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Aim  In recent years several studies have shown increasing rate of  upper gastric  cancers regarding to decrease in distal gastric cancers. The aim of this study was to describe the trend of gastric cancers by location in Iran, which is one of the countries with high prevalence of gastric cancers.    Methods  All registered cases of gasterectomy in Tehran Cancer Institute from 1969 through 2004 were re-evaluated clinicopathologically. The stomach was anatomically divided into the upper, middle, and lower third. The  prevalence  of gastric cancers in  5 year periods  estimated by location and the changes trough the time was evaluated independently and in aspect of age and sex.    Results  Over 36 years, the  prevalence  of cancers in the upper and middle third of the stomach have increased and that of the lower third has decreased. These changes were seen in both sexes and age groups under and over 50  and it was more significant in younger .    Conclusion  The results are the same as most previous reports in other countries. This can indicate different risk factors as well as confrontation with them. However in regard to few numbers of cases in this study, a population-based study is recommended for confirmation.

Trend in incidence of gastric adenocarcinoma by tumor location from 1969–2004: a study in one referral center in Iran