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利用全球癌症观测站(GLOBOCAN)2022年的估计数据,分析中东和北非地区女性乳腺癌的当前及未来负担。

Current and future burden of female breast cancer in the Middle East and North Africa region using estimates from GLOBOCAN 2022.

作者信息

Zahwe Mariam, Bendahhou Karima, Eser Sultan, Mukherji Deborah, Fouad Heba, Fadhil Ibtihal, Soerjomataram Isabelle, Znaor Ariana

机构信息

Cancer Surveillance Branch, International Agency for Research on Cancer, Lyon, France.

Casablanca Cancer Registry, Ibn Rochd Hospital, Casablanca, Morocco.

出版信息

Int J Cancer. 2025 Jun 15;156(12):2320-2329. doi: 10.1002/ijc.35325. Epub 2025 Jan 10.

Abstract

Breast cancer is the most diagnosed female cancer and the most common cause of cancer death in women in the Middle East and North Africa (MENA) region. In this study, we aimed to describe the current patterns of breast cancer among women in the MENA region and estimate the burden for the year 2050. We used the estimates of the breast cancer incidence and mortality from the GLOBOCAN 2022 database and predicted the burden of breast cancer in 2050 according to different scenarios. With 118,200 new breast cancer cases and 41,000 deaths, breast cancer contributed to 25% of cancer incidence and almost 20% of cancer mortality among women in MENA. The highest incidence rates were in Algeria and Iraq (≥60/100,000) and the lowest rates in Saudi Arabia and Yemen (<30/100,000). The highest mortality rates were in Iraq, Syrian Arab Republic, Algeria, and Sudan (>20/100,000), and the lowest in Saudi Arabia (7.6/100,000). While the incidence rates were low compared to other world regions, the mortality rates (16.9/100,000) were higher than in any other world region except Sub-Saharan Africa. The incidence rates for women <50 years in MENA were 5.5 times lower than in women aged ≥50 years, and lower than for women <50 years in Western countries. By 2050, the burden of breast cancer is estimated to increase to 219,000 new cases and to 88,900 deaths (86% and 117%, respectively). Scaling up cancer control to curb the rising burden alongside improved surveillance is vital to develop targeted interventions and improving outcomes.

摘要

乳腺癌是女性中诊断出最多的癌症,也是中东和北非(MENA)地区女性癌症死亡的最常见原因。在本研究中,我们旨在描述MENA地区女性乳腺癌的当前模式,并估计2050年的负担。我们使用了GLOBOCAN 2022数据库中乳腺癌发病率和死亡率的估计值,并根据不同情景预测了2050年乳腺癌的负担。MENA地区有118,200例新发乳腺癌病例和41,000例死亡,乳腺癌占该地区女性癌症发病率的25%,几乎占癌症死亡率的20%。发病率最高的是阿尔及利亚和伊拉克(≥60/100,000),最低的是沙特阿拉伯和也门(<30/100,000)。死亡率最高的是伊拉克、阿拉伯叙利亚共和国、阿尔及利亚和苏丹(>20/100,000),最低的是沙特阿拉伯(7.6/100,000)。虽然与世界其他地区相比发病率较低,但死亡率(16.9/100,000)高于除撒哈拉以南非洲以外的任何其他世界地区。MENA地区50岁以下女性的发病率比50岁及以上女性低5.5倍,且低于西方国家50岁以下女性。到2050年,乳腺癌负担估计将增至219,000例新发病例和88,900例死亡(分别增长86%和117%)。扩大癌症控制以遏制负担上升并加强监测对于制定有针对性的干预措施和改善结果至关重要。

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