Tahtabasi Mehmet, Mohamud Abdullahi Ismail, Kalayci Mustafa, Gedi Ibrahim Ismail, Er Sadettin
Department of Radiology, University of Health Sciences- Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia.
Department of Pathology, University of Health Sciences- Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia.
Cancer Manag Res. 2020 Sep 28;12:8599-8611. doi: 10.2147/CMAR.S277202. eCollection 2020.
To determine the type, frequency and distribution of all cancers in Somalia from 2017 to 2020.
This retrospective and descriptive study included the review of a total of 5238 pathology reports obtained from the medical records of the Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital. Patient characteristics, lesion localization, and histopathology were recorded. Patients with an unconfirmed cancer diagnosis, borderline tumors, intraepithelial neoplasms and metastatic cancers were excluded from the study. The cases were classified according to gender, age, and organ involvement.
Of the 1306 patients included in the study, 50.9% (n=666) were female and 49.1% (n=640) were male, and the mean age was 51.1±19.4 years. Of the cases, 5.1% (n=67) were pediatric (0-17 years) and 35.8% (n=468) were in the 18-50 years range. The most common cancer was esophageal cancer (EC) for the overall data (n=284; 21.7%) and in both genders. EC peaked in the fifth decade, and the most common histological type was squamous cell carcinoma (n=256; 91.1%). Liver cancer was the second most common cancer overall (n=99; 7.6%) and in men (n=67; 10.5%). Cervical cancer was the second most common cancer among women (n=88; 13.3%) and ranked fourth in terms of overall incidence (n=88; 6.7%). Breast cancer was the third most common overall (n=95; 7.3%) and in women (n= 87; 13.1%).
This study shows that in Somalia, EC is the most common cancer in both genders. These high rates in Somalia suggest that environmental factors and dietary habits may have an effect. To reduce the incidence of EC and prevent its development, the population of Somalia should be educated and effective planning should be undertaken.
确定2017年至2020年索马里所有癌症的类型、发病率及分布情况。
这项回顾性描述性研究包括对从索马里土耳其雷杰普·塔伊普·埃尔多安教育与研究医院病历中获取的总共5238份病理报告进行审查。记录患者特征、病变部位及组织病理学情况。未确诊癌症、交界性肿瘤、上皮内瘤变及转移性癌症患者被排除在研究之外。病例按性别、年龄及受累器官进行分类。
纳入研究的1306例患者中，50.9%（n = 666）为女性，49.1%（n = 640）为男性，平均年龄为51.1±19.4岁。其中，5.1%（n = 67）为儿童（0 - 17岁），35.8%（n = 468）年龄在18 - 50岁之间。总体数据中最常见的癌症是食管癌（EC）（n = 284；21.7%），男女皆是如此。食管癌在第五个十年达到高峰，最常见的组织学类型是鳞状细胞癌（n = 256；91.1%）。肝癌是总体上第二常见的癌症（n = 99；7.6%），在男性中是第二常见（n = 67；10.5%）。宫颈癌是女性中第二常见的癌症（n = 88；13.3%），总体发病率排名第四（n = 88；6.7%）。乳腺癌总体上是第三常见（n = 95；7.3%），在女性中是第三常见（n = 87；13.1%）。
本研究表明，在索马里，食管癌是男女中最常见的癌症。索马里这些高发病率表明环境因素和饮食习惯可能有影响。为降低食管癌发病率并预防其发展，应教育索马里民众并进行有效规划。
