Baş Yılmaz, Hassan Hussein Abshir, Adıgüzel Cevdet, Bulur Oktay, Ibrahim İkram Abdikarim, Soydan Seçil
Department of Pathology, Somalia-Turkey Education and Research Hospital, Mogadishu, Somalia; Hitit University Medical School, Çorum, Turkey.
Department of Oncology, Uniso Hospital, Somalia University, Mogadishu, Somalia.
Semin Oncol. 2017 Jun;44(3):178-186. doi: 10.1053/j.seminoncol.2017.10.007. Epub 2017 Oct 18.
The aim of this study was to investigate the frequency and distribution of cancer cases in a defined time period in Somalia.
A total of 403 cancer cases were diagnosed between January 01, 2016 and March 01, 2017 in the Department of Pathology at the Somalia Mogadishu-Turkey Education and Research Hospital or the Department of Oncology at Uniso Hospital, Somalia University. Data on cancer type, patient age, and gender were obtained from pathology reports and hospital records.
Female patients totaled 49.6% (n = 200) and 50.4% of patients were male (n = 203). The youngest patient was 18 years of age, the oldest was 97, and the average age was 53.4 years. The 10 most common types of cancer were esophageal (n = 130, 32.3%), non-Hodgkin lymphoma (n = 35, 8.7%), liver (n = 26, 6.5%), breast (n = 24, 6.0%), skin (n = 17, 4.2%), thyroid (n = 13, 3.2%), brain (n = 12, 3.0%), bone (n = 11, 2.7%), colorectal (n = 11, 2.7%), and soft tissue (n = 11, 2.7%). The most common site of cancer in both males and females was the esophagus.
These results show a high incidence of esophageal cancer in Somalia, and strongly suggest that environmental risk factors and nutritional habits have a strong impact in this population. Serious and extensive research on the etiology of esophageal cancer is required.
本研究旨在调查索马里特定时间段内癌症病例的发生频率和分布情况。
2016年1月1日至2017年3月1日期间，索马里摩加迪沙-土耳其教育与研究医院病理科或索马里大学尤尼索医院肿瘤科共诊断出403例癌症病例。癌症类型、患者年龄和性别的数据来自病理报告和医院记录。
女性患者占49.6%（n = 200），男性患者占50.4%（n = 203）。最年轻的患者为18岁，最年长的为97岁，平均年龄为53.4岁。10种最常见的癌症类型为食管癌（n = 130，32.3%）、非霍奇金淋巴瘤（n = 35，8.7%）、肝癌（n = 26，6.5%）、乳腺癌（n = 24，6.0%）、皮肤癌（n = 17，4.2%）、甲状腺癌（n = 13，3.2%）、脑癌（n = 12，3.0%）、骨癌（n = 11，2.7%）、结直肠癌（n = 11，2.7%）和软组织癌（n = 11，2.7%）。男性和女性最常见的癌症部位均为食管。
这些结果表明索马里食管癌发病率较高，并强烈提示环境危险因素和营养习惯对该人群有很大影响。需要对食管癌的病因进行深入广泛的研究。
