The usefulness of ulcer size and location in the differential diagnosis of benign and malignant gastric ulcer

Autor: Ibrahim Biyikoglu, Erdem Akbal, Adnan Taş, Levent Filik, Fatma Sultan Kilic, Erdem Koçak, Bilal Ergül, Seyfettin Köklü
Rok vydání: 2012
Předmět:
Zdroj: Wiener klinische Wochenschrift. 125(1-2)
ISSN: 1613-7671
Popis: Gastric cancer can present as a gastric ulcer, which can mimic a benign gastric ulcer. In this study, we aimed to investigate the value of gastric ulcer size and location in the differential diagnosis of benign and malignant gastric ulcers. We reviewed retrospectively the upper endocopic findings of 14,400 patients between April 2008 and March 2010. Total 276 patients with gastric ulcers were divided into two groups according to histopathological examination. Ulcer location, size, age, and gender were compared between the two groups. The predominant region of ulcer location was the corpus for the malignant ulcer group and the antrum for the benign ulcer group. The malignant ulcer ratios according to region in the whole group were: cardia 19 ulcers with 14 malignant (73.68 %), corpus 70 ulcers with 38 malignant (54.2 %), angulus 45 ulcers with 6 malignant (13.3 %), and antrum 142 ulcers with 20 malignant (14.8 %), respectively. The median size of ulcer was significantly higher in the malignant ulcer group compared with the benign ulcer group (p
Databáze: OpenAIRE