SciELO - Scientific Electronic Library Online

 
vol.64 issue5Accuracy of endoscopic ultrasound in tumor staging of rectal cancer patients not treated with preoperative chemo-radiationClinical assessment in the diagnosis of bone fractures in patients with nasal trauma author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

Share


Revista chilena de cirugía

On-line version ISSN 0718-4026

Abstract

TAPIA E, Oscar; VILLASECA H, Miguel  and  MANTEROLA D, Carlos. Perforated gastric cancer. Rev Chil Cir [online]. 2012, vol.64, n.5, pp. 457-461. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262012000500008.

Background: Perforation is an unusual presentation of gastric cancer. There is disagreement about its prognosis and treatment. Aim: To describe the clinical, morphological, therapeutic and prognostic features of perforated gastric cancer. Material and Methods: Reviewing the registry of a pathology laboratory in a general hospital, 13 patients with perforated gastric cancer, aged 48 to 75 years and operated in a period of 20 years, was identified. The medical records of these patients were reviewed and eventual deaths were identified using death certificates. Results: A gastrectomy was performed in 9 cases and lymph node dissection in six. Seventy eight percent were T4 tumors and all patients in whom a lymph node dissection was done, had lymph node involvement. In 10 cases, the preoperative diagnoses were a perforated peptic ulcer. Mean global survival was six months. The figures for patients subjected or not subjected to gastrectomy were 21.5 and 3.7 months, respectively (p < 0.01). One of five patients subjected to emergency surgery, died. Conclusions: Perforation occurs usually in advanced stages of gastric cancer and older patients. In this report those patients subjected to gastrectomy have a better survival.

Keywords : Perforated gastric cancer; Gastric cancer; Prognosis.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License