Epidemiological and Histopathological Features of Small Intestine Cancer in Cameroon: About 47 Cases

Jean Paul Ndamba Engbang, S. A. Eloumou, A. Fewou, Clémentine Essaga Essaga, Bruno Djimeli Djougmo, Gilbert-Roger Ateba, G. Simo, A. Moune
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Abstract

Bakground: The small intestine represents the longest part of the digestive tract. The small bowel cancer is rare, but is increasing worldwide. Methods: Data was analysed retrospectively from the medical records concerning cancer of the small intestine histologically proven, from different histopathology laboratories in Cameroon, for 13 years (2004-2016). The variables studied were the frequency, age, gender, risk factors, location and histopathologic type Results: 3.34% (47 cases /1407) of digestive cancers observed during the period of study. There were 23 female and 24 male patients, with a mean age of 49,77±15,84 (11 to 78 years), the sex ratio of men to women 1.04. The main risk factors were Intestinal polyp, adenomatous polyp and polyposis with 6 cases 25.00%, respectively. The ileum location was the most represented with 47.37%. Adenocarcinoma was the most frequent histological type with 33 cases (70.21%). Conclusion: Small intestine cancer is the sixth malignant tumor of the digestive tract in Cameroon. The mean age of onset is 49.77 years with a relative male predominance. The most common histological type is adenocarcinoma.
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喀麦隆47例小肠癌流行病学及组织病理学特征分析
背景:小肠是消化道最长的部分。小肠癌很少见,但在世界范围内呈上升趋势。方法:回顾性分析来自喀麦隆不同组织病理学实验室的13年(2004-2016年)经组织学证实的小肠癌病历数据。研究变量为发病频次、年龄、性别、危险因素、发病部位、组织病理类型。结果:研究期间消化道肿瘤发生率为3.34%(47例/1407)。女性23例,男性24例,平均年龄49(77±15.84)岁(11 ~ 78岁),男女性别比1.04。主要危险因素为肠息肉、腺瘤性息肉和息肉病,分别为6例(25.00%)。以回肠部位最多,占47.37%。腺癌是最常见的组织学类型,33例(70.21%)。结论:小肠癌是喀麦隆第六大消化道恶性肿瘤。平均发病年龄49.77岁,男性居多。最常见的组织学类型是腺癌。
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