Epidemiology of Cancer in Rural Congo: Case of IME Kimpese Hospital, Democratic Republic of Congo

• 作者: Ngwala Philippe Lukanu Ngangu Patric Ntontolo Vainqueur Diakengua Chanel Kalombo Junior Nyambu Junior Nlandu Patricia Atungu Zele Samuel Nsiangana Aliocha Nkodila
• 来源期刊: 癌症治疗(英文)
• 学科: 医学
• 关键词: CANCER EPIDEMIOLOGY Rural Area Democratic Republic of Congo
• 年，卷（期）: azzlyw_2021,（3）
• 页码范围: 127-135
• 页数: 9页
• 分类号: R73

摘要

<strong>Background and Aim:</strong> Cancer is a public health problem in developing countries. It is aggravated by diagnostic confirmation difficulties. The aim of this study was to determine the epidemiological profile of cancers in Congolese rural areas. <strong>Methods</strong>: A historical cohort study was conducted with 914 histopathological protocols at the IME/Kimpese hospital from January 2008 to December 2013. <strong>Results</strong>: The mean age of patients was 55.2 ± 14.5 years, and 61.9% were women with a sex ratio of 2W/M. Ductal carcinoma (23.6%), squamous cell carcinoma (23.5%) and adenocarcinoma (23.1%) were the most common cancers. The most affected organs were breast (26.3%) and prostate (14.3%). 41.5% of cancers had an undifferentiated character and more than half (51.1%) a differentiated character. The majority of this cancer infiltrated other organs (57.9%). Among cancers where grade was found, 16% and 10.8% were respectively grades 1 and 4, and the presence of metastases was observed in 10.9% of cancers. Conclusion: Cancer is more frequent in elderly women with a predominance of squamous and ductal carcinoma. The presence of a national cancer registry is necessary in the country for a good follow-up of cancer cases.