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尼日利亚东部一家三级医院的妇科癌症患者特征分析。

Profile of gynecological cancers in a tertiary hospital, Eastern Nigeria.

机构信息

Gynaecological Oncology Unit, Department of Obstetrics and Gynaecology, Federal University Teaching Hospital Owerri, Imo State, Nigeria.

出版信息

Pan Afr Med J. 2023 Mar 17;44:139. doi: 10.11604/pamj.2023.44.139.39034. eCollection 2023.

Abstract

INTRODUCTION

there is a great diversity in the profile of cancers in the world. This study set out to analyze the profile of gynecological cancer in Federal University Teaching Hospital, Owerri, [FUTHO] (former Federal Medical Centre, Owerri, Imo state, Nigeria). Methods: this was a retrospective cross sectional descriptive study of the records of women admitted in the gynecological ward in FUTHO from January 2020 to November 2022. It was analyzed using SPSS version 23.0 and reported in simple percentages for categorical variables and measures of central tendency for quantitative variables.

RESULTS

a total of 1,378 gynecological patients were admitted into the Gynaecological ward of the hospital, out of which 242 (17.6%) were cancer cases. The most common cancer over the three years in review, was ovarian, 81 (33.5%), followed by cervical, 66 (27.3%), endometrial, 65 (26.8%), choriocarcinoma, 22 (9.1%), vulvar, 6 (2.5%) and vagina, 2 (0.8%). The most common gynecological cancers in this study is very different from previous reports from Nigeria and other African countries. The pattern looks like that seen in developed countries where endometrial and ovarian cancers top the list.

CONCLUSION

this report shows a possible change in lifestyle and improved access to cervical cancer prevention strategies. It is also assumed that all the facilities who have recorded cervical cancer as the most common cancer can actually have a similar result as ours if a more current review is done.

摘要

简介

世界上癌症的类型存在很大差异。本研究旨在分析奥韦里联邦大学教学医院(前身为奥韦里联邦医疗中心,尼日利亚伊莫州)妇科癌症的发病情况。

方法

这是一项回顾性的横断面描述性研究,对 2020 年 1 月至 2022 年 11 月期间在奥韦里联邦大学教学医院妇科病房住院的女性患者的病历进行了分析。采用 SPSS 版本 23.0 进行分析,对分类变量采用简单百分比表示,对定量变量采用集中趋势的度量。

结果

共有 1378 名妇科患者入住该医院的妇科病房,其中 242 例(17.6%)为癌症患者。在过去三年的回顾中,最常见的癌症是卵巢癌,共 81 例(33.5%),其次是宫颈癌 66 例(27.3%)、子宫内膜癌 65 例(26.8%)、绒癌 22 例(9.1%)、外阴癌 6 例(2.5%)和阴道癌 2 例(0.8%)。本研究中最常见的妇科癌症与尼日利亚和其他非洲国家以前的报告非常不同。这种模式类似于发达国家,子宫内膜癌和卵巢癌位居前列。

结论

本报告显示生活方式可能发生了变化,并且获得了更多的宫颈癌预防策略。假设所有记录宫颈癌为最常见癌症的医疗机构,如果进行更及时的审查,实际上也可能会得到与我们类似的结果。

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Semin Oncol Nurs. 2019 Apr;35(2):147-150. doi: 10.1016/j.soncn.2019.03.002. Epub 2019 Mar 20.
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South Asian J Cancer. 2016 Jul-Sep;5(3):112-20. doi: 10.4103/2278-330X.187575.
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Worldwide burden of gynaecological cancer: the size of the problem.全球妇科癌症负担:问题的规模
Best Pract Res Clin Obstet Gynaecol. 2006 Apr;20(2):207-25. doi: 10.1016/j.bpobgyn.2005.10.007. Epub 2005 Dec 13.

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