Spectrum of gastric neoplastic lesions: A Clinicopathological study in the region of North Karnataka
Journal Title: IP Archives of Cytology and Histopathology Research - Year 2018, Vol 3, Issue 1
Abstract
Aim To know the incidence of various gastric neoplastic lesions and their clinical presentation risk factors and histomorphologyMaterials and Methods Study included all histopathologically confirmed neoplastic lesions of stomach including both endoscopic biopsies and resected specimens biopsies showing significant dysplasia and intraepithelial neoplasia without inflammatory changesResults Of the total 55 gastric specimens 44 endoscopic biopsies amp 11 resected specimen 50 cases were neoplastic 9090 and the remaining 5 cases 909 showed intraepithelial neoplasiadysplasia Most common age group affected was 6th decade and men affected twice as common as women with MF ratio being 21 Most common presenting complaint was dyspepsia and abdominal pain Most common site of gastric malignancy was pyloric antrum and least common site being greater amp lesser curvatures Most common growth pattern of gastric malignancies was rsquoulcerativersquo and least being lsquopolypoidal Adenocarcinoma 94 was the most common malignancy followed by lymphoma 4 and carcinoid 2 The commonest site of adenocarcinoma was pyloric antrum 64 followed by cardia 16 and body 8 The most common histological type was lsquointestinal typersquo 4468 21 cases and least common being lsquopapillary typersquo 2 1 caseConclusion When compared with earlier studies the incidence of adenocarcinoma in cardia and of signet ring cell carcinoma is on the rise The present study is not free from limitations such as lsquofalsersquo positives lsquofewerrsquonumber of biopsies from representative area and inadequate lsquofollow uprsquoKeywords Gastric adenocarcinoma Signet ring cell carcinoma Intestinal type Diffuse type
Authors and Affiliations
Neetha Y, Sateesh Chavan S
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