[喀麦隆宫颈癌的流行病学和临床特征：杜阿拉总医院的经验]

[Epidemiological and clinical features of cervical cancer in Cameroon: experience in the Douala General Hospital].

作者信息

Mapoko Berthe Sabine Esson, Mayeh Anne Marthe Maison, Mapenya Ruth Rosine Mekah, Mbassi Esther Dina Bell, Okobalemba Etienne Atenguena, Sango Anne Juliette Flora, Noa Sidonie Ananga, Ntama Ambroise, Sando Zacharie, Ndom Paul, Biwole Martin Essomba, Sone Albert Mouelle

机构信息

Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun.

Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala, Douala, Cameroun.

出版信息

Pan Afr Med J. 2022 Jun 9;42:109. doi: 10.11604/pamj.2022.42.109.30704. eCollection 2022.

DOI:10.11604/pamj.2022.42.109.30704

PMID:36034043

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9392009/

Abstract

INTRODUCTION

cervical cancer is a public health problem in Cameroon, ranking as the 2 most frequent cancer. The purpose of our study was to describe the epidemiological and clinical characteristics of patients with cervical cancer at the Douala General Hospital in Cameroon.

METHOD

we conducted a retrospective study over the period 1 January 2016 to 31 December 2017.

RESULTS

the study enrolled 357 women. Patients´ age ranged from 25 to 88 years, with an average age of 52.82 ± 12.36 years. Patients from the Western Region were more heavily represented, with a percentage of 42.2% (n= 124/294). The majority of them were unemployed housekeepers (57.3%; n=200/341). The age of first sexual intercourse was recorded for only 37% (n=133/357) of the study population, with an average age of 16.73 ± 2.16 years; while the average age on giving birth to the first child was 18.92 ± 3.44 years. On the other hand, 6.5% (n=11/169) of patients were smokers, while 44% (n=73/166) were alcohol abusers. Squamous cell carcinoma was the most common histologic type (85.6%; n=255/298). The most frequent stage at diagnosis was stage IIB (22.3%, n=71/319) followed by stage IIIB (21.6%; n=69/319).

CONCLUSION

in Cameroon, cervical cancer commonly occurs in unemployed adult women and it is associated with an advanced-stage diagnosis. Hence the need to improve awareness of prevention and early diagnosis.

摘要

引言

宫颈癌是喀麦隆的一个公共卫生问题，是第二常见的癌症。我们研究的目的是描述喀麦隆杜阿拉综合医院宫颈癌患者的流行病学和临床特征。

方法

我们在2016年1月1日至2017年12月31日期间进行了一项回顾性研究。

结果

该研究纳入了357名女性。患者年龄在25岁至88岁之间，平均年龄为52.82±12.36岁。西部地区的患者占比更高，为42.2%（n = 124/294）。她们中的大多数是无业家庭主妇（57.3%；n = 200/341）。仅37%（n = 133/357）的研究人群记录了首次性交年龄，平均年龄为16.73±2.16岁；而生育第一胎的平均年龄为18.92±3.44岁。另一方面，6.5%（n = 11/169）的患者吸烟，而44%（n = 73/166）酗酒。鳞状细胞癌是最常见的组织学类型（85.6%；n = 255/298）。诊断时最常见的分期是IIB期（22.3%，n = 71/319），其次是IIIB期（21.6%；n = 69/319）。