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A Socio-Demographic Study Of Esophaguscarcinoma At A Tertiary Care Hospital Of Maharashtra, India

Akshay Akulwar*, Anil Akulwar, Siddarth Rao, R. Narang

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Esophageal cancer incidence rates vary internationally from region to region. Esophageal cancer is usually 3 to 4 times more common among men than women. Understanding of etiological factors like life style, diet and habits even social background of population supports primary prevention of carcinoma. The present study was carried out to find out the socio-demographic determinants of esophageal cancerin a tertiary care teaching hospital of central part of India.A Retrospective study was carried at Tertiary Care Centre in rural part of central India for a period of 6 years (2007-2013). A total of 703 patients suffering with different kind of carcinoma were reported at the hospital, of which 255 were retrieved as patients having esophageal carcinoma and reviewed. Patient history and profile like habits and socio-demographic records were collected and assessed. Majority of patients was on mixed diet. Out of 703 patients suffering with carcinoma in a specified period of six years, 255 patients had esophageal cancer. Data reveals predominance of males (51.76) over females (48.24). Majority of peoples belongs to remote areas with a history of chewing tobacco, smoking and consumption of alcohols. The present study shows that esophageal cancer constitutes 32.27% of GIT cancer cases reported in research hospital. Dysphagia and loss of weight were very commonly observed symptoms. Ulceration and lumen narrowing were also assessed in some patients. Wall thickening of esophagus were observed. Mostly lower and middle esophagus was found to have cell growth. Histopathological examination was also assessed. It was concluded from the data, that government had to take efforts to improve socio-economic status of peoples standing in remote areas. One had to take efforts to introduce a set of preventive measures so as to potentially reduce the risk factor causing the disease and increase a public awareness among the peoples.

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