Oates K R
Fam Pract. 1986 Jun;3(2):102-6. doi: 10.1093/fampra/3.2.102.
Over a period of 13 years 794 patients were seen with confirmed malignant disease at the Centre Medical Evangelique hospital at Nyankunde in north-eastern Zaire, which services a population of approximately 500 000. Malignant disease of the skin accounts for 24% of the total number of malignancies. The commonest tumour in women, as in the West, is breast cancer. Among males, however, Kaposi's sarcoma makes up 15% of all male malignancy and malignant melanoma another 7%, giving a contrasting picture to developed nations. In both types of malignancy the majority of cases presented with foot primaries. Patients with Kaposi's sarcoma tended to be younger than those with malignant melanoma. There appears to be no marked change in frequency of either Kaposi's sarcoma or malignant melanoma, in contrast with the sharply rising incidence in Western populations.
在13年的时间里，位于扎伊尔东北部尼扬昆德的福音医疗中心医院共接待了794名确诊患有恶性疾病的患者，该医院服务的人口约为50万。皮肤恶性疾病占恶性肿瘤总数的24%。与西方一样，女性中最常见的肿瘤是乳腺癌。然而，在男性中，卡波西肉瘤占所有男性恶性肿瘤的15%，恶性黑色素瘤占另外7%，这与发达国家形成了鲜明对比。在这两种恶性肿瘤中，大多数病例都以足部为原发部位。卡波西肉瘤患者往往比恶性黑色素瘤患者年轻。与西方人群发病率急剧上升形成对比的是，卡波西肉瘤或恶性黑色素瘤的发病率似乎没有明显变化。
