Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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2023
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بررسی اپیدمیولوژیک سرطان مری در جمعیت منتخب استان مازندران
Epidemiological Study of Esophageal Cancer in a Selected Population in Mazandaran Province
اپیدمیولوژی
Epidemiology
گزارش کوتاه
Brief Report
<span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> </span></span><span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:82%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:82%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt">نواحی شمالی ایران از بروز بالای سرطان مری برخوردار است. </span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt">این</span></span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt">مطالعه</span></span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt">با</span></span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt">هدف بررسی اپیدمیولوژیک</span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""> بیماران</span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">سرطان</span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">مری در</span></span> <span lang="FA" style="line-height:82%"><span b="" style="font-family:" zar="">جمعیت تحت پوشش دانشگاه علوم پزشکی</span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">مازندران انجام</span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">پذیرفت</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:82%">.</span></span><span lang="FA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="color:#0e101a"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:82%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:82%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">در این مطالعه توصیفی- مقطعی، پروندههای 170 نفر از بیماران بالای 18 سال مراجعهکننده به کلینیک فوقتخصصی انکولوژی طوبی طی سالهای 1393 تا 1395 بازخوانی و </span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">کلیه اطلاعات شامل سن، جنس، شغل، وضعیت تاهل، میزان تحصیلات و یافته</span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">های بالینی و پاتولوژیکی بیماران پس از جمعآوری</span></span><span lang="FA" style="line-height:82%"><span b="" style="font-family:" zar="">،</span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""> وارد نرمافزار </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:82%">SPSS</span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""> ورژن 22 شد. </span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">بررسی آماری با استفاده از آزمونهای آماری </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:82%">Chi-square</span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""> و </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:82%">Fisher’s exact</span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">انجام گرفت.</span></span><span lang="FA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:82%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:82%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">یافته</span></span></span></span><span lang="FA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="FA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">در بین افراد مبتلا با </span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">میانگین سنی 12 </span></span></span><span lang="AR-SA" style="line-height:82%"><span cambria="" style="font-family:"><span style="letter-spacing:-.1pt">±</span></span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">68/2 سال بیشترین فراوانی، مربوط به گروه سنی 70 تا 79 سال بود. 53/5 درصد مبتلایان مرد بودند. </span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">94/1 درصد بیماران </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:82%"><span style="letter-spacing:-.1pt">dysphagia</span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> داشتند. فراوانی (</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:82%"><span style="letter-spacing:-.1pt">SCC</span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">) </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:82%"><span style="letter-spacing:-.1pt">Squamous cell carcinoma</span></span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">با </span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">افزایش سن، افزایش داشت.</span></span></span><span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> همچنین بیشترین و کمترین موارد متاستاز به ترتیب مربوط به بخش میانی و فوقانی مری بود.</span></span></span><span lang="FA" style="line-height:82%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:82%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:82%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="AR-SA" style="line-height:82%"><span b="" style="font-family:" zar="">سرطان مری در سنین بالا شایع بوده </span></span></span></span></span></span></span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">و </span></span><span dir="RTL" lang="AR-SA" style="font-size:8.0pt"><span b="" style="font-family:" zar="">احتمالا سن عامل تاثیرگذار در وقوع آن بوده است.</span></span><br>
