Background: Esophageal cancer incidence rates vary internationally from region to region. Esophageal cancer is usually 3 to 4 times more common among men than women. The present study was carried out to find out the socio-demographic determinants of esophageal cancer in a tertiary care teaching hospital of central part of India. A retrospective study was carried at tertiary care center in rural part of central India for a period of 6years (2007-2013).Methods: A total of 703 patients suffering with different kind of carcinoma were reported at the hospital of which 255 were retrieved as patients having esophageal carcinoma and reviewed. Patient history and profile like habits and socio-demographic records were collected and assessed. Majority of patients was on mixed diet. Out of 703 patients suffering with carcinoma in a specified period of six years, 255 patients had esophageal cancer.Results: Data reveals predominance of males (51.76) over females (48.24). Majority of peoples belongs to remote areas with a history of chewing tobacco, smoking and consumption of alcohols. The present study shows that esophageal cancer constitutes 32.27% of GIT cancer cases reported in research hospital. Dysphagia and loss of weight were very commonly observed symptoms. Ulceration, lumen narrowing, and wall thickening were also assessed in some patients. Mostly lower and middle esophagus was found to have cell growth.Conclusions: It was concluded from the data, that government must take efforts to improve socio-economic status of peoples standing in remote areas so as to potentially reduce the risk factors causing the disease and increase a public awareness among the peoples.
Background: Occurrence of tumor of small bowel is very rare but the burden is in growing state in both more and less economically countries because of consumption of tobacco chewing by youngsters.Methods: These studies include diagnosis and treatment of patients reported at tertiary care center of each districts of Vidarbha region and nearby districts for a schedule of six years.Results: Data refers to female predilection with male to female ratio of 0.75:1. The mean age of incidence for men and women recorded were 35+/-20.23 and 57+/-17.91 years respectively. Pain in abdomen was recorded as primary sign in 92.86% cases along with change in bowel habits in 85.71%. Anemia found was related to loss of weight and appetite. Malena and diarrhea were also significant in 65.29 and 14.95% of patients along with presence of mucus in stool in one patient. Pallor and palpable mass in abdomen were characteristic in 42.86% and 14.29% cases. Bowel wall thickening in 71.4% and bowel mass in 28.6% were examined by computer tomography. Intra-abdominal lymphadenopathy along with bowel wall thickening and bowel mass were noticed in one patient. Liver secondaries were seen in 3 patients (21.43%). Ileum was most susceptible site of tumor with development of adenocarcinoma malignancy.Conclusions: Improvement in socioeconomic background, literacy and awareness regarding causative agents helps to control percentage of incidence.
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