الفهرس 
EPIDEMIOLOGYOnly 14 pages are availabe for public view
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Abstract
The Gastric cancer rate differs in the Middle East from very high in Iran
(26.1/10 5) to low in Israel (12.5/10 5) and very low in Egypt (3.4/10 5).
Epidemiological studies showed that the prevalence of H. pylori is almost
similar in those countries with a high level of infection in childhood. In
The United States, the American Cancer Society estimates that in 2007,
there were an estimated one million new cases , nearly 70% of them in
developing countries and about 800,000 death .
During the period from 2005 – 2010 the cases of the gastric
adenocarcinoma presented to NEMROCK were 81, but only
44 cases received treatment and assessed . The different therapeutic majors
were compared whether surgery , chemotherapy alone , radiotherapy alone
or combined modality. It was found that using surgery had the highest
median survival reaching 43 months.
In absence of surgical intervention , using chemotherapy only or chemoand
radiotherapy had no effect on median survival. Comparing the
different regimens applied, ( ECF, FOLFOX, CIS/5FU, Lev/5FU), they
were comparable in terms of median survival , but time to
disease progression was significantly higher in patients who received
Leucoverin /5 Fu and lower in those who received Cisplain / 5Fu.
Key word: T.T.P: Time To Disease Progression.