Trends in The Patterns of Cancers in Nigerian Women Over Five Decades
Keywords:
cancer, breast, ovarian, cervical, womenAbstract
Cancers are major contributors to mortality among women in developing countries, with patterns changing over time. This study was done to ascertain the changes in trends and patterns of breast, cervical and ovarian cancers in women over two periods of one decade each, thirty-five years apart. Data on breast, cervical and ovarian cancers in Nigerian women over the two ten-year periods were obtained from the Ibadan Cancer Registry, using a well-structured proforma with extraction of information such as age, cancer sites and year of presentation. The extracted data were analyzed and related to information provided by the International Agency for Research on Cancer (IARC). There were about 400 cases of breast, cervical and ovarian cancers from 1960 to 1969 with cervical cancer having the highest relative frequency, while about 3000 cases of these cancers were reported from 2004 to 2013, with breast cancer having the highest ratio frequency. The age group with the highest frequencies for the three cancer types from 2004 to 2013 was 40 - 49 years, while it was 60 – 69 years from 1960 to 1969. Mean ages at presentation were 48.96 ± 13.32, 54.40 ± 13.41 and 44.42 ± 16.99 years for breast, cervical and ovarian cancers respectively. Breast and cervical cancers are the two commonest cancers in Nigerian women over the five-decade period, with breast cancer overtaking cervical cancer as the most frequently diagnosed. The number of cancer cases recorded increased seven-fold and the peak age group at diagnosis of breast cancer dropped by about twenty years over the period
References
Adebamowo CA, Adekunle OO (1999): Case controlled study of the epidemiological risk factors for breast cancer in Nigeria. Br J Surg. 86(5): 665-668.
Adebamowo CA, Ajayi OO (2000): Breast Cancer in Nigeria. West Afr J Med. 19: 179-191
Adetifa FA, Ojikutu RK (2009): Prevalence and trends in breast cancer in Lagos State, Nigeria. Afr Res Rev, Ethiopia, 3(5): 3-5.
Adisa CA, Eleweke N, Alfred AA, Campbell MJ, Sharma R, Nseyo O, Tandon V, Mukhtar R, Greninger A, Risi JD, Esserman LJ (2012): Biology of breast cancer in Nigerian women: A pilot study. Ann Afr Med. 11(3): 169-175.
Anyanwu SN (2000): Breast cancer in Eastern Nigeria: a ten-year review. West Afr J Med, 19(2): 120-125
Bassey EA, Ekpo MD, Abasiatai A (2007): Female genital tract malignancy in Uyo, South South Nigeria. Niger Postgrad Med J. 14(2): 134-136
Bray F, McCarron P, Parkin DM (2004): The changing global patterns of female breast cancer incidence and mortality. Breast Cancer Res. 6(6): 229-239
Iyoke CA, Ugwu GO, Ezugwu EC, Onah N, Ugwu O and O Okafor (2013): Incidence, Pattern and Management of Ovarian Cancer at a Tertiary Medical Centre in Enugu, South East Nigeria. Ann Med Health Sci Res. 2013; 3(3): 417-421
Ebughe GA, Ekanem IA, Omoronyia OE, Omotoso AJ, Ago BU, Agan TU, Ugbem TI (2016): Incidence of Cervical Cancer in Calabar Nigeria. J Cancer Tumor Int, 2016; 3(2): 1-13.
Ferlay J, Forman D, Mathers CD, Bray F (2012): Breast and cervical cancer in 187 countries between 1980 and 2010. Lancet. 379(9824): 1390-1391
Global Burden of Disease Cancer Collaboration (2017): Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015: A Systematic Analysis for the Global Burden of Disease Study JAMA Oncol. 3(4): 524-548.
Nggada HA, Yawe KT, Abdulazeez J, Khalil MA (2008): Breast cancer burden in Maiduguri, North Eastern Nigeria. The Breast Journal, 14(3): 284-286
International Federation of Gynaecology and Obstetrics (FIGO, 2006): 26th Annual report on the results of treatment of gynaecological cancer. Int J Gynecol Obstet. 95(Suppl 1): S161-91
Jemal A, Bray F, Melissa M, Ferlay J, Ward E, Forman D (2011): Global Cancer Statistics, CA: A Cancer Journal for Clinicians, 61(2): 69-90
Kene TS, Odigie VI, Yusufu LM, Yusuf BO, Shehu SM, Kase JT (2010): Pattern of presentation and survival of breast cancer in a teaching hospital in North Western Nigeria. Oman Med J, 25(2): 104-107
McCormack VA, Boffetta P (2011): Today’s lifestyles, tomorrow’s cancers: trends in lifestyle risk factors for cancer in low- and middle-income countries. Ann Oncol, 22 (11): 2349-2357
Megafu U (1979): Cancer of the genital tract in Ibo women in Nigeria; Cancer 44(5): 1875-1878
Mohammed A, Ahmed SA, Oluwole OP, Avidime S (2006): Malignant tumors of the female genital tract in Zaria Nig: Analysis of 513 cases. Ann Afr Med 5: 93-96
Nkyekyer K (2000):. Pattern of gynaecological cancers in Africa. East Afr Med J, 77(10): 534 –538
Odukogbe AA, Adebamowo CA, Ola B, Olayemi O, Oladokun A, Adewole IF, Omigbodun AO, Aimakhu CO, Okunlola MA, Fakulujo O, Oluyemi FA (2004): Ovarian cancer in Ibadan: characteristics and management. J Obstet Gynaecol. 24(3): 294-297
Omran AR (1971): The epidemiologic transition: a theory of the epidemiology of population change. 1971, Milbank Q, 2005, 83: 731-735
Parkin DM, Freddie MD, Ferlay J, Paola P (2005): Global Cancer Statistics. CA- Cancer Journal for Clinician, 55: 74-108
Rogo KO, Omany J, Ojwang SB, Stendahl U (1990): Carcinoma of the cervix in the African setting. Int J Gynecol Obstet, 33: 249-255
Sreedevi A, Javed R, Dinesh A (2015): Epidemiology of cervical cancer with special focus on Africa. Int J Women Health 2015; 7: 405–414
Webb PM (2009): Fertility drugs and ovarian cancer. BMJ, 338:a3075
Yakasai IA, Ugwa EA, Otubu J. (2013): Gynecological malignancies in Aminu Kano Teaching Hospital Kano: A 3-year review. Niger J Clin Pract, 16: 63-66.
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