Browsing by Author "Dandena, Yonas"

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    Patterns of Gastric Cancer in Tikur Anbessa Specialized University Hospital Radiotherapy Unit from 2012 to 2017
    (Addis Ababa University, 2020-05) Dandena, Yonas; Dr.Tigeneh, Wondimagegnehu(MD, MSc (RT) FCR oncology;consultant oncologist, Associate Professor of Medicine, AAU, CHS)
    Background: Gastric cancer is one of the most common alimentary tract cancers. Due to environmental and dietary factors, its incidence is on the rise, especially in the developing world. There is a lack of published studies on gastric cancer in Ethiopia. Objective: To evaluate pattern of gastric cancer among patients coming to Tikur Anbessa Specialized Hospital, Radiotherapy Center from 2012-2107 G.C. Methodology: The record of all patients taken from the departments inpatient and outpatient log book who were registered in the department from January 2012- December 2017 was taken as the source population and those patients who were labeled as gastric cancer was taken as the study population. The information was collected by the principal investigator. Data were compiled and analyzed using IBM SPSS version 22 software and presented using tables and figures. Results- A total of 42 patients who fulfilled the inclusion criteria were enrolled in the study. The male to female ratio was 2:1. Patient ages ranged from 24 to 75 years. The majority (42%) of the patients aged 45-60. Abdominal pain was the most common initial clinical presentation accounting for (45.2%) of the cases. The majority (83.3%) had stage 4 disease at the time of the initial presentation. ECOG performance status 2 was recorded in (59.5%) of the patients. Known risk factors like alcohol and cigarette smoking were recorded in 14.3% and 2.4 % respectively. Antrum was the most common tumor site involved in 35.7% of the patients. The majority of the patients were evaluated with upper GI endoscopy (95.2%). Of the surgical procedures done on the study population palliative bypass gastrojejunostomy was the most frequent procedure (50%). Palliative combination chemotherapy was given to (69%) of the patients. Pain medications were given to (50%) of the patients. Conclusion/recommendation: The study has shown gastric cancer affects a diverse group of patients in terms of age, sex, place of living, marital status, and religion. The majority of the patients had an advanced stage of disease after presenting with a protracted duration of symptoms were palliative combination chemotherapy was the only treatment option. We recommend proper pathological and clinical documentation.