Bah E, Parkin D M, Hall A J, Jack A D, Whittle H
International Agency for Research on Cancer, c/o The Gambia Hepatitis Intervention Study, MRC Laboratories, Fajara PO. Box 273, Banjul, The Gambia.
Br J Cancer. 2001 May 4;84(9):1207-14. doi: 10.1054/bjoc.2001.1730.
We describe the incidence of cancer in The Gambia over a 10-year period using data collected through the Gambian National Cancer Registry. Major problems involved with cancer registration in a developing country, specifically in Africa are discussed. The data accumulated show a low overall rate of cancer incidence compared to more developed parts of the world. The overall age standardized incidence rates (ASR) were 61.0 and 55.7 per 100 000 for males and females, respectively. In males, liver cancer was most frequent, comprising 58% of cases (ASR 35.7) followed by non-Hodgkin lymphoma, 5.4% (ASR 2.4), lung 4.0%, (ASR 2.8) and prostate 3.3% (ASR 2.5) cancers. The most frequent cancers in females were cervix uteri 34.0% (ASR 18.9), liver 19.4% (ASR 11.2), breast 9.2% (ASR 5.5) and ovary 3.2% (ASR 1.6). The data indicate that cancers of the liver and cervix are the most prevalent cancers, and are likely to be due to infectious agents. It is hoped that immunization of children under 1 year against hepatitis B will drastically reduce the incidence of liver cancer in The Gambia.
我们利用通过冈比亚国家癌症登记处收集的数据，描述了冈比亚10年间的癌症发病率。讨论了在发展中国家，特别是在非洲进行癌症登记所涉及的主要问题。积累的数据显示，与世界上更发达的地区相比，癌症发病率的总体水平较低。男性和女性的总体年龄标准化发病率（ASR）分别为每10万人61.0例和55.7例。在男性中，肝癌最为常见，占病例的58%（ASR 35.7），其次是非霍奇金淋巴瘤，占5.4%（ASR 2.4），肺癌占4.0%（ASR 2.8），前列腺癌占3.3%（ASR 2.5）。女性中最常见的癌症是子宫颈癌，占34.0%（ASR 18.9），肝癌占19.4%（ASR 11.2），乳腺癌占9.2%（ASR 5.5），卵巢癌占3.2%（ASR 1.6）。数据表明，肝癌和子宫颈癌是最普遍的癌症，可能是由感染因素引起的。希望对1岁以下儿童进行乙肝免疫接种将大幅降低冈比亚肝癌的发病率。
