ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA UNG THƯ DẠ DÀY TIẾN TRIỂN XÂM LẤN ĐẦU TỤY, TÁ TRÀNG, CUỐNG GAN

Abstract

Aime of study: Retrospective study aim at Evaluating  the Epidemiology and Clinical and Paraclinical features of Locally Advanced Gastric Cancer Invading Duodenum, Head of pancreas or Hepato-Duodenum ligament. Rersults: There were 40 patients, mean age: 63,08±1,73 Y, male 82,5%, Female 17,5%, Sex ratio 4,7. Medical history: gastro-duodenal ulcer in 47,5%; Comorbidities in  72,5%. Clinical  and paraclinic  features: Epigastric pain in 100%; Melena in 62,5%; Gastric outlet obstruction in 85,0%. Weight loss in 82,5%;  Panpable tumor in 27,5%. Distal gastric cancer in 100%: Among them, pyloric tumor  in 25%; Antral-pyloric tumor in 52,5%; Antral tumor in 7,5%; Antral tumor invaded  lesser curvature in 15%. Tumor diameter ≤ 5 cm in 60%. Gastric outlet obstruction  (by gastro duodenal scopy ) in 42,5%.  CTScan revealed tumor invaded duodenum or head of pancreas in 15%. Pathological resuls: poorly differentiated carcinoma  in 47,5%; Moderately differentiated carcinoma in 27,5 %;signet Ring Cell carcinoma 20%; Mucinous adenocarcinoma in 5%. Conclusions: 1.The common features: Mean age  63,08±1,73 Y; male 82,5%, Female 17,5%, Sex ratio 4,7. Medical history: gastro-duodenal ulcer in 47,5%; Comorbidities in  72,5%. 2. Clinical and paraclinical  features: Epigastric pain in 100%; Melena in 62,5%; Gastric outlet obstruction in 85,0%. Weight loss in 82,5%;  Panpable tumor in 27,5%. Tumor location  (gastroduodenal finding) : Distal gastric cancer in 100%: Among them, pyloric tumor  in 25%; Antral-pyloric tumor in 52,5%; Antral tumor in 7,5%;  antral tumor invaded lesser curvature in 15%. Tumor diameter ≤ 5 cm in 60%. Pylory stricture  (by gastro duodenal scopy ) in 42,5%. CTScan finding (Preoperative): Tumor invaded duodenum or head of pancreas in 15%. Pathological resuls: Poorly differentiated Carcinoma  in 47,5%; Moderately differentiated Carcinoma in 27,5 %;signet Ring Cell Carcinoma 20%; Mucinous Adenocarcinoma in 5%.