Epidemiology of Cancer in Rural Congo: Case of IME Kimpese Hospital, Democratic Republic of Congo
- 1 Family Medicine and Primary Health Care department, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of Congo
- 2 Institut Médical Evangélique de Kimpese, Kongo Central, Republic Democratic of Congo
- 3 Family Medicine and Primary Health Care department, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of Congo
- 4 Family Medicine and Primary Health Care department, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of Congo
- 5 Family Medicine and Primary Health Care department, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of Congo
- 6 Family Medicine and Primary Health Care department, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of Congo
- 7 Family Medicine and Primary Health Care department, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of Congo
- 8 Institut Médical Evangélique de Kimpese, Kongo Central, Republic Democratic of Congo
- 9 Family Medicine and Primary Health Care department, School of Medicine, Protestant University of Congo, Kinshasa, Democratic Republic of Congo
Abstract
Background and Aim: 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. Methods : A historical cohort study was conducted with 914 histopathological protocols at the IME/Kimpese hospital from January 2008 to December 2013. Results : 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.
- Bray, F. and Soerjomataram, I. (2015) Chapter 2: The Changing Global Burden of Cancer: Transitions in Human Development and Implications for Cancer Prevention and Control. In: Gelband, H., Jha, P., Sankaranarayanan, R., et al., Eds., Cancer: Disease Control Priorities, 3rd Edition, Vol. 3, The International Bank for Reconstruction and Development/The World Bank, Washington DC. https://www.ncbi.nlm.nih.gov/books/NBK343643/
- Zinsoun, C.P., Fourn, L. and Zohounn, T. (1990) Aspects épidémiologiques des cancers au centre national hospitalier et universitaire de Cotonou. Medecine d’Afrique Noire, 37, 232-236.
- American Cancer Society (2007) Global Cancer Facts & Figures 2007. American Cancer Society, Atlanta.
- Lindsey, A., Torre, L.A., Rebecca, L., Siegel, R.L., Elizabeth, M., Ward, E.M. and Jemal, A. (2015) Global Cancer Incidence and Mortality Rates and Trends—An Update. Cancer Epidemiology, Biomarkers & Prevention, 25, 16-27. https://doi.org/10.1158/1055-9965.EPI-15-0578
- Parkin, D.M., Bray, F.I. and Devesa, S.S. (2001) Cancer Burden in the Year 2000. The Global Picture. European Journal of Cancer, 37, S4-S66. https://doi.org/10.1016/S0959-8049(01)00267-2
- Ndongo, J.S., Ntsama Essomba, C.M. and Ongolo-Zogo, P. (2014) Un observatoire pour améliorer l’accès aux médicaments contre les maladies chroniques non transmissibles au Cameroun. Centre pour le développement des bonnes pratiques en santé—Hôpital central Yaoundé, Cameroun.
- Chardot, C., Fervers, B., Bey, P., Abbatucci, J.S. and Philip, T. (1995) Standards, options et recommandations pour l’organisation pluridisciplinaire en cancérologie. Bulletin du Cancer, 10, 780-794.
- Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., Parkin, D.M., et al. (2015) Cancer Incidence and Mortality Worldwide: Sources, Methods and Major Patterns in GLOBOCAN 2012. International Journal of Cancer, 136, E359-E386. https://doi.org/10.1002/ijc.29210
- UICC (2007) Guide pour Organisation d’un Plan National de contrôle du Cancer à l’usage des organisations Non Gouvernementales.
- ALIAM (2017) Les cancers en Afrique Francophone en 2017. http://www.e-cancer.fr/Comprendre-prevenir-depister/Qu-est-ce-qu-un-cancer/Types-de-cancers
- Jeune Afrique Santé (2015) 10 choses à savoir sur le cancer en Afrique—4 février.
- Mashinda, K.D., Kayembe, K.P. and Mapatano, M.A. (2012) Prévalence du cancer en République Démocratique du Congo: Données anatomopathologiques recueillies aux Cliniques universitaires de Kinshasa et à l’Hôpital Provincial Général de Référence de Kinshasa. Annals of African Medicine, 5, 1087-1093.