Bodalal Zuhir, Azzuz Raouf, Bendardaf Riyad
Zuhir Bodalal, Department of Surgery, Faculty of Medicine, Libyan International Medical University, Benghazi 15016, Libya.
World J Gastroenterol. 2014 May 28;20(20):6293-301. doi: 10.3748/wjg.v20.i20.6293.
To study the pattern of cancer incidence and determine the incidence rates in Eastern Libya (for the first time in a decade).
A hospital-based registry of cancer patients was formed using records from the primary oncology center in eastern Libya - focusing on those diagnosed in the year 2012.
The most common malignancies in men were cancers of the colon (22.3%, n = 90), lung (20.3%, n = 82), prostate (16.1%, n = 65), pancreas (4.2%, n = 17) and liver (4.2%, n = 17). For women, they were found to be cancers of the breast (41.5%, n = 213), colon (16.4%, n = 84), uterus (8%, n = 41), ovary (5.5%, n = 28) and pancreas (3.1%, n = 16). Additionally age-standardized rates (ASR) were determined for Libya. The different cities and towns in eastern Libya were compared for any variation. The city of Beida in particular was found to have a remarkably high incidence of gastric cancer. The different findings were discussed and comparisons were made with past literature as well as the incidence rates for neighbouring countries. The incidence rates given for the eastern region showed differences from previously reported values (i.e., the rate of colon cancer was the highest in North Africa whereas other malignancies occurred less frequently). Potential explanations for the urban-rural difference as well as the difference in incidence rates were put forth. The significance of this study is that it establishes a baseline of cancer incidence which should be the backbone for any future national cancer plan in Libya.
Proper surveillance programs need to be in place and healthcare policy should be adjusted to take into account the more prevalent and pressing cancers in society.
研究癌症发病率模式，并确定利比亚东部的发病率（十年来首次）。
利用利比亚东部主要肿瘤中心的记录建立了一个基于医院的癌症患者登记处，重点关注2012年确诊的患者。
男性中最常见的恶性肿瘤是结肠癌（22.3%，n = 90）、肺癌（20.3%，n = 82）、前列腺癌（16.1%，n = 65）、胰腺癌（4.2%，n = 17）和肝癌（4.2%，n = 17）。女性中，她们被发现是乳腺癌（41.5%，n = 213）、结肠癌（16.4%，n = 84）、子宫癌（8%，n = 41）、卵巢癌（5.5%，n = 28）和胰腺癌（3.1%，n = 16）。此外，还确定了利比亚的年龄标准化率（ASR）。对利比亚东部的不同城镇进行了比较，以查看是否存在差异。特别是发现贝达市的胃癌发病率非常高。对不同的研究结果进行了讨论，并与过去的文献以及邻国的发病率进行了比较。东部地区给出的发病率与先前报告的值存在差异（即结肠癌的发病率在北非最高，而其他恶性肿瘤的发病率较低）。提出了城乡差异以及发病率差异的潜在解释。这项研究的意义在于它建立了癌症发病率的基线，这应该是利比亚未来任何国家癌症计划的支柱。
需要建立适当的监测计划，并调整医疗保健政策，以考虑到社会中更普遍和紧迫的癌症。
