Department of Public Health, Saint Paul's Hospital Millennium Medical College, AA, Ethiopia.
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, United States of America.
PLoS One. 2020 Mar 20;15(3):e0230625. doi: 10.1371/journal.pone.0230625. eCollection 2020.
Cancer is a leading cause of death in both more and less economically developed countries; the burden is expected to grow in less developed countries, such as Ethiopia. Lack of adequate information is one of the major problems preventing the design of cancer control strategies in Ethiopia.
To characterize gynecological and breast cancers among clients attending Gynecologic clinic of Saint Paul Hospital Millennium Medical college over 5 year period.
We retrospectively reviewed characteristics of 2,002 female cancer patients who visited the Oncology unit of Saint Paul's Hospital Millennium Medical College from 2014-2018. We estimated the proportion, pattern and trend of common types of gynecologic cancers as well as breast cancer. The ten years incidence projection was also computed.
From the 2,002 malignancies, cervical (46.7%) was the most frequent cancer followed by breast (29.3%) and ovarian cancers (13%). The majority of breast cancers were observed among younger patients whereas cervical cancer was predominantly observed among older women. An overall increment in number of breast and gynecologic cancer was observed over the five years period.
In this descriptive study, we found that breast and gynecologic cancers are important public health problems among women in Addis Ababa, and that the number of patients seeking care for these cancers is increasing. Additional studies are needed to identify risk factors for these cancers, particularly among younger women, to characterize the trends over time and to project the scope of the cancer problem expected in the future to inform cancer control programs. Increasing public awareness on the possible risk factors and screening is mandatory in addition to resource allocation for further studies and targeted intervention.
癌症是在经济较发达和欠发达国家（如埃塞俄比亚）的主要死亡原因之一；预计在欠发达国家，癌症负担将会增加。缺乏足够的信息是阻碍在埃塞俄比亚制定癌症控制策略的主要问题之一。
描述在圣保禄千年医科大学妇产科诊所就诊的女性患者中妇科和乳腺癌的发病情况。
我们回顾性分析了 2014 年至 2018 年期间在圣保禄千年医科大学圣保禄医院肿瘤科就诊的 2002 名女性癌症患者的特征。我们估计了常见妇科癌症和乳腺癌的比例、模式和趋势。还计算了十年发病率的预测。
在 2002 例恶性肿瘤中，宫颈癌（46.7%）最为常见，其次是乳腺癌（29.3%）和卵巢癌（13%）。大多数乳腺癌发生在年轻患者中，而宫颈癌主要发生在老年女性中。在五年期间，乳腺癌和妇科癌症的数量总体上呈增加趋势。
在这项描述性研究中，我们发现乳腺癌和妇科癌症是亚的斯亚贝巴妇女的重要公共卫生问题，寻求治疗这些癌症的患者数量正在增加。需要进一步研究来确定这些癌症的危险因素，特别是在年轻女性中，以描述随时间的趋势，并预测未来癌症问题的范围，为癌症控制计划提供信息。除了为进一步研究和有针对性的干预措施分配资源外，还必须提高公众对可能的危险因素和筛查的认识。
