Aspects épidémiologiques du cancer de l’estomac au CHU Point g de Bamako (Mali).

Abstract

The aim was to study the epidemiological aspects of stomach cancer in the B surgery department of the Point G Hospital in Bamako, Mali. We carried out a cross-sectional study with a retrospective collection of 126 months (January 2008 to June 2018) , allowing to collect 380 cases of digestive cancers including 193 cases of stomach cancer or 50.79% of digestive cancers.The average age of patients was 57.21±13 years. Males accounted for 55% (n-106). The housewife was the most represented socio-professional category at 37.82% (n-73). Adenocarcinoma accounted for 97.40% (n-188). The tumor was antral in 41.97% (n-81). The treatment was mainly surgical with 122 patients operated or 63.21%. Palliative surgery involved 64.75% of patients operated on (n-79/122) while curative surgery was applied on 20.49% (n-25/122). Post-operative morbidity and mortality were 33.61% (n-41) and 23.77% respectively (n-29). The overall survival rate after surgery was 10.81% at 2 years and 2.94% at 5 years. The results of this study reveal that stomach cancer is most often discovered late in our environment, making it difficult to manage.