Computed Topography imaging Patterns, Associated Risk Factors and Prevalence of Pneumonia in Esophageal Cancer Patients Visiting Tash for Staging Tikur Anbessa Specialized Hospital, Addis Abeba University, Addis Abeba,Ethiopia.
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Date
2019-10
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Addis Ababa University
Abstract
Background: Esophageal cancer is the eighth most common cancer and the sixth most common cause of cancer relate death worldwide and the fifth most common cancer and attributes a significantnumber of cancer-related death in Ethiopia.
Objective:To asses Computed tomography imaging pattern, risk factors and prevalence ofaspiration pneumonia in esophageal ca patients visiting radiology department TikurAnbesaSpecialised Hospital for staging.
Method: Institutional based prospective cross-sectional study was conducted on 110 histologicalproven esophageal ca patients come to the radiology department of Tikur Anbesa Specialised Hospital for staging.Sociodemo graphic data were collected by principal investigators using a semistructuredquestionnaire with the full consent of the participant. The data was collected from the source population and entered and analyzed using SPSS version 25. Text, tables,and graphs wereused to present descriptive data, and analysis was processed.
Result: Esophagus cancer was commonly seen in the age group between 51 to 60 years (37.3%)with the females (55.5%) more commonly affected than males (44.5%).All patients predominantly presented with dysphagia and weight loss. Dirking or eating extremelyhot drinks or meals, alcohol, and smoking was the associated risk factor.The lower esophagus affected more commonly 47.3% compared to other parts. The wall thickness inthe majority of the cases measured between 10-20mm (83.8%).T4b N0M0 was the most common staging found in CT (56.7%)with non resectability of 78.18%.Twenty point seven percent of the cases presented with metastasis being lung is the commonest site of metastasis. Squamous cell carcinoma (81.8%) was the most common histopathological typepresented. Of 110 patients 12 of them (10.9%) have pneumonia.
Conclusion: . Most patients are old age farmers from oromia prsented with 100% dysphagia andweight loss. The identified risk factor are dirking or eating extremely hot drinks or meals, alcohol,and smoking. The lower esophagus affected more commonly 47.3% compared to other parts withsignificant corraltion with histologic type and T4bN0M0 was the most common staging (56.7%) with 78.18% unresetablility at presentation.
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TOMOGRAPHY IMAGING,,PNEUMONIA ,ESOPHAGEAL CANCER