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Carcinoma of the prostate: indigenous patterns
Journal of the National Medical Association
|April 1, 1984
Summary
Prostatic carcinoma, a cancer of the prostate gland, was found in 32 Igbo patients in Nigeria. Acute urine retention was a common symptom, highlighting the need for health education on prostate cancer.
Area of Science:
- Urology
- Oncology
- Public Health
Background:
- Prostate cancer incidence is notably higher in American Black men compared to White men.
- Igbo people in Nigeria, West Africa, share ancestral origins with many American Black populations.
Purpose of the Study:
- To analyze the characteristics of prostatic carcinoma cases in Igbo patients in Nigeria.
- To explore potential links between prostate cancer incidence in Igbo populations and American Black populations.
Main Methods:
- Retrospective review of 32 cases of prostatic carcinoma.
- Analysis of surgical specimens from approximately 15,000 procedures over 13 years.
- Clinical data review, focusing on patient demographics and presenting symptoms.
Main Results:
- Thirty-two cases of prostatic carcinoma were identified in Igbo patients.
- The majority of tumors were well-differentiated adenocarcinomas.
- Peak incidence occurred in the seventh decade of life, with acute urine retention being a common presenting symptom.
Conclusions:
- Advanced disease at diagnosis suggests a need for improved health education regarding prostate cancer in the region.
- Further prospective research in Igboland may elucidate the high incidence of prostate cancer in American Black men.