Clinical Epidemiological Characteristics of Gastric Cancer in Recent 10 Years_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 JING Xiaoyue , WANG Jianguo , ZHOU Bing , ZHANG Dezhong

Department of General Surgery, The First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, Henan Province, China;

Corresponding author：

JING Xiaoyue, Email: jxy222@sina.com

Keywords：

Gastric tumor; Gastric cancer; Northern Henan province; Epidemiology; Characteristic

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Objective To explore the clinical epidemiologic characteristics and tendency of gastric cancer during recently ten years in northern Henan province.
Methods The clinical data of 1 090 patients with gastric cancer in our department were collected from January 1998 to May 2008. The ten-year period was divided into two groups: previous 5 years group (n=433) and post 5 years group (n=657). The age, gender, pathologic characteristics and the relationship between age and pathologic features were analyzed retrospectively.
Results ①The patient’s age was 15-83 years old 〔mean （57.60±10.84） years old〕 and men-momen ratio was 3.71∶1 in previous 5-year group. The patient’s age was 18-82 years old 〔mean （58.95±10.81）years old〕 and men-momen ratio was 2.84∶1 in post 5-year group. There was no significant difference in age or gender between two groups （P gt;0.05）. ②Gastric cancer arised in cardia and gastric fundus more common and for the incidence of the site no change was found in two groups. The incidence of gastric antrum cancer descended but that of gastric body arised. ③The mean age of patients with gastrocardiac cancer was significantly different (P lt;0.05) between two groups. No significant difference occurred on the mean age of patients with gastric antrum (P gt;0.05) or gastric body cancer (P gt;0.05). The mean age of patients with highly malignant tumor (signet ring cell cancer, poorly differentiated adenocarcinoma and undifferentiated carcinoma) was significantly different compared with that of patients with lowly malignant tumor (well differentiated and moderately differentiated adenocarcinoma) (P lt;0.05). ④The proportion of patients with highly and lowly malignant tumor presented significantly different between the previous 5 years and the post 5 years (P lt;0.05). ⑤The proportion of early gastric cancer was very low and no correlation was found between infiltrating depth and age in all patients (P gt;0.05).
Conclusion Cardia and gastric fundus is the most common site of gastric cancer in northern Henan province. The patients with gastrocardiac cancer are often older but gastric antrum and gastric body cancer patients are younger. Highly malignant gastric cancer is often found in youths, however, lowly malignant gastric cancer occurred predominantly in elderly. The proportion of gastric cancer found early is very low in northern Henan province.

Citation： JING Xiaoyue,WANG Jianguo,ZHOU Bing,ZHANG Dezhong. Clinical Epidemiological Characteristics of Gastric Cancer in Recent 10 Years. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(1): 29-33. doi: Copy

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21.	孙秀娣, 牧人, 周有尚, 等. 中国胃癌死亡率20年变化情况分析及其发展趋势预测 [J].中华肿瘤杂志, 2004; 26(1): 49.
22.	张一楚. 青年人胃癌的诊治特点 [J]. 中华胃肠外科杂志, 2004; 7(5): 347348.
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24.	Campos F, Carrasquilla G, Koriyama C, et al. Risk factors of gastric cancer specific for tumor location and histology in Cali, Colombia [J]. World J Gastroenterol, 2006; 12(36): 57725779.

1. Parkin DM, Whelan SL, Ferlay J, et al. Cancer incidence in five Continents Volume Ⅷ [M]. IARC Scientific Publications No.144. Lyon: IARC, 2002: 822823.
2. 全国肿瘤防治研究办公室, 卫生部卫生统计信息中心. 中国试点市、县恶性肿瘤的发病与死亡. 第2卷（19931997） [M]. 北京: 中国医药科技出版社, 2002: 2134.
3. 李琦, 张中信, 张学华, 等. 河南省内乡县居民1984～2003年胃癌死亡率分析 [J]. 中国肿瘤, 2007; 16 (2): 8586.
4. 孙喜斌, 胡美兰, 全培良. 河南省1984～2003年胃癌死亡率趋势分析 [J]. 中国肿瘤, 2006; 15(5): 291293.
5. Hohenberger P, Gretschel S. Gastric cancer [J]. Lancet, 2003; 362(9380): 305315.
6. 吴孟超. 腹部外科学 [M]. 第1版. 上海: 上海科学技术出版社, 1993: 95117.
7. 陈灏珠. 内科学 [M]. 第3版. 北京: 人民卫生出版社, 1990: 350357.
8. 吴在德, 吴肇汉. 外科学 [M]. 第6版. 北京: 人民卫生出版社, 2003: 460467.
9. 董志伟, 谷铣之. 临床肿瘤学 [M]. 第1版. 北京: 人民卫生出版社, 2002: 876877.
10. 宋维汉, 刘春水. 6 643例胃癌病理调查与分析 [J]. 白求恩医科大学学报, 1997; 23(2): 206207.
11. 张启瑜. 钱礼腹部外科学 [M]. 第1版. 北京: 人民卫生出版社, 2006: 237278.
12. 吴春晓, 郑莹, 鲍萍萍, 等. 上海市胃癌发病流行现况与时间趋势分析 [J]. 外科理论与实践, 2008; 13(1): 2429.
13. 王妍, 王晶桐. 429例胃癌流行病学资料分析 [J]. 胃肠病学和肝病学杂志, 2007; 16(6): 525527.
14. 彭俊生, 詹文华, 陈正煊, 等. 不同年龄段胃癌患者的临床病理特点与预后分析 [J]. 中华胃肠外科杂志, 2004; 7(5): 349352.
15. 丁士刚, 陈龙凤, 安宝国, 等. 25年来经胃镜检出胃癌的变化趋势-1 178例临床流行病学分析 [J]. 中国肿瘤临床与康复, 2001; 8(4): 2325.
16. 游伟程, 李吉友, 金懋林, 等. 胃癌高发区人群胃粘膜病变流行特征的分析 [J]. 肿瘤, 1989; 9(6): 244246.
17. 于会生, 王九菊, 刘松玲, 等. 上海、洛阳两地胃癌发生部位分析 [J]. 河南肿瘤学杂志, 2002; 15(4): 253255.
18. 张晓周.胃镜诊断老年人胃癌159例分析 [J].实用医技杂志, 2008; 15(10): 12831284.
19. 陈道达, 陈剑英. 早期胃癌诊断中的问题及可行对策 [J]. 中国普外基础与临床杂志, 2006; 13(1): 78.
20. 陈志新, 胡建昆, 于永扬, 等. 近、远端胃癌临床病理特点分析（附428例报告） [J]. 中国普外基础与临床杂志, 2002; 9(3): 151153.
21. 孙秀娣, 牧人, 周有尚, 等. 中国胃癌死亡率20年变化情况分析及其发展趋势预测 [J].中华肿瘤杂志, 2004; 26(1): 49.
22. 张一楚. 青年人胃癌的诊治特点 [J]. 中华胃肠外科杂志, 2004; 7(5): 347348.
23. Otsuji E, Yamaguchi T, Sawai K, et al. Characterization of signet ring cell carcinoma of the stomach [J]. J Surg Oncol,1998; 67(4): 216220.
24. Campos F, Carrasquilla G, Koriyama C, et al. Risk factors of gastric cancer specific for tumor location and histology in Cali, Colombia [J]. World J Gastroenterol, 2006; 12(36): 57725779.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Epidemiological Characteristics of Gastric Cancer in Recent 10 Years

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