Stirling G, Khalil A M, Nada G N, Saad A A, Raheem M A
Cancer. 1979 Oct;44(4):1543-8. doi: 10.1002/1097-0142(197910)44:4<1543::aid-cncr2820440456>3.0.co;2-n.
In a sample of 1000 consecutive malignant neoplasms in Saudis resident in the Western Region of Saudi Arabia, malignant lymphoma was the commonest of the life-threatening malignancies. The differences between malignant lymphoma in this sample and Western series include the greater frequency of lymphoma; the tendency for reticulum cell and poorly differentiated lymphomas to present as abdominal lesions; the earlier peak of prevalence of Hodgkin's disease, and the dissimilar proportions of its subtypes. The distribution of cancers in the gastrointestinal tract in our sample is almost the reverse of that encountered in the West in that cancer of the mouth and esophagus were more common than cancer of the lower intestinal tract. Lung cancer was relatively uncommon. The smoking habit is not so prevalent in Saudi Arabia as in the West and there is a need to maintain this situation by discouraging smoking. Cancer of the breast was by far the commonest major malignancy in the female, although most Saudi women have their first child early in their reproductive life. Skin cancers proved to be the most prevalent malignancy, and of these squamous cell carcinoma was the most common. The biases that affect studies such as ours in Saudi Arabia are stressed.
在沙特阿拉伯西部地区居住的沙特人的1000例连续恶性肿瘤样本中，恶性淋巴瘤是最常见的危及生命的恶性肿瘤。该样本中的恶性淋巴瘤与西方系列的差异包括淋巴瘤发生率更高；网状细胞和低分化淋巴瘤倾向于表现为腹部病变；霍奇金病患病率的高峰出现得更早，以及其亚型的比例不同。我们样本中胃肠道癌症的分布几乎与西方相反，即口腔和食管癌比下肠道癌更常见。肺癌相对不常见。沙特阿拉伯的吸烟习惯不像西方那么普遍，有必要通过劝阻吸烟来维持这种情况。乳腺癌是迄今为止女性中最常见的主要恶性肿瘤，尽管大多数沙特女性在生殖生活早期就生育了第一个孩子。皮肤癌被证明是最普遍的恶性肿瘤，其中鳞状细胞癌最常见。强调了影响沙特阿拉伯像我们这样的研究的偏差。
