The Significance of Opportunistic Parasitosis and Blastocystosis in Patients with Gastric Cancer: a Study with Control Group.

Q3 Medicine Turkiye parazitolojii dergisi Pub Date : 2023-12-27 DOI:10.4274/tpd.galenos.2023.33042

Anıl Gezici, Zeynep Taş Cengiz, Hasan Yılmaz, Selahattin Aydemir

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Abstract

Objective: The aim of this study was to determine the prevalence of opportunistic parasites and Blastocystis spp. in patients with gastric cancer (CA) and to determine the significance of these parasite.

Methods: The patient group and the control group were composed of 100 people each. The stool samples were examined under the microscope for intestinal parasites with the native-Lugol method. Then, samples were multiplied by formol-ethyl acetate method and stained with modified acid-fast method.

Results: Intestinal parasite positivity was indicated in 14% of the gastric CA, and 2% of the healthy individuals (p=0.001). Blastocystis spp. (p=0.009) was identified in 11%, Cryptosporidium spp. was identified in 4%, G. intestinalis was identified in 2%, and C. cayetanensis was identified in 1% of the patient group. There were significant differences between the intestinal parasite positivity (p=0.012), abundant Blastocystis spp. positivity (p=0.041) and all Blastocystis spp. positivity (p=0.037) in patient and control groups. Most of the patients who were positive for parasites had diarrhea.

Conclusion: Based findings, it was concluded that it would be beneficial to evaluate gastric CA patients, especially those with diarrhea, for intestinal parasites.

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胃癌患者机会性寄生虫病和大疱性囊肿病的意义：一项对照组研究。

研究目的本研究旨在确定胃癌（CA）患者体内机会性寄生虫和大肠囊虫的流行率，并确定这些寄生虫的重要性：方法：患者组和对照组各 100 人。方法：患者组和对照组各 100 人，用原生卢戈尔法在显微镜下检查粪便样本中的肠道寄生虫。然后，用甲醇-醋酸乙酯法对样本进行倍增，并用改良的酸-ast 法进行染色：结果：14%的胃癌患者肠道寄生虫阳性，2%的健康人肠道寄生虫阳性（P=0.001）。11%的患者中发现了布氏囊虫（p=0.009），4%的患者中发现了隐孢子虫，2%的患者中发现了肠球虫，1%的患者中发现了卡耶坦球虫。患者组和对照组的肠道寄生虫阳性率（P=0.012）、大量布氏囊虫阳性率（P=0.041）和所有布氏囊虫阳性率（P=0.037）之间存在明显差异。大多数寄生虫阳性的患者都有腹泻：根据研究结果得出结论，对胃癌患者，尤其是腹泻患者进行肠道寄生虫评估是有益的。

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