Skip to main content
SpringerLink
Log in

Cancer gastrique au CHU Gabriel-Touré : aspects épidémiologique et diagnostique

Gastric cancer at Gabriel-Touré teaching hospital (Bamako, Mali)

  • Article Original / Original Article
  • Published:
Journal Africain du Cancer / African Journal of Cancer

Résumé

Le cancer de l’estomac est le deuxième cancer le plus fréquent au Mali.

Objectifs

C’était de décrire les aspects épidémiologiques et diagnostiques du cancer de l’estomac.

Méthodologie

Notre étude rétrospective de janvier 1999 à décembre 2008 a porté sur tous les malades opérés pour cancer gastrique dans le service de chirurgie générale du centre hospitalier universitaire (CHU) Gabriel-Touré de Bamako.

Résultats

Nous avons enregistré 342 cas de cancer gastrique, soit 53,7 % des cancers digestifs. Deux tiers des malades étaient du sexe masculin. L’âge moyen était de 51,8 ans; l’écart-type de 12,9; les extrêmes: entre 24 et 98 ans. Le mode de conservation alimentaire, la consommation de poisson fumé et du tô avec potasse ont été les facteurs de risque suspectés. Les signes cliniques étaient l’épigastralgie (91,4 %); les vomissements (81,6 %); l’amaigrissement (96,8%) et une masse épigastrique palpable chez 30,4 % des malades. Chez 316 malades (94 %), le cancer était diagnostiqué au stade TNM III et IV. Le siège antropylorique a été plus fréquent, 298 cas (87,1%). L’adénocarcinome a été le type histologique le plus fréquent (92,7 %); quatre cas de lymphome malin non hodgkinien et trois cas de tumeurs stromales ont été retrouvés.

Conclusion

Le cancer gastrique est le premier cancer en chirurgie digestive au Mali, son pronostic reste mauvais à cause du diagnostic tardif.

Abstract

Gastric cancer is the second most frequent cancer in Mali.

Aims

To describe epidemiological and diagnostic aspects of gastric cancer.

Method

Our retrospective study from January 1999 to December 2008 covered all patients undergoing surgery for gastric cancer in the general surgery department of the Gabriel-Touré teaching hospital, Bamako (Mali).

Results

We recorded 342 cases of gastric cancer, which represents 53.7% of digestive tract cancers. Two thirds of the patients were male. The mean age was 51.8 ± 12.9 years (24–98 years). The method used for food conservation was a suspected risk factor. The clinical signs were epigastric pain 91.4%; vomiting 81.6%; loss of weight 96.8% and a palpable epigastric mass in 30.4% of the patients. In 316 patients (94%), cancer was diagnosed at stages TNM III and IV. It was most commonly located in the pyloric antrum, 298 cases (87.1%). The commonest histological type was adenocarcinoma (92.7%); There were 4 cases of malignant lymphoma and 3 stromal tumors were found.

Conclusion

Gastric cancer is the most common type of cancer encountered in gastro-intestinal surgery in Mali. Its prognosis remains poor because of delays in diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Wang X, Terry PD, Yan H (2009) Review of salt consumption and stomach cancer risk: epidemiological and biological evidence. World Gastroenterol 15(18):2204–2213

    Article  Google Scholar 

  2. Heise H, Bertran E, Marcelo E, et al (2009) Incidence and survival of stomach cancer in a high-risk population of Chile. World Gastroenterol 15(15):1854–1862

    Article  Google Scholar 

  3. Michel P, Di Fiore F (2005) Le traitement adjuvant du cancer de l’estomac. Hepato-Gastro 12(2):135–140

    Google Scholar 

  4. Roder DM (2002) The epidemiology of gastric cancer. Gastric Cancer 5(1):5–11

    Article  PubMed  Google Scholar 

  5. Ouattara H, Sawadogo A, Ilboudo P, et al (2004) Le cancer de l’estomac au centre hospitalier national Sanou Souro (CHNSS) de Bobo Dioulasso aspects épidémiologiques. À propos de 58 cas de janvier 1996 à juin 1999. Med Afr Noire 51(7):423–425

    Google Scholar 

  6. Guindo A (1979) Cancer de l’estomac au Mali. Ann Gastro-Enterol Hepatol 9(1):23–26

    Google Scholar 

  7. Amegbor K, Napo-Koura GA, Songne-Gnamkoulamba, et al (2008) Epidemiological and pathological aspects of gastrointestinal tumors in Togo. Gastroenterol Clin Biol 32:430–434

