Binu V S, Chandrashekhar T S, Subba S H, Jacob Samuel, Kakria Anjali, Gangadharan P, Menezes Ritesh G
Department of Community Medicine, Manipal College of Medical Sciences, Pokhara, Nepal.
Asian Pac J Cancer Prev. 2007 Apr-Jun;8(2):183-6.
Information on cancer patterns is an important basis for determining the priorities for cancer control in different countries worldwide. There is no reliable information about the incidence or pattern of cancer in Nepal and hence an attempt was made to assess the situation based on hospital data which is the only source in the western region of Nepal. Cancer cases diagnosed by all methods or treated in Manipal Teaching Hospital, affiliated to Manipal College of Medical Sciences, Pokhara, during 1st January 2003 to 30th May 2005 were used for the present study. A total of 957 cancer cases were identified with a male to female ratio of 1.1:1. The median age of male and female patients was 63 and 60 years, respectively. The proportion of microscopically confirmed cases, both from primary and metastatic sites was 87.5% and tobacco-related cancers constituted 48% of all cancers among males and 28% among females. For males the leading cancer sites were lung (22.2%), larynx (9.8%) and stomach (9%) and that for females was lung (20%), cervix (19.7%) and breast (7.8%). Among males, 33.1% of all cancers were in the respiratory system followed by digestive organ cancers (23.2%). Among females, 28.4% cancers were related to the reproductive system, 22.8% to the respiratory system and 14.1% to digestive organs. The cancer pattern revealed by the present study provides valuable leads to cancer epidemiology in Nepal, particularly in the western region, and provides useful information for health planning and future research.
癌症模式信息是确定全球不同国家癌症控制重点的重要依据。尼泊尔缺乏关于癌症发病率或模式的可靠信息，因此我们尝试根据医院数据评估该国的情况，该数据是尼泊尔西部地区唯一的信息来源。本研究使用了2003年1月1日至2005年5月31日期间在博卡拉马尼帕尔医学院附属马尼帕尔教学医院通过各种方法诊断或治疗的癌症病例。共识别出957例癌症病例，男女比例为1.1:1。男性和女性患者的中位年龄分别为63岁和60岁。原发部位和转移部位经显微镜确诊的病例比例为87.5%，与烟草相关的癌症在男性所有癌症中占48%，在女性中占28%。男性主要的癌症部位是肺癌（22.2%）、喉癌（9.8%）和胃癌（9%），女性则是肺癌（20%）、宫颈癌（19.7%）和乳腺癌（7.8%）。在男性中，所有癌症的33.1%发生在呼吸系统，其次是消化器官癌症（23.2%）。在女性中，28.4%的癌症与生殖系统有关，22.8%与呼吸系统有关，14.1%与消化器官有关。本研究揭示的癌症模式为尼泊尔尤其是西部地区的癌症流行病学提供了有价值的线索，并为卫生规划和未来研究提供了有用信息。
