MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA BỆNH NHÂN UNG THƯ DẠ DÀY GIAI ĐOẠN MUỘN TẠI BỆNH VIỆN K

Abstract

Objective: Description of some clinical and subclinical features of patients with late-stage gastric cancer at Vietnam National Cancer Hospital. Patients and methods: Cross-sectional descriptive study on 52 patients with the diagnosis of late-stage gastric cancer, no longer amenable to radical surgery, at Vietnam National Cancer Hospital from June 2016 to March 2020.  Results: The overall average age of patients is 63.8 years old, most patients are over 50 years old, the oldest is 75, and the youngest is 42 years old. The male/female ratio is 1,9/1. 17,3% of patients have stomach disease, and 7,7% of patients have a relative with cancer. Most patients have good physical condition PS 0-1 (84,6%). Abdominal pain is the most common symptom, accounting for 76.9% of cases, with bloating, indigestion, poor appetite, and weight loss accounting for 55.8%, 53.9%, and 51.9%. The poorly differentiated type accounts for the highest proportion (53,8%). 55,8% of patients received symptomatic surgery. 69,2% of patients had one metastatic site. The liver and peritoneum are the most common metastatic sites, 34,6%, and 30,8%, respectively. Conclusion: The average age of the patients is 63,8 years old, most patients are in good health, abdominal pain is the most common symptom, accounting for 76.9% of cases, and poorly differentiated type accounts for the highest proportion (53,8%). The liver and peritoneum are the most common metastatic sites at 34,6% and 30,8%, respectively.