<span style="font-size:12pt"><span style="line-height:140%"><span style="tab-stops:36.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="line-height:140%"></span></span></span></span></span><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%">The northern regions of Iran have a high incidence of esophageal cancer. This study was conducted with the aim of epidemiological investigation of esophageal cancer patients in the population covered by Mazandaran University of Medical Sciences.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:115%">In this cross-sectional descriptive study, the records of 170 patients over 18 years of age who were referred to Tuba Oncology Clinic (affiliated with Mazandaran University of Medical Sciences) between 2014 and 2016 were reviewed. All relevant information, including age, sex, occupation, marital status, level of education, clinical and pathological findings of patients were collected and analyzed in SPSS V22 using Chi-square and Fisher’s exact test.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:115%">The mean age of patients with esophageal cancer was 68.2</span></span><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span cambria="" style="font-family:">±</span></span></span><span style="font-size:10.0pt"><span style="line-height:115%">12 years. The disease was more frequent in patients aged 70-79 years old. There were 53.5% male patients and 94.1% of patients had </span></span><span style="font-size:10.0pt"><span style="line-height:115%">dysphagia. The frequency of squamous cell carcinoma (SCC) was found to increase by aging. The most and least metastatic segments were middle and upper parts of the esophagus, respectively.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%">Esophageal cancer is common in old age and age is probably the most important factor in developing the disease.</span></span><i><span style="font-size:10.0pt"><span style="line-height:115%"></span></span></i></span></span></span></span><br>
<br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt"> </span></span></span></span></b></span></span></span></span></span>
سرطان مری, اپیدمیولوژی, دیسفاژی (dysphagia)
esophageal cancer, epidemiology, dysphagia
143
147
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-412-7&slc_lang=fa&sid=1
Zeinab
Ghazizadeh
زینب
قاضی زاده
1003194753284600151667
1003194753284600151667
No
PhD in Health Information Technology, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
دکتری تخصصی فناوری اطلاعات در سلامت، مرکز تحقیقات سرطان دستگاه گوارش، پژوهشکده بیماری های غیر واگیر، دانشگاه علوم پزشکی مازندران، ساری، ایران
Akbar
Hedayatizadeh-Omran
اکبر
هدایتی زاده عمران
akbar_hedayati@yahoo.com
1003194753284600151668
1003194753284600151668
Yes
Associate Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، مرکز تحقیقات سرطان دستگاه گوارش، پژوهشکده بیماریهای غیر واگیر، دانشگاه علوم پزشکی مازندران، ساری، ایران
Reza
Alizade Navaei
رضا
علیزاده نوایی
1003194753284600151669
1003194753284600151669
No
Associate Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، مرکز تحقیقات سرطان دستگاه گوارش، پژوهشکده بیماریهای غیر واگیر، دانشگاه علوم پزشکی مازندران، ساری، ایران
Mahmood
Moosazadeh
محمود
موسی زاده
1003194753284600151670
1003194753284600151670
No
Associate Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، مرکز تحقیقات سرطان دستگاه گوارش، پژوهشکده بیماریهای غیر واگیر، دانشگاه علوم پزشکی مازندران، ساری، ایران
Ehsan
Zaboli
احسان
زابلـی
1003194753284600151671
1003194753284600151671
No
Assistant Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
استادیار، مرکز تحقیقات سرطان، دستگاه گوارش، پژوهشکده بیماریهای غیر واگیر، بیمارستان امام خمینی، دانشگاه علوم پزشکی مازندران، ساری، ایران
Leila
Mirzakhani
لیلا
میرزاخانی
1003194753284600151672
1003194753284600151672
No
Assistant Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
استادیار، مرکز تحقیقات سرطان، دستگاه گوارش، پژوهشکده بیماریهای غیر واگیر، بیمارستان امام خمینی، دانشگاه علوم پزشکی مازندران، ساری، ایران
Majid
Saeedi
مجید
سعیدی
1003194753284600151673
1003194753284600151673
No
Professor, Department of Pharmaceutics, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran
استاد، مرکز تحقیقات علوم دارویی، دانشگاه علوم پزشکی مازندران، ساری، ایران
Mina
Mollaahmadi
مینا
ملااحمدی
1003194753284600151674
1003194753284600151674
No
General Practitioner, Sari, Iran
پزشک عمومی، ساری، ایران
Arian
Jahandideh
آرین
جهاندیده
1003194753284600151675
1003194753284600151675
No
General Practitioner, Sari, Iran
پزشک عمومی، ساری، ایران
Majid
YaghoubiAshrafi
مجید
یعقوبی اشرفی
1003194753284600151676
1003194753284600151676
No
General Practitioner, Population-Based Cancer Registry, Mazandaran University of Medical Sciences, Sari, Iran
پزشک عمومی، مرکز ثبت سرطان مبتنی بر جمعیت مازندران، دانشگاه علوم پزشکی مازندران، ساری، ایران
Elahe
Mahmoodi
الهه
محمودی
1003194753284600151677
1003194753284600151677
No
MSc in Statistics, Population-Based Cancer Registry, Mazandaran University of Medical Sciences, Sari, Iran
کارشناس ارشد آمار، مرکز ثبت سرطان مبتنی بر جمعیت مازندران، دانشگاه علوم پزشکی مازندران، ساری، ایران