Acta Scientific Cancer Biology (ASCB)

Research Article Volume 8 Issue 7

Etiologies and Risk Factor Associated with Gastric Cancer - A Hospital Based Observational Study

Seema Devi1*, Rajesh Kumar Singh2, Shraddha Raj3 and Abhishek Kumar4

1Additional Professor, Department of Radiation Oncology, IGIMS, Patna, India
2Professor, Department of Radiation Oncology, IGIMS, Patna, India
3Assistant Professor, Department of Radiation Oncology, IGIMS, Patna, India
4PG 3rd Year, Department of Radiation Oncology, IGIMS, Patna, India

*Corresponding Author: Seema Devi, Additional Professor, Department of Radiation Oncology, IGIMS, Patna, India.

Received: December 30, 2022; Published: July 08, 2024

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Background: Worldwide approximately 9,90000 people are diagnosed with gastric cancer. It causes fourth most common cancer and second most common cause of cancer death worldwide. There is marked geographical variation reported about the incidence of gastric carcinoma. High Incidence were reported in China, Japan and eastern Europe while low incidence rate reported in India, Philippines, Australia and North America. Factors responsible for Stomach Cancer: Hereditary and genetic factor, Dietary Factor, Diet and Lifestyle, H-Pylori Infection.

Material and Method: We Included a study of 110 patients of primary gastric cancer diagnosed in department of Radiation Oncology at State Cancer Institute Patna from July 2021 to July 2022. All the patients were diagnosed on basis of clinical history, Endoscopy, Radiological examination. The diagnosis was confirmed by histological examination of endoscopic biopsy or by reselected specimen. All the histo-pathologically confirmed cases were included in the study.

Result: Most common age group in our study was 51-60 years 42.6% in Males and 20% in Females, Male: Female ratio was 1.7:1. Most common histopathology was adenocarcinoma 94% followed by squamous cell 6%. About 38% were poorly differentiated adenocarcinoma, 32% were well differentiated adenocarcinoma, 29% cancer were well differentiated adenocarcinoma. Most common symptom on presentation was pain in abdomen 87%, loss of appetite 72%, weight loss 55%, nausea 38%, vomiting 16%, dysphia in 11%. H-Pylori was tested in 110 patients among them 21 were positive and 89 were negative.

Practical Implication: Dietary modification diets with low consumption of red meat, High in fruits and vegetables may have some role in prevention of cancer. For H pylori, A vaccine would be cost effective to prevent gastric cancer and duodenal ulcers.

