Helicobacter pylori infection in patients with colorectal adenocarcinoma and its association with tumor grade and location: a cross-sectional study.

Q3 Medicine
Elham Pishgar, Hoda Mahdavi
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引用次数: 0

Abstract

Aim: Given the positive results of some research, this study aimed to explore the relationship between the presence of Helicobacter pylori (HP) in gastric histopathology and the location and grade of tumors in an institutional sample of patients diagnosed with colorectal cancer (CRC).

Background: Epidemiological studies have been conducted to investigate the association between HP infection and CRC.

Methods: This cross-sectional study retrieved data from the hospital database, considering inclusion criteria and medical record availability for patients who underwent both endoscopy and colonoscopy and were diagnosed with CRC. Patients were grouped based on tumor grade and location and compared regarding the presence or absence of HP pathogen in endoscopic biopsy direct smears.

Results: Data from 241 patients were available, 220 of whom had adenocarcinoma. A statistically significant relationship between tumor differentiation grade and HP positivity was observed (P= 0.001). Each 1-level increase in grade was associated with 2.2 times higher odds of HP positivity. No significant relationships existed in the analysis of tumor location related to HP positivity.

Conclusion: In colorectal cancer patients, the presence of the HP pathogen may be linked to a higher likelihood of high-grade colorectal cancers. This finding needs to be explored in screening cohorts.

结直肠腺癌患者幽门螺杆菌感染及其与肿瘤分级和部位的关系:一项横断面研究
目的:鉴于一些研究的阳性结果,本研究旨在探讨胃组织病理学中幽门螺杆菌(HP)的存在与结直肠癌(CRC)患者肿瘤的位置和分级之间的关系。背景:流行病学研究调查了HP感染与结直肠癌之间的关系。方法:本横断面研究从医院数据库中检索数据,考虑了内镜和结肠镜检查并诊断为结直肠癌的患者的纳入标准和病历可用性。根据肿瘤分级和位置对患者进行分组,并比较内镜活检直接涂片中HP病原体的存在或不存在。结果:241例患者资料可查,其中220例为腺癌。肿瘤分化等级与HP阳性有统计学意义(P= 0.001)。等级每增加1级,HP阳性几率增加2.2倍。HP阳性与肿瘤位置分析无显著相关性。结论:在结直肠癌患者中,HP病原体的存在可能与高级别结直肠癌的可能性有关。这一发现需要在筛查队列中进行探索。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.30
自引率
0.00%
发文量
29
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