DIAGNOSTICO Y TRATAMIENTO DEL CANCER DE ORIGEN DESCONOCIDO COD EN SOLCA-PORTOVIEJO. PERIODO ENERO DE 1998 A ENERO 2004.

Abstract

With the objective to know the diagnostic and treatment the cancer of unknown origin, in patients assisted in SOLCA-Portoviejo during 1998-2004, a retrospective descriptive study was made. The studied population was of 68 patients. In order to collect the information a data request from was used in which the data obtained from clinical history were transcribed. The variables studied were: Characteristics of the population in study, factors influence in the COD diagnosis, Methods diagnostic treatment. The most outstanding results were as follows: The incidence of the COD in the time of study from January of 1998 to January of 2004 was of 95 cases by 1000 patients with cancer; in the group of age of 56-75 years, greater in female sex, of the rural area, in who domestic tasks made. When analyzing the life style, 7% of the patients had the habit to smoke. 16% of the patients had antecedents of previous surgeries. In regard the diagnosis related factors 7.5% the primary tumour was located in the stomach. In the 28.8% of the patients, the adenocarcinoma was in the predominate type of tumour. At the clinical exam diagnostic the metastasis were located in inferior cervical ganglia supra- claviculares. The predominant symptom was loss of weight. The examination that practiced most frequently was alphaphetusproteins and carcino antigen (CEA). The imagenological mean most used was the x-ray exams. As far as the treatment administered in 64% was chemotherapy, and in the 92.5% it was paliativa.