    Article  PubMed  CAS  Google Scholar 

  8. Pourhoseingholi MA, Moghimi-dehkordi B, Safaee A, et al (2009) Pronostic factors in gastric cancerusing log-normal censored regression model. Indian J Med Res 129:262–267

    PubMed  CAS  Google Scholar 

  9. Jemal A, Siegel R, Ward E, et al (2009) Cancer statistics 2009. CA Cancer J Clin 59:225–249

    Article  PubMed  Google Scholar 

  10. Bouvier AM, Remontet L, Jougla E, et al (2004) Incidence of gastrointestinal cancers in France. Gastroenterol Clin Biol 28:877–881

    Article  PubMed  Google Scholar 

  11. Gill S, Shah A, Le N, et al (2003) Asian ethnicity related differences in gastric cancer presentation and outcome among patients treated at a Canadian cancer center. J Clin Oncol 21(11):2070–2076

    Article  PubMed  Google Scholar 

  12. Layke JC, Lopez PP (2004) Gastric cancer: diagnosis and treatment options. Am Family Phys 69(5):1133–1140

    Google Scholar 

  13. Yamaoko Y, Kato M, Asaka M (2008) Geographic differences in gastric cancer incidence can be explained by differences between Helicobacter pylori strains. Inter Med 47:1077–1083

    Article  Google Scholar 

  14. Malfertheiner P, Megraud F, O’Morain C, et al (2007) Current concepts in the management of Helicobacter pylori infection: the Maastricht III consensus report. Gut 56:772–781

    Article  PubMed  CAS  Google Scholar 

  15. Konaté A, Diarra M, Soucko-Diarra A, et al (2007) Gastrites chroniques à l’ère d’Helicobacter pylori au Mali. Acta Endoscopica 37(3):315–320

    Article  Google Scholar 

  16. Tsugane S, Sasazuki S (2007) Diet and the risk of gastric cancer: review of epidemiological evidence. Gastric Cancer 10:75–83

    Article  PubMed  Google Scholar 

  17. Meyer C, Lozach P, Rohr S, et al (2002) French association of surgery. Gastric cancer: the french survey. Acta Gastroenterol Bel 65(3):161–165

    Google Scholar 

  18. Blackshaw GRJC, Stephens MR, Lewis WG, et al (2004) Prognostic significance of acute presentation with emergency complications of gastric cancer. Gastric Cancer 7:91–96

    Article  PubMed  Google Scholar 

  19. Hosseini SN, Mousavinasab SN, Moghimi MH, Fallah R (2007) Delay in diagnosis and treatment of gastric cancer from the beginning of symptoms to surgery. Med J 29(2):77–81

    Google Scholar 

  20. Sano T, Sasako M, Yamamota S, et al (2004) Gastric cancer surgery: morbidity and mortality results from a perioperative randomized controlled trial comparing D2 and extend para-aortic lymphadenectomy-Japan Clinical Oncongical Group Study 9501. J Clin Oncol 22(14):2767–2773

    Article  Google Scholar 

  21. Fry LC, Mönkemüller K, Malfertheiner P (2007) Prevention for gastric cancer: a challenging but feasible task. Acta Gastroenterol Latincam 37(2):110–117

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de chirurgie générale et pédiatrique, CHU Gabriel-Touré, BP 267, Bamako, Mali

    A. Togo, I. Diakité, B. Togo, Y. Coulibaly, L. Kanté, B. T. Dembélé, A. Traoré, M. Kanouté & G. Diallo

  2. Service d’anatomie pathologie, institut national de recherche en santé publique, Bamako, Mali

    C. Traoré

Authors
  1. A. Togo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. I. Diakité
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Togo
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Y. Coulibaly
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. L. Kanté
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. B. T. Dembélé
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. Traoré
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. C. Traoré
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. M. Kanouté
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. G. Diallo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. Togo.

About this article

Cite this article

Togo, A., Diakité, I., Togo, B. et al. Cancer gastrique au CHU Gabriel-Touré : aspects épidémiologique et diagnostique. J Afr Cancer 3, 227–231 (2011). https://doi.org/10.1007/s12558-011-0167-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12558-011-0167-8

Mots clés

Keywords

Search

Navigation