Female Breast and Gynecological Cancers in Aden, Yemen: An Epidemiological Study
Introduction: Cancer of the breast and gynecological organs are the most common female cancers. Despite the growing burden it continues to receive low priority, as a result of lack of awareness about the magnitude of the current and future cancer burden among policy makers. This study aimed to determine the incidence of breast and gynecological cancers among Aden female inhabitants during 2010 and to identify the subgroup at high risk in order to target cancer control and preventive opportunities.
Methods: This is an observational descriptive study using routine database and individual files of new cancer cases registered officially at Al-Amal Oncology Unit of Al-Gamhouria Modern General Hospital, Aden, Yemen during the period between January 1st through 31st December 2010. The crude incidence rate (CIR), age-specific incidence rate (ASIR) and world age-standardized incidence rate (ASR) expressed as the number of all new cancer cases per 100,000 female population per year were calculated.
Results: A total of 225 new female cancer cases were diagnosed among Aden residents, of which breast cancer was the most common cancer (34.7%) with CIR of 28.1/105, and ASR of 38.0 /105 females. The gynecological cancers accounted for 23.1% of all female cancer cases, distributed into cervix uteri (10.7%) with CIR of 8.7/105 and ASR of 10.8/105; ovarian (9.8%) with CIR of 7.9/105 and ASR 10.5/105 while corpus uterus (2.7%); CIR 5.0/105 and ASR of 6.9/105.
Conclusion: Cancers of the breast and gynecological organs are significant health problem in Aden, Yemen. This burden could be substantially reduced through broad and equitable implementation of effective cancer control and preventive interventions including vaccination and tobacco control.
Keywords: Cervix Uteri, Corpus Uterus, Incidence, Ovarian, Control.