СТРУКТУРА ЗАБОЛЕВАЕМОСТИ ЗЛОКАЧЕСТВЕННЫМИ НОВООБРАЗОВАНИЯМИ ЖЕЛУДКА В ПРИМОРСКОМ КРАЕ

Abstract

Malignant neoplasms of the stomach maintain high mortality rates, which underscores the importance of studying their regional and gender-specific characteristics for optimizing medical care.
The aim of the study is to present a structural analysis of the morbidity rates for malignant gastric tumors among the residents of the Primorsky Krai.
Materials and methods. A retrospective cross-sectional study of 62 medical records of patients treated at the multidisciplinary hospital of the Medical Center of the Far Eastern Federal University from January to December 2022 was conducted. Data from histological examinations, tumor localization and stage, surgical intervention methods, and postoperative complications were used. Statistical processing was performed using the StatTech v.4.8.0 program.
Results. Gender differences in the clinical and morphological structure of malignant gastric neoplasms were established. The most frequent tumor location was the cardiac region. Stages II and III of the disease predominated in men, while early-stage cancer and stage II were more frequently diagnosed in women. The predominant surgical intervention for men was gastrectomy, while for women it was subtotal gastric resection. Postoperative complications, primarily peritonitis, were recorded 5 times more often after gastrectomy, necessitating reoperation and prolonging the stay in the intensive care unit.
Conclusion. The obtained results revealed significant gender-specific features in the staging, surgical management, and complication profile of gastric cancer in the Primorsky Krai, highlighting the need for an individualized approach and the importance of morphological verification of the diagnosis.