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Public Health Implications of Types of Cancers in Anatomy-Pathology at the Souro Sanou University Center in Bobo-Dioulasso, Burkina Faso

Received: 12 April 2023    Accepted: 2 May 2023    Published: 10 May 2023
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Abstract

Cancers are the second largest epidemiological burden in Africa. This led us to study the hospital proportions and histological and histogenetic types of cancers in anatomical pathology at the Souro Sanou University Hospital (CHUSS) in Bobo-Dioulasso, and the possible implications for public health. This was a cross-sectional study that ran from June 1 to December 10, 2021 with data inclusion from January 1, 2013 to December 31, 2020. The data collected concerned: notified cases of tumors and those diagnosed with cancer, sociodemographic characteristics, location and histological and histogenetic types of these cancers. Of the 6,316 cancer cases notified by the different clinical services from 2013 to 2020, there were 1,388 cases of cancer confirmed (or 22.0%) by histology at the CHUSS anatomy-pathology department. Of the 3,605 specimens analyzed, this represented a malignancy proportion of 38.5%. There was an average annual number of 173.5 confirmed cancer cases per year. For a sex ratio of 0.4 and a female predominance of 72.1%, the average age of the cancer cases was 49.3±3.9 years (extremes from 1 to 92 years), with the 40–60-year age group being the most represented (46.4%) and those under 15 years of age representing 3.2%. The organs most affected by cancer were breast (25.5%), uterus (22.4%) and stomach (9.1%). Breast (32.9%) and cervical (31.1%) cancers were the most common in women. In men, the most frequent cancers were: stomach (19.8%) and prostate (13.9%). Histologically, more than two out of five cancers were carcinomas. Squamous cell carcinomas accounted for 43.37%, and adenocarcinomas were found in 13.61%. There was no difference in histogenetic or histological type according to age or sex. Affecting more the less than 60 years with 75,1%, it is about cancers avoidable by actions of promotion and prevention in public health. This underlines the importance of setting up a cancer registry and organizing cancer care based on promotion and primary prevention.

Published in Central African Journal of Public Health (Volume 9, Issue 3)
DOI 10.11648/j.cajph.20230903.11
Page(s) 67-71
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Africa, Epidemiology, Histology, Noncommunicable Diseases, Neoplasms

