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.
Background: The incidence of gastric cancer varies in different part of world. It is a series problem as it involves development of malignancy in stomach and affected by with daily life style of the habituates.Methods: The present study was carried out at tertiary care center of districts of Vidarbha region of Maharashtra and neighborhood districts of Andhra Pradesh and Madhya Pradesh for the tenure of six years. Study and collection of data were assessed by examination of one hundred and seven patients suffering with the gastric carcinoma.Results: Males were found to be more susceptible in a ratio of 1.22/1. Mean age of incidence was assessed as nearly 55 years. Smoking, alcohol, mixed diet, weight gain, positive family history and history acid peptic disease were reported in 23.4%, 24.3%, 63.8%, 2.8% 36.4% and 36.4% cases. Mild to severe anemia was also reported. Most accountable symptom was abdominal pain, followed by vomiting. Lump in abdomen and nausea were some other symptoms. Jaundice in little percentage was also observed. Antrum was most common site of malignancy observed in more than 50% cases. Cardia, pylorus and fundus were involved in 17, 14 and 03 patients. Thickening of stomach wall were observed. Adrenocarcinoma was in 100 patient’s symptoms.Conclusions: Incidence of cases in these areas refers to poor dietary habits. Increasing the literacy and awareness regarding the causative factors in the respective areas contributes to decrease the incidence and risk too.
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: The present 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. Melena 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 was 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 secondary 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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