Registre des Cancers de la Guyane, URPS, 97300, Cayenne, French Guiana, France.
Service de Médecine B, Hépato Gastroentérologie, Centre Hospitalier de Cayenne, 97300, Cayenne, French Guiana, France.
J Gastrointest Cancer. 2022 Mar;53(1):204-210. doi: 10.1007/s12029-020-00572-z. Epub 2021 Jan 7.
Gastric cancer is a frequent cancer in the tropics. The objective was to review a decade of gastric cancer data, and to study its spatial and temporal trends.
The cancer registry of French Guiana compiled exhaustive data on gastric cancer throughout French Guiana between 2005 and 2014. Age-standardized incidence and mortality rates were computed.
With 187 new cases recorded, gastric cancer ranked 6th (4.3%). It was more frequent in men than in women. The median age at diagnosis was 62 years for men and 65 years for women. The incidence rate standardized to the world population over the period 2005-2014 was 14.3 cases of gastric cancer per 100,000 man-years and 7.3 per 100,000 woman-years. The death rate from gastric cancer, standardized to the world population over the period 2005-2014, was 8.6 deaths from gastric cancer per 100,000 man-years and 3.4 per 100,000 women-years. These measures were lower than what is reported in Latin America, similar to Martinique and Guadeloupe-two tropical French territories-and higher than in France.
Gastric cancer affected more males and the median age was younger than in France. Standardized incidence and mortality rates for gastric cancer in French Guiana were between those of France and those of Latin America, and they were comparable to those of the French West Indies. The downward trend in a context of rapid economic growth suggests further gains that could be achieved by improving electricity, water, and sanitation coverage throughout the territory despite challenging geography, and better access to care and Helicobacter pylori eradication.
胃癌是热带地区常见的癌症。本研究旨在回顾近十年的胃癌数据，并研究其时空趋势。
法属圭亚那癌症登记处汇编了 2005 年至 2014 年间整个法属圭亚那的胃癌详细数据。计算了年龄标准化发病率和死亡率。
共记录 187 例新发病例，胃癌排名第 6 位（4.3%）。男性发病率高于女性。男性诊断中位年龄为 62 岁，女性为 65 岁。2005-2014 年期间按世界人口标准化的发病率为每 10 万男性年 14.3 例，每 10 万女性年 7.3 例。2005-2014 年期间按世界人口标准化的胃癌死亡率为每 10 万男性年 8.6 例，每 10 万女性年 3.4 例。这些指标低于拉丁美洲的报告值，与法属加勒比地区的马提尼克岛和瓜德罗普岛相似，但高于法国。
胃癌影响更多男性，中位年龄较法国年轻。法属圭亚那的胃癌标准化发病率和死亡率在法国和拉丁美洲之间，与法属西印度群岛相当。在经济快速增长的背景下，呈下降趋势，这表明尽管地理条件具有挑战性，而且获得医疗保健和幽门螺杆菌根除的机会有限，但通过改善整个领土的电力、水和卫生设施覆盖率，仍可进一步取得进展。