References
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[2] Ly M, Ly A, Rodrigues M, et al. Le cancer en Afrique, un nouveau défi sanitaire. Exemples du Mali et de l’association OncoMali. Bulletin du Cancer. 2010; 97 (8): 965-968. doi: 10.1684/bdc.2010.1134.
[3] Alliance des Ligues francophones africaines et méditerranéennes contre le cancer. Les Cancers En Afrique Francophone. ALIAM; 2016: 1-136. https://www.iccp-portal.org/system/files/resources/LivreCancer.pdf
[4] Organisation mondiale de la Santé. Bureau régional de l’Afrique. Guide Sur La Recherche Sur Le Cancer En Afrique; 2013. https://www.afro.who.int/sites/default/files/2017-06/guide-de-la-recherche-sur-le-cancer_fr.pdf
[5] Ly A. 7. Progression des cancers en Afrique: caractéristiques, altérité, nouvelles approches de santé publique. In: Santé internationale. Hors collection. Presses de Sciences Po; 2011: 121-140. doi: 10.3917/scpo.kerou.2011.01.121.
[6] Kamadi G. L’Afrique subsaharienne intensifie ses efforts contre le cancer. Nature Africa. Published online February 9, 2023. doi: 10.1038/d44148-023-00042-1.
[7] Bray F, Parkin DM, African Cancer Registry Network. Cancer in sub-Saharan Africa in 2020: a review of current estimates of the national burden, data gaps, and future needs. Lancet Oncol. 2022; 23 (6): 719-728. doi: 10.1016/S1470-2045(22)00270-4.
[8] Dos Santos Silva I. Epidémiologie Du Cancer: Principes et Méthodes. Accessed March 16, 2023. https://publications.iarc.fr/Non-Series-Publications/Other-Non-Series-Publications/Epide%CC%81miologie-Du-Cancer-Principes-Et-Me%CC%81thodes-1999
[9] Amégbor K, Darre T, Ayéna KD, et al. Cancers in Togo from 1984 to 2008: Epidemiological and Pathological Aspects of 5251 Cases. J Cancer Epidemiol. 2011; 2011: 319872. doi: 10.1155/2011/319872.
[10] DM P, J F, A J, et al. Cancer in Sub-Saharan Africa. Accessed March 16, 2023. https://publications.iarc.fr/Book-And-Report-Series/Iarc-Scientific-Publications/Cancer-In-Sub-Saharan-Africa-2018
[11] Chbani L, Hafid I, Berraho M, Mesbahi O, Nejjari C, Amarti A. Aspects épidémiologiques et anatomopathologiques des cancers dans la région de Fès-Boulemane (Maroc). EMHJ. 2013; 19 (3). https://applications.emro.who.int/emhj/v19/03/EMHJ_2013_19_3_263_270.pdf?ua=1
[12] Belot A, Grosclaude P, Bossard N, et al. Cancer incidence and mortality in France over the period 1980–2005. Revue d’Épidémiologie et de Santé Publique. 2008; 56 (3): 159-175. doi: 10.1016/j.respe.2008.03.117.
[13] Traoré OB. Aspects Épidémiologiques et Anatomopathologiques Des Cancers Au Mali : Données Du Registre Du Cancer. Thèse de médecine. Bamako: Université de Bamako; 2009. Accessed February 2, 2023. https://www.keneya.net/fmpos/theses/2009/med/pdf/09M512.pdf
[14] Institut National de la Statistique et de la Démographie, Ministère de l’économie et des finances (MEF), Bukina Faso. Cinquième Recensement général de la Population et de l’Habitation du Burkina Faso : synthèse des résultats définitifs.; 2022: 1-136. Accessed February 2, 2023. http://www.insd.bf/contenu/documents_rgph5/Rapport%20resultats%20definitifs%20RGPH%202019.pdf
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[16] Compaoré S. Incidences et évolution des fréquences des cancers diagnostiqués au laboratoire de la clinique philadelphie de 2000 à 2018 à propos de 2209 cas. Thèse de médecine. Ouagadougou: Université Joseph Ki Zerbo; 2019. Accessed February 2, 2023.
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    Meda Ziemle Clement, Konsegre Valentin, Zerbo Amadou Isaac, Ouatara Cheick Ahmed, Hien Herve, et al. (2023). Public Health Implications of Types of Cancers in Anatomy-Pathology at the Souro Sanou University Center in Bobo-Dioulasso, Burkina Faso. Central African Journal of Public Health, 9(3), 67-71. https://doi.org/10.11648/j.cajph.20230903.11

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    ACS Style

    Meda Ziemle Clement; Konsegre Valentin; Zerbo Amadou Isaac; Ouatara Cheick Ahmed; Hien Herve, et al. Public Health Implications of Types of Cancers in Anatomy-Pathology at the Souro Sanou University Center in Bobo-Dioulasso, Burkina Faso. Cent. Afr. J. Public Health 2023, 9(3), 67-71. doi: 10.11648/j.cajph.20230903.11

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    AMA Style

    Meda Ziemle Clement, Konsegre Valentin, Zerbo Amadou Isaac, Ouatara Cheick Ahmed, Hien Herve, et al. Public Health Implications of Types of Cancers in Anatomy-Pathology at the Souro Sanou University Center in Bobo-Dioulasso, Burkina Faso. Cent Afr J Public Health. 2023;9(3):67-71. doi: 10.11648/j.cajph.20230903.11

