ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN UNG THƯ DẠ DÀY ĐIỀU TRỊ TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Objective: To describe the clinical and paraclinical characteristics of gastric cancer patients treated at Can Tho Central General Hospital. Methods: A descriptive cross-sectional study with retrospective review was conducted on 44 patients diagnosed with gastric cancer at Can Tho Central General Hospital from June 2021 to June 2023. Result: The most common symptoms were epigastric pain (97.7%), nausea and vomiting (72.7%), anorexia (47.7%), and weight loss (31.8%), while dysphagia was the least common (2.3%). Frequent physical findings included abdominal tenderness (97.7%), anemia (45.5%), and ascites (20.5%), with no distant metastasis observed. Most patients were classified as ASA 2 (61.4%). Mild anemia was present in 45.5%, normal albumin in 50%, and elevated CEA in 68.2%. Abdominal ultrasound detected tumors in 43.9% and lymph nodes in 4.9% of cases. CT scan identified tumors in 100% of patients, with 90.9% showing loss of layer structure and 52.3% with nodal metastasis; no adjacent organ invasion was observed. Tumors were mostly ≤ 3 cm (50%), with the pyloric antrum being the most frequent location (66%).