Keywords: Gastric Cancer; H. pylori; Adenocarcinoma

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References

  1. Ferlay J., et al. “Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008”. International Journal of Cancer 127 (2010): 2893-2517.
  2. Jemal A., et al. “Global Patterns of Cancer Incidence and Mortality Rates and trends”. Cancer Epidemiology, Biomarkers and Prevention 19 (2010): 1893-1907.
  3. "Tobacco smoke and involuntary smoking". IARC Monographs on the Evaluation of Carcinogenic Risks To Humans 83 (2004): 1-1438.
  4. Bosetti C., et al. “Cancer Mortality in Europe, 2005-2009, an overview of trends since 1980”. Annals of Oncology 23 (2013): 700-713.
  5. Karimi P., et al. “Gastric Cancer: descriptive epidemology risk factors, screening, and prevention”. Cancer Epidemiology, Biomarkers and Prevention 23 (2014): 700-713.
  6. Jemal A., et al. “Cancer Statistics, 2006”. CA Cancer Journal of Clinics 56 (2006): 106-130.
  7. Kaurah P., et al. “Founder and recurrent CDH1 mutations in families with hereditary diffuse gastric cancer”. JAMA 57 (2007): 2360-2372.
  8. Oliveira C., et al. “Germline CDH1 deletions in hereditary diffuse cancer families”. Human Molecular Genetics 18 (2009): 1545-1555.
  9. Chang WL., et al. “The impacts of H. pylori virulence factors on the development of gastroduodenal diseases”. Journal of Biomedical Science 25 (2018): 1-9.
  10. Roesler BM., et al. “Virulence Factors of Helicobacter pylori: A Review”. Clinical Medicine Insights: Gastroenterology 7 (2014): 9-17.
  11. Kim J., et al. “Gene-diet interactions in gastric cancer risk: A systematic review”. World Journal of Gastroenterology 20 (2014): 9600-9610.
  12. Zhang Z and Zhang X. “Salt taste preference, sodium intake and gastric cancer in China”. Asian Pacific Journal of Cancer Prevention 12 (2011): 1207-1210.
  13. Ge S., et al. “Association between habitual dietary salt intake and risk of gastric cancer: a systematic review of observational studies”. Gastroenterology Research Practice 2012 (2012): 808120.
  14. Kim J., et al. “Gastric cancer and salt preference: a population-based cohort study in Korea”. American Journal of Clinical Nutrition 91 (2010): 1289-1293.
  15. Tsugane S., et al. “Salt and salted food intake and subsequent risk of gastric cancer among middle-aged Japanese men and women”. British Journal of Cancer 90 (2004): 128-134.
  16. Sakamoto H., et al. “Genetic variation in PSCA is associated with susceptibility to diffuse-type gastric cancer”. Nature Genetics 40 (2008): 730-740.
  17. Shi Y., et al. “A genome-wide association study identifies new susceptibility loci for non-cardia gastric cancer at 3q13.31 and 5p13.1”. Nature Genetics 43 (2011): 1215-1218.
  18. Abnet CC., et al. “A shared susceptibility locus in PLCE1 at 10023 for gastric adenocarcinoma and esophageal squamous cell carcinoma”. Nature Genetics 42 (2010): 764--767.
  19. Saeki N., et al. “A functional single nucleotide polymorphism in mucin 1, at chromosome 1q22, determines susceptibility to diffuse-type gastric cancer”. Gastroenterology 140 (2011): 892-902.
  20. Wang LD., et al. “Genome-wide association study of esophageal squamous cell carcinoma in Chinese subjects identifies susceptibility loci at PLCE1 and C20orf54”. Nature Genetics 42 (2010): 759-763.
  21. Helicobacter and Cancer Collaborative Group. “Gastric cancer and Helicobacter pylori: a combined analysis of 12 case control studies nested within prospective cohorts”. Gut 49 (2001): 347-353.
  22. Huang JQ., et al. “Meta-analysis of the relationship between cagA seropositivity and gastric cancer”. Gastroenterology 125 (2003): 1636-1644.
  23. Ishaq S., et al. “Helicobacter pylori and gastric cancer: A state of the art review”. Gastroenterology and Hepatology from Bed to Bench 8 (2015): 56-S14.
  24. Chiba T., et al. “Mechanism for gastric cancer development by Helicobacter pylori mection”. Journal of Gastrointestinal Cancer 23 (2008): 1175-1181.
  25. Boland CR and Yurgelun MB. “Historical perspective on familial gastric cancer”. Cellular and Molecular Gastroenterology and Hepatology 3 (2017): 192-200.
  26. Takahashi M., et al. “A novel germline mutation of the LKB1 gene in a patient with Peutz-Jeghers syndrome with early-onset gastric cancer”. Journal of Gastroenterology 39 (2004): 1210-1214.
  27. World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Continuous Update Project Report: Diet, Nutrition, Physical Activity and Stomach Cancer 2016. Revised 2018. London: World Cancer Research Fund International (2008).
  28. Abnet C., et al. “Non-steroidal anti-inflammatory drugs and risk of gastric and esophageal adenocarcinomas: results from a cohort study and a meta-analysis”. British Journal of Cancer 100 (2006): 551-557.
  29. Tian W., et al. “Meta-analysis on the relationship between nonsteroidal anti-inflammatory drug use an gastric cancer”. European Journal of Cancer Prevention 19 (2010): 288-298.
  30. Proceedings of the IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, Epistein-Barr virus and Kaposi's sarcoma herpesvirus/human herpesvirus 8. Lyon, France, 17 -24 June 1997, IARC Monogr Eval Carcinog Risk Hum 70 (1997): 1-492.
  31. Pisani P., et al. “Estimates of the worldwide mortality from 25 cancers in 1990”. International Journal of Cancer 1 83 (1999): 18-15.
  32. Alberts SR., et al. “Gastric cancer: epidemiology, pathology and treatment”. Annals of Oncology 14 (2003): 131-136.
  33. Satyanarayana L and Asthana S. “Life time risk for development of ten major cancers in India and its trends over the years 1982 to 2000”. Indian Journal of Medical Sciences 62 (2008): 35-44.
  34. Rastogi T., et al. “Cancer incidence rates among South Asians in four geographic regions: India, Singapore, UK and US”. International Journal of Epidemiology 37 (2008): 147-160.
  35. Sahasrabudhe MR., et al. “The influence of dietary protein on the cystine and methionine contents of liver protein”. Current Science 19 (1950): 285-286.
  36. R K Phukan., et al. “High prevalence of stomach cancer among the people of Mizoram, India". Current Science3 (2004): 285-286.
  37. B Satti., et al. “Gastric malignancy: clinicopathologic spectrum and relationship to Helicobacter pylori infection”. Saudi Journal of Gastroenterology 11 (2005): 149-156.
  38. SP Afridi., et al. “Pattern and presentation of carcinoma stomach”. Journal of the College of Physicians and Surgeons Pakistan3 (2011): 161-163.
  39. MA Qurieshi., et al. “Gastric cancer in Kashmir". Asian Pacific Journal of Cancer Prevention1 (2011): 303-307.
  40. Phukan RK., et al. “Tobacco use and stomach cancer in Mizoram, India”. Cancer Epidemiology, Biomarkers and Prevention 14 (2005): 1892-1896.
  41. M A Kabir., et al. “Clinical presentation, histological findings and prevalence of Helicobacter pylori in patients of gastric carcinoma". Faridpur Medical College 6 (2011): 78-81.
  42. M A Qurieshi., et al. “Gastric cancer in Kashmir”. Asian Pacific Journal of Cancer Prevention1 (2011): 303-307.
  43. Gajalakshmi CK and Shanta V. “Lifestyle and risk of stomach cancer :a hospital based case control study”. International Journal of Epidemiology 25 (1996): 1146-1153.
  44. Tredaniel J., et al. “Tobacco Smoking and Gastric Cancer: review and meta analysis”. International Journal of Cancer 72 (1977)565-573.
  45. Trichopoulos D., et al. “Diet and cancer of the stomach: a case-control study in Greece”. International Journal of Cancer 36 (1985): 291-297.
  46. Hu J., et al. “Diet and cancer of the stomach a case-control study in China”. Cancer 41 (1988): 331-335.
  47. Arun Kumar Barad., et al. “Gastric cancer--a clinicopathological study in a tertiary care centre of North-eastern India”. Barad jgo.amegroups.com
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Citation

Citation: Seema Devi., et al. “Etiologies and Risk Factor Associated with Gastric Cancer - A Hospital Based Observational Study”.Acta Scientific Cancer Biology 8.7 (2024): 20-27.




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