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  • @article{10.11648/j.cajph.20230903.11,
      author = {Meda Ziemle Clement and Konsegre Valentin and Zerbo Amadou Isaac and Ouatara Cheick Ahmed and Hien Herve and Savadogo Gueswende Blaise Leon},
      title = {Public Health Implications of Types of Cancers in Anatomy-Pathology at the Souro Sanou University Center in Bobo-Dioulasso, Burkina Faso},
      journal = {Central African Journal of Public Health},
      volume = {9},
      number = {3},
      pages = {67-71},
      doi = {10.11648/j.cajph.20230903.11},
      url = {https://doi.org/10.11648/j.cajph.20230903.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20230903.11},
      abstract = {Cancers are the second largest epidemiological burden in Africa. This led us to study the hospital proportions and histological and histogenetic types of cancers in anatomical pathology at the Souro Sanou University Hospital (CHUSS) in Bobo-Dioulasso, and the possible implications for public health. This was a cross-sectional study that ran from June 1 to December 10, 2021 with data inclusion from January 1, 2013 to December 31, 2020. The data collected concerned: notified cases of tumors and those diagnosed with cancer, sociodemographic characteristics, location and histological and histogenetic types of these cancers. Of the 6,316 cancer cases notified by the different clinical services from 2013 to 2020, there were 1,388 cases of cancer confirmed (or 22.0%) by histology at the CHUSS anatomy-pathology department. Of the 3,605 specimens analyzed, this represented a malignancy proportion of 38.5%. There was an average annual number of 173.5 confirmed cancer cases per year. For a sex ratio of 0.4 and a female predominance of 72.1%, the average age of the cancer cases was 49.3±3.9 years (extremes from 1 to 92 years), with the 40–60-year age group being the most represented (46.4%) and those under 15 years of age representing 3.2%. The organs most affected by cancer were breast (25.5%), uterus (22.4%) and stomach (9.1%). Breast (32.9%) and cervical (31.1%) cancers were the most common in women. In men, the most frequent cancers were: stomach (19.8%) and prostate (13.9%). Histologically, more than two out of five cancers were carcinomas. Squamous cell carcinomas accounted for 43.37%, and adenocarcinomas were found in 13.61%. There was no difference in histogenetic or histological type according to age or sex. Affecting more the less than 60 years with 75,1%, it is about cancers avoidable by actions of promotion and prevention in public health. This underlines the importance of setting up a cancer registry and organizing cancer care based on promotion and primary prevention.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Public Health Implications of Types of Cancers in Anatomy-Pathology at the Souro Sanou University Center in Bobo-Dioulasso, Burkina Faso
    AU  - Meda Ziemle Clement
    AU  - Konsegre Valentin
    AU  - Zerbo Amadou Isaac
    AU  - Ouatara Cheick Ahmed
    AU  - Hien Herve
    AU  - Savadogo Gueswende Blaise Leon
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    PY  - 2023
    N1  - https://doi.org/10.11648/j.cajph.20230903.11
    DO  - 10.11648/j.cajph.20230903.11
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 67
    EP  - 71
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20230903.11
    AB  - Cancers are the second largest epidemiological burden in Africa. This led us to study the hospital proportions and histological and histogenetic types of cancers in anatomical pathology at the Souro Sanou University Hospital (CHUSS) in Bobo-Dioulasso, and the possible implications for public health. This was a cross-sectional study that ran from June 1 to December 10, 2021 with data inclusion from January 1, 2013 to December 31, 2020. The data collected concerned: notified cases of tumors and those diagnosed with cancer, sociodemographic characteristics, location and histological and histogenetic types of these cancers. Of the 6,316 cancer cases notified by the different clinical services from 2013 to 2020, there were 1,388 cases of cancer confirmed (or 22.0%) by histology at the CHUSS anatomy-pathology department. Of the 3,605 specimens analyzed, this represented a malignancy proportion of 38.5%. There was an average annual number of 173.5 confirmed cancer cases per year. For a sex ratio of 0.4 and a female predominance of 72.1%, the average age of the cancer cases was 49.3±3.9 years (extremes from 1 to 92 years), with the 40–60-year age group being the most represented (46.4%) and those under 15 years of age representing 3.2%. The organs most affected by cancer were breast (25.5%), uterus (22.4%) and stomach (9.1%). Breast (32.9%) and cervical (31.1%) cancers were the most common in women. In men, the most frequent cancers were: stomach (19.8%) and prostate (13.9%). Histologically, more than two out of five cancers were carcinomas. Squamous cell carcinomas accounted for 43.37%, and adenocarcinomas were found in 13.61%. There was no difference in histogenetic or histological type according to age or sex. Affecting more the less than 60 years with 75,1%, it is about cancers avoidable by actions of promotion and prevention in public health. This underlines the importance of setting up a cancer registry and organizing cancer care based on promotion and primary prevention.
    VL  - 9
    IS  - 3
    ER  - 

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Author Information
  • Higher Institute of Health Sciences (INSSA), Nazi Boni University (UNB), Bobo-Dioulasso, Burkina Faso

  • Higher Institute of Health Sciences (INSSA), Nazi Boni University (UNB), Bobo-Dioulasso, Burkina Faso

  • Higher Institute of Health Sciences (INSSA), Nazi Boni University (UNB), Bobo-Dioulasso, Burkina Faso

  • Higher Institute of Health Sciences (INSSA), Nazi Boni University (UNB), Bobo-Dioulasso, Burkina Faso

  • National Institute of Public Health, Ouagadougou, Burkina

  • Higher Institute of Health Sciences (INSSA), Nazi Boni University (UNB), Bobo-Dioulasso, Burkina Faso

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