Epidemiología del cáncer de esófago en el Hospital Juárez de México

Content Provider	Semantic Scholar
Author	Urrutia, J. Manuel Manrique, Martín Antonio García, Miguel Angel Chávez Cardona, Jony Cerna Corona, Teófilo Pérez Velázquez, Nora Noemí Hernández Luna, Dario F. Cisneros, Alberto Antonio Ramírez, Griselda Martínez Macías, Elvia Janeth Rubalcaba
Copyright Year	2017
Abstract	Introduction. The incidence of esophageal cancer has increased in recent decades. From 1979 to 2008 in Mexico has caused 2.1% of deaths in men and 0.8% for women of all malignancies. Risk factors for esophageal cancer are snuff, alcohol, nutrition, obesity, metaplasia. Objective. To describe the epidemiological and histopathological characteristics of patients diagnosed with esophageal cancer in the Hospital Juarez de Mexico. Material and methods. Longitudinal descriptive retrospective observational study was conducted January 2010 to May 2015. Patients with endoscopy suggestive of esophageal cancer confirmed by histopathology. The analysis of the results was with basic descriptive statistics using SPSS software 2012. Results. In the period from January 2010 to May 2015 panendoscopies 10,071, in 91 the diagnosis of esophageal cancer was confirmed were made, 3 of them They excluded. The most common symptoms: Dysphagia 81.9% (n = 77), sore throat 10.6% (n = 10) and 7.4% weight loss (n = 7) (P = 0.348). 76.6% males (n = 70) and 23.4% women (n = 21). Average age: 58.70 (SD ± 1.477) years (range 22-89 years), the age group with the highest number of cases of 50-59 years (26 patients). Background: smoking 64.9% (p =0.438), 68.1% alcoholism (p = 0.237), patients with adenocarcinoma 30.9% had metaplasia. 67.1% (n = 65) presented adenocarcinoma and 32.9% (n = 26) epidermoid cancer. The average age in the well differentiated adenocarcinoma was 56.63 years (SD ±8.96), moderately differentiated 57.37 years (SD ± 12.92), poorly differentiated 57.43 years (SD ± 17.23) squamous. Carcinoma 65 (SD ± 11.79). The most frequent endoscopic findings: malignant neoplasm aspect associated with stenosis (40.4%), ulcers (18.1%) (p =0.417), the most common location: 70.2% distal, middle and proximal 19.1% 10.6%. Moderately differentiated adenocarcinoma was the most frequent 39.4% (n = 37), followed by epidermoid 27.7% (n = 26). The patients with adenocarcinoma and squamous cell cancer 61.5% stage IV, 28.5% in stage III, 6.2 IIB%, 3.8% in stage IIA. 57.8% in management began with adjuvant treatment with radiotherapy and chemotherapy. Conclusions. The results of the study demonstrate similar to those reported in the literature in terms of gender, age group, symptoms, epidemiological risk factors. In this study the presentation of esophageal cancer at an earlier age relative to that reported in the literature was observed. Small sample study limitation.
Starting Page	11
Ending Page	15
Page Count	5
File Format	PDF HTM / HTML
Volume Number	29
Alternate Webpage(s)	http://www.revista.amegendoscopia.org.mx/index.php/endos/article/download/48/55
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article