Authors: Traore Ousmane, Diakité Siaka, Sidibe Drissa Mansa, Kondé Abdoulaye, N’Diaye Mamadou, Diarra Ouncoumba, Camara Nagnoumague, Coulibaly Modibo, Bagayoko Ousmane Lansenou, Dicko Moussa, Sidibé Assa Traoré, Keita Adama Diaman
Introduction: Gastric cancer is a common oncological pathology with a poor prognosis. It ranks 4th among cancers in the world and remains the 3rd cause of cancer-related mortality. The aim of our study was to study the contribution of the thoraco-abdomino-pelvic scanner in the assessment of the spread of gastric cancer in the “Marie Curie” and “Les Etoiles” medical clinics.
Methodology: This was a prospective study with a descriptive aim on reports of scannographic examinations, which took place over a period of 18 months at the “Marie Curie” medical clinic and the Etoiles clinic. The parameters studied were: sociodemographic data, clinical data, scan data and anatomopathological data.
Results: We collected 70 patients with gastric cancer out of a total of 1404 with a thoraco-abdominopelvic scan, i.e. 5% of cases. The male sex predominated with 68.6%. The age group of 60-70 years was the most common. The extension assessment for gastric tumor, epigastralgia with vomiting constituted the most frequent clinical information. The histological type found was adenocarcinoma in 100% of cases. CT revealed an irregular nodular thickening creating a pseudo-mass appearance in the antropyloric region of the stomach in the majority of cases (62.9% of cases). Liver damage alone represented 31.4%, lung damage alone 2.9%.
Conclusion: Gastric cancer is a significant tumor with a poor prognosis for which thoraco-abdominopelvic CT remains the reference and most accessible examination in Mali for extension assessment.
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