ADENOCARCINOMA STOMACH A REVIEW OF 168 CASES

Medical records of 168 patients with gastric adenocarcinoma treated at Malignant Diseases Treatment Centre, Command Hospital (SC) Pune over a ten year period were analysed. Laparotomy was performed in 146 patients; in 82 patients a gastric resection was done, palliative gastrojejunostomy was done in 42 patients, while in 22 patients only a diagnostic biopsy was done. The resection was considered to be curative in 21 patients. Overall operative mortality was 12.3%. According to the international TNM Classification 16% patients were in Stage I, 13.7% in Stage II, 34.3% in Stage III and 35.8% in Stage IV. A significant correlation was found between five year survival rate and overall stage of disease as well as regional lymph node involvement (p < 0.001). Significantly better survival rates were seen in those who had curative resection as opposed to palliative resection (p < 0.01). Overall survival rate at five years in our patients was 8.3% this poor outcome was probably related to the advanced stage of disease at presentation.