尼日利亚北部扎里亚肝细胞癌的人口统计学特征及病因学
Demographic Profile and Etiology of Hepatocellular Carcinoma in Zaria, Northern Nigeria.
作者信息
Manko Muhammad, Mohammed Mansur Femi, Ahmed Maryam Shehu, Bello Ahmad Kumo, Egbegbedia Patrick Omamuyovwhi, Abdullahi Umar, Jamoh Yusuf Bello, Mustapha Shettima Kagu
机构信息
Department of Medicine, Ahmadu Bello University and Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Department of Specialty Medicine, Worcestershire Royal Hospital, Worcester, UK.
出版信息
Niger Med J. 2022 Sep 12;63(4):282-287. doi: 10.60787/NMJ-63-4-74. eCollection 2022 Jul-Aug.
BACKGROUND
HCC is a common cancer worldwide and one of the leading causes of cancer death. This aim of this study is to determine the age and gender characteristics of the HCC patients in our center and to determine the contribution of viral hepatitis (B and C) and alcohol to the etiology of HCC among our patients.
METHODOLOGY
This is a retrospective study of HCC patients seen at the gastroenterology unit of ABUTH between April 2015 and September 2018. Data on age, gender, HBsAg, and HCV antibody status and alcohol consumption were recorded from the case files of all eligible patients.
RESULTS
A total of 87 patients were included in the study. They consisted of 68 males (78.2%) and 19 females (21.8%) with male to female ratio of 4:1. The mean age of the study subjects was 46.7 years (SD ± 12.5), with a range of 22 and maximum age of 80 years. Majority of the patients were within the age group 40-49 (32.2%). HBsAg was present in 48 patients (55.2%), HCV antibody was positive in 14 patients (16.1%) and 3 patients (3.4%) were positive for both HBsAg and HCV antibody. Four (4.6%) had significant alcohol ingestion and in 18 patients (20.7%), the etiology was undetermined.
CONCLUSION
In our study, HCC was found predominantly among male patients in the age group 40-49 years. Viral hepatitis particularly HBV is the most important etiological factor for HCC among our patients.
背景
肝癌是全球常见的癌症,也是癌症死亡的主要原因之一。本研究的目的是确定我院肝癌患者的年龄和性别特征,并确定病毒性肝炎(乙型和丙型)和酒精在我院患者肝癌病因中的作用。
方法
这是一项对2015年4月至2018年9月在ABUTH胃肠病科就诊的肝癌患者的回顾性研究。从所有符合条件患者的病历中记录年龄、性别、乙肝表面抗原、丙肝抗体状态和饮酒情况的数据。
结果
本研究共纳入87例患者。其中男性68例(78.2%),女性19例(21.8%),男女比例为4:1。研究对象的平均年龄为46.7岁(标准差±12.5),年龄范围为22岁至80岁。大多数患者年龄在40-49岁之间(32.2%)。48例患者(55.2%)乙肝表面抗原呈阳性,14例患者(16.1%)丙肝抗体呈阳性,3例患者(3.4%)乙肝表面抗原和丙肝抗体均呈阳性。4例(4.6%)有大量饮酒史,18例患者(20.7%)病因不明。
结论
在我们的研究中,肝癌主要发生在40-49岁的男性患者中。病毒性肝炎尤其是乙肝是我院患者肝癌最重要的病因。