Department of Pathology, Faculty of Medicine, University Eduardo Mondlane.
Anatomical Pathology Service.
Eur J Cancer Prev. 2019 Jul;28(4):373-376. doi: 10.1097/CEJ.0000000000000457.
There is scarce information on cancer incidence in Mozambique. We aimed to describe cancer incidence data from the Cancer Registry of the Maputo Central Hospital (MCH) in 2015-2016, for Maputo City dwellers, and to compare the incidence rates with those observed in 1956-1961. Cancers with incidence data in 2015-2016 were identified by the Cancer Registry of the MCH. Crude and age-standardized incident rates (ASIR, per 100 000) - direct method, world standard population - were computed for Maputo City, under the assumption that most cancer cases among this population were identified at the MCH. A total of 1707 incident cases in Maputo City dwellers were registered (76.6% confirmed histologically). Prostate cancer, Kaposi sarcoma, and liver cancer were the most frequent in men (ASIR: 24.5, 19.8, and 13.3, respectively). Cervical and breast cancers, and Kaposi sarcoma were the most common among women (ASIR: 32.4, 11.8, and 9.5, respectively). Compared with the data from 1956 to 1961, the most pronounced declines in ASIR were for bladder and liver cancers, in both sexes, and increases were greater for prostate cancer among men (172.2%) and breast cancer (237.1%) among women. Our study highlights the high frequency of infection-related cancers in Maputo, but also of those related to the ongoing demographic and socioeconomic transition.
莫桑比克癌症发病率的相关信息十分匮乏。本研究旨在描述 2015-2016 年莫桑比克马普托中央医院(MCH)癌症登记处的马普托市居民癌症发病数据,并与 1956-1961 年的数据进行比较。通过 MCH 的癌症登记处确定了 2015-2016 年有发病率数据的癌症。假设该人群中的大多数癌症病例都是在 MCH 中发现的,根据世界标准人口(直接法)计算了马普托市的粗发病率和年龄标准化发病率(ASIR,每 10 万人)。共登记了马普托市居民 1707 例发病病例(76.6%经组织学证实)。男性中最常见的癌症是前列腺癌、卡波西肉瘤和肝癌(ASIR:24.5、19.8 和 13.3)。女性中最常见的癌症是宫颈癌、乳腺癌和卡波西肉瘤(ASIR:32.4、11.8 和 9.5)。与 1956-1961 年的数据相比,男性和女性膀胱癌和肝癌的 ASIR 下降最为明显,而前列腺癌(男性增加 172.2%)和乳腺癌(女性增加 237.1%)的 ASIR 上升更为明显。本研究强调了马普托地区感染相关癌症高发,但也强调了与正在进行的人口和社会经济转型相关的癌症。