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Background: Gastric cancer is the second most common cancer and known
as the second cause of death due to cancers worldwide. Adenocarcinoma is the
most fatal cancer in Iran and a patient with this kind of cancer, has a lower
lifetime than others. In this research, the survival of patients with gastric
carcinoma who were registered at Taleghani Hospital, were studied.
Methods: 291 patients with Gastric carcinoma who had received
care, chemotherapy or chemoradiotherapy, at Taleghani Hospital in Tehran from 2002 to 2007 were studied as a historical cohort. Their survival rates and its
relationship with 12 risk factors were assessed.
Results: Of the 291 patients with Gastric carcinoma, 70.1 percent were men and others (29.9%) were women. The mean age of men
was 62.26 years and of women was 59.32 years at the time of diagnosis.
Most of patients (93.91%) were advanced stage and
metastasis. The Cox proportional hazards model showed that age at diagnosis,
tumor stage and histology type with survival time had significant relationships
(p=0.039, p=0.042 and p=0.032 respectively).
Conclusion: The five-year survival rate and median lifetime of
gastric cancer patients who underwent chemotherapy or chemoradiotherapy are
very low and seems that one of the important reasons for this situation is delayed diagnosis. The
scheme of public education about the early warning signs of the disease and
diagnosis and administration of periodic examinations is unavoidable.
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