Clinico-Pathological Correlation of Gastric Lesions in a Tertiary Care Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 7
Abstract
Disorders of the stomach are frequent cause of clinical disease. Inflammation and neoplastic disease are particularly common. We undertake this study to find out clinico-pathological profile of various gastric lesions and clinico-radiological findings with tissue diagnosis in gastric lesions. The materials were collected in the form of biopsy and resected specimens of Stomach with relevant clinical history. All patients presenting with symptoms and signs of gastric disease and who have undergone surgical exploration were included in the study. Appendicectomies and lesions of oesophagus were excluded from the study. The histopathological diagnoses were categorized as Non Neoplastic and Neoplastic Lesions. Amongst 45 cases studied of Gastric lesions, majority were Non-Neoplastic (33) including one rare case of gastric tuberculosis and 12 were Neoplastic. M: F ratio was 1:1.1 and Pain in abdomen was the most common symptom. Overall correlation of clinical with radiology diagnoses was seen in 41 cases out of 45 cases (91.1%) Gastric diseases present with non -specific symptoms and in most cases imaging techniques substantiate diagnosis of surgical indications/complications like gastric outlet obstruction and perforation peritonitis. Causes of these complications cannot be known preoperatively by clinico- radiological findings. Histopathology becomes mandatory for all gastric lesions. Morphological examination establishes final diagnosis and can guide clinicians in planning further management tuberculosis.
Authors and Affiliations
Dr. Balaji D. Baste, Dr. Poonam B Gurlewad, Dr. Sandhya Poflee, Dr. Anuradha V. Shrikhande
Keywords
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