 years were estimated a s 79.1%, 78.3%, 61.8%, 46%, 24.8% and 25.8% according to the stages Ia, Ib, II, IIIa, IIIb and IV respectively. Conclusion: In conclusion, it could be considered that although the great portion of gastric cancer patients were locally advanced cases, the survival rates were increased with radical resections.