Original Research Paper

Clinico-epidemiological Profile Of Carcinoma Oesophagus Patients Attending A Tertiary Care Hospital In Kumaon Region Of Uttarakhand.

Abstract :

Background: Esophageal Carcinoma is still a predominant disease of developing nations like India, affecting mostly the elderly and rural population The etiological factors for Esophageal Carcinoma show a regional variation in different parts of India, but tobacco consumption in various forms, alcohol, hot beverages, and poor nutrition remain the predominant predisposing factors.Aim and Objective:To study the theClinico-epidemiological profile of Esophageal Carcinoma in Kumaon Region of Uttarakhand.Material and Methods: During the period of 2 years 780 UGI endoscopy performed for various indications. 94 histologically proven cases of Esophageal carcinoma included in the study. Their data were analyzed for Clinico-demographic information, residence, dietary habits, tobacco, smoking or alcohol consumption, performance score, presenting symptoms and their correlation with disease parameters. All data were analyzed and arranged in tabulated forms.Results: Majority of the patients were from 6th (36.17 %) and 7th(23.04 %) decade of life and male to female ratio was 2.1:1. 66 (70.21 %) patients were from a rural background and most of them were from lower class (38.29 %), lower middle class (44.68 %). Mix diet was consumed by 65(69.14 %) most of the patients. 79 (84.04 %) patients were regular smoker and Tobacco and alcohol consumed by 54 (57.44 %), 64 (68.08 %) patients respectively. The majority of the patients had Eastern Cooperative Oncology Group performance score (PS) of I at presentation. Dysphagia was the most common presenting symptom (87.23 %). Themost common site was lower one third. 87 had Squamous cell Carcinoma (92.50 %). liver was the most common site for distant metastasis (9.57%).Conclusion: Squamous cell carcinoma is still far more common than Adeno Carcinoma in India. The lower one third of esophagus was the most common site in our study. Old age, male sex, and low socio-economic status coupled with different dietary habits seem to be the prime determinants.

Cite This Article:

References :