TITLE:
Primary Sites of Gastric Carcinoma with Metastatic Spread Detected by Transabdominal Hydrosonography: Experience of 76 Cases in Bangladesh
AUTHORS:
Akm Golam Kabir, Showkat Araydah, Md. Abdullah Yusuf, Md. Ferdous Mian
KEYWORDS:
Gastric Carcinoma, Metastasis, Ultrasonography, Primary Sites
JOURNAL NAME:
Open Journal of Radiology,
Vol.6 No.4,
October
10,
2016
ABSTRACT: Background: Metastasis is frequently occurred among the gastric carcinoma patients. Objectives: The purpose of the present study was to detect the different primary sites of gastric carcinoma by ultrasonography with the metastatic spread. Methodology: This cross-sectional study was carried in the department of Radiology and Imaging of Dhaka Medical College, Dhaka from July 2009 to June 2011 for a period of two (2) years. Clinically suspected gastric carcinoma patients attended at indoor and outdoor Surgery department of Dhaka Medical College Hospital, Dhaka were selected as study population. All the patients were examined by ultrasonography of upper abdomen and or Ba-meal X-ray. Detailed clinical history and relevant points in clinical examination and investigations were noted. The sonographic findings were noted. The extent of tumour infiltration and metastasis was assessed in all patients with suspected gastric malignancy. All these patients were properly follow up and collect the endoscopic biopsy and/or surgical resection biopsy reports. In all patients who underwent operation the extent of tumour infiltration and metastasis was looked for and was noted. Results: A total number of 76 patients were included in this study. Among 76 patients, 3 unwilling to take part in the study, 4 patients refused to undergo endoscopy or surgery, 5 patients were unfit for the same and in 4 cases, and histopathological reports were not available. Ultimately 60 patients were evaluated finally. The commonest site of involvement of gastric carcinoma as determined by ultrasound was the antrum 13 out of 23 cases (56.52%). Among them metastatic para-aortic lymph nodes were seen in seven patients and hepatic metastases was detected in five patients’ ascites was seen in eleven patients. Conclusion: In conclusion, the most common site of gastric carcinoma is the antral part of stomach and majority are metastasized in peritoneum.