3/2007The neoplasms of digestive tract in patients referred with abdominal tumor suspicion by family doctors to gastroenterology department in 2006

JACEK BUDZYŃSKI (Katedra i Klinika Gastroenterologii, Chorób Naczyń i Chorób Wewnętrznych, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w ToruniuKierownik: prof. ndzw. dr hab. med. Maciej Świątkowski;)

Background
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Material and methods
Retrospective analysis of 158 medical documentation of patients referred to Department of Gastroenterology by family doctors because abdominal tumor suspicion was made. This population amounted to 2.4% of all hospitalizations in 2006. At least panendoscopy, colonoscopy and abdominal ultrasonograpy in each of them were performed.

Results
Abdominal cancer in 70 patients was diagnosed. They amounted to 44% of all individuals admitted to the clinic with such clinical suspicion and were significantly older than individuals without neoplasm. The most common was the colorectal cancer – 39 patients (25% referred and 56% of all malignant tumor). Caecum tumor made up 5% (2 patients), ascending colon 20% (8 patients), transverse colon 23% (9 patients), descending colon 23% (9 patients), sigmoid colon 11% (4 patients), rectal cancer 18% (7 patients) of all large intestinal malignant tumor. Generally, the neoplasm of the distal part of large colon made up 52%. The benign polyps had additional 101 patients, what amounted to 64% of persons referred to the diagnostic. Esophageal cancer was confirmed in 2.5% (n =4) of all patients, stomach cancer 8.2% (n = 13), pancreatic tumor 5.6% (n = 9) and gallbladder cancer 3.1% (n = 5). Fourteen subjects (8.8%) of studied population had metastases to liver what made up 20% of all diagnosed tumors.

Key words: abdominal tumors, diagnosis, general practice