Abdominals malignants tumors for adult at the teaching hospital Gabriel-Touré

The diagnosis of abdominal cancer in adult is late. The aims were to determine the hospital frequency and to analyse the diagnostic and therapeutic aspects of the cancers. We did a retrospective study from January 1999 to December 2004. It concerned all patients aged more than 14 years, treated in our service of general surgery of the teaching hospital Gabriel-Touré, for malign abdominal tumour which diagnosis was confirmed by histology or by cytology. Oesophageal tumour and non-confirmed tumours were excluded. We brought together 152 files, which represented 1.6% of hospitalization. The average age of the patients was 54.4 years (28 and 83 years). We had 86 men and 66 women. The tumour were sited on the stomach in 90 cases (59.2%), the pancreas in 22 cases (14.5%), the colon in 17 cases (11.2%), the rectum in 14 cases (9.2%), the ovarium in 5 cases (3.3%), the liver in 4 cases (2.6%). One hundred thirty patients (85.5%) were in poor social condition. The average hospital stay was 24 days (4 and 60 days). Operability rate has been 77% (117 cases). The treatment was curative in 23% of cases (35 patients). It was palliative in 47.4% of cases (72 patients), 45 patients (29.6%) were inoperable. Histology or cytology had shown 90% of adenocarcinoma (137 patients). Postoperative Mortality and morbidity rate were 6% (7 patients) each. The global survival rate at 5 years has been 6% (7 patients). The mean average of the cost of the care was evaluated to 158,745 F CFA without chemotherapy and radiotherapy. © Springer-Verlag 2010.