食道がん:ケニアのボメト地区の若者の間でよく見られる悪性腫瘍
Russell E White1, Christian C Abnet, Caesar K Mungatana
1Tenwek Hospital, PO Box 39, Bomet, Kenya. rwhite@maf.or.ke
Lancet (London, England)
|September 21, 2002
まとめ
食道がんはケニア西部の重要な健康問題であり,多くの若い患者が診断されています. この研究は,この地域を,この一般的な悪性腫瘍の高リスク地域として強調しています.
科学分野:
- 腫瘍学 腫瘍学
- エピデミオロジー エピデミオロジー
- 公共衛生は公衆衛生である.
背景:
- 食道がんは,世界の地理的分布が不均一である.
- 癌の診断率は,ある地域では上昇しています.
- テンウェク病院は,ケニア西部のボメト地区にサービスを提供しています.
研究 の 目的:
- 1989年から1998年までテンウェク病院で診断されたすべての悪性腫瘍をレビューする.
- このケニア人集団における食道癌の発生率と特徴を決定する.
- 食道がんの潜在的な高リスク地域を特定する.
主な方法:
- すべての診断された悪性腫瘍の遡及的レビュー.
- 10年 (1989年-1998年) のデータを収集した.
- 診断時の年齢を中心に患者の人口統計の分析.
主要な成果:
- 食道がんは最も頻繁に発生する悪性腫瘍であり,すべての診断されたがんの19%を占めた (1459例のうち274例).
- 研究期間中,全がん症例の安定した増加が観察されました.
- 患者の重要なサブセット (11%,26例) は30歳以下で診断され,最も若い患者は14歳でした.
結論:
- ウェスト・ケニア,特にボメト地区は食道がんのリスクが高い地域であるようです.
- 非常に若い個体における食道がんの発生は,注目すべき発見である.
- この集団における食道がんの危険因子と病因を理解するために,さらなる研究が必要である.
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