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Gastric malignancies in Northern Jordan with special emphasis on descriptive epidemiology

World Journal of Gastroenterology 2004年第15期10卷 2174-2178页

作者： Kamal E.Bani-Hani Rami J.Yaghan hussein a.heis Nawaf J.Shatnawi Ismail I.Matalka Amjad M.Bani-Hani Kamal A.Gharaibeh Department of Surgery Princess Basma Teaching Hospital Faculty of MedicineJordan University of Science & TechnologyIrbid-Jordan Department of Pathology Princess Basma Teaching HospitalFaculty of MedicineJordan University of Science & TechnologyIrbid-Jordan Department of Surgery Princess Basma Teaching Hospital Faculty of MedicineJordan University of Science & TechnologyIrbid- Jordan

AIM:To study the epidemiology of gastric malignancies in Jordan as a model for Middle East countries where such data is scarce. METHODS:Pertinent epidemiological and clinicopathological data for 201 patients with gastric malignancy in north of Jordan between 1991 and 2001 were analyzed. RESULTS:Male:female ratio was 1.8:*** mean age was 61.2 years,and 8.5% of the patients were younger than 40 years of *** overall age-adjusted incidence was 5.82/100 000 population/*** age specific incidence for males raised from 1.48 in those aged 30-39 years to 72.4 in those aged 70-79 ***, gastric lymphomas,malignant stromal tumors,and carcinoids were found in 87.5%,8%,2.5%,and 2% *** was an average of 10.1-month delay between the initial symptoms and the *** 82 patients underwent“curative”*** adenocarcinoma groups,Lauren intestinal type was the commonest(72.2%)and the distal third was the most common localization(48.9%).The mean follow up for patients with gastric adenocarcinoma was 25.1 mo(range 1-132mo).The 5-year survival rates for stages Ⅰ(n=15), Ⅱ(n=41),Ⅲ(n=59),and Ⅳ(n=53) were 67.3%,41.3%, 5.7%,and 0% respectively(P=0.0001).The overall 5 year survival was 21.1%. CONCLUSION:Despite low inddence,some epidemiological features of gastric cancer in Jordan mimic those of high- risk *** are detected and treated after a relatively long *** justification in favor of a possible gastric cancer screening effort in Jordan is supported by our study;rather,the need of an earlier diagnosis and subsequent better care.

关键词： Adolescent Adult Age Distribution Aged Aged, 80 and over Child Child, Preschool Female Gastrectomy numerical data Humans Incidence Infant Infant, Newborn Jordan Male Middle Aged Sex Distribution Stomach Neoplasms Survival Analysis

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