The incidence of malignancies of the female urogenital system in the Republic of Suriname from 1980 through 2004

The incidence of malignancies of the female urogenital system in the Republic of Suriname from 1980 through 2004

Category

Biomedicine

Available online

29 Jun 2011

Found in Edition

2011, Volume 2, 144 -149

Format

Full-length paper
Female urogenital malignancies differ considerably from each other with respect to their incidence and geographical distribution. So far, no comprehensive studies have been carried out on the occurrence of these neoplasms in the Republic of Suriname. In this study, we determined their incidence in Suriname between 1980 and 2004, stratified these findings according to anatomical location, age group, and ethnic background, and compared these with international data. Patient information was obtained from the Pathologic Anatomy Laboratory, relevant population data from the General Bureau of Statistics. Sex-specific rates were calculated for overall cancers and for all anatomical sites kidneys, urinary bladder, corpus uteri, cervix uteri, ovaria, Fallopian tubes, vagina, and vulva, and stratified according to age groups 0 - 19, 20 - 49, and 50+ years, and the largest ethnic groups: viz. Hindustani, Creole, and Javanese. From these data, average rates were calculated and expressed as means ± SDs per year or per 100,000 women per year. The rate for overall cancers was approximately 34. The most common malignancy was cervical cancer, which was encountered in approximately two-thirds of patients. Endometrial and ovarian cancer occupied the second and third place, respectively, appearing at rates of about 7 and 3, respectively. Vaginal, vulvar, urinary bladder, and kidney cancer were each diagnosed once or twice per year. The frequency of overall cancers as well as that of cervical and endometrial cancer increased from almost 0 in age group 0 – 19 years to 14 – 17 in age groups 20 - 49 and 50+ years, with no significant differences between the two latter groups. Urogenital malignancies seemed to affect Hindustanis as often as Creoles rates of 8 - 10 but might occur less often in Javanese rate of about 6. Our results suggest that Suriname represents a middle- to high-risk country for cervical cancer but a low-risk country for other female urogenital malignancies, and that these tumors may have a predilection for both older and younger women of Hindustani and Creole background rather than those with a Javanese background.

Subject

N/A

Keywords

female urogenital cancers, Suriname, incidence rates, age group, ethnic background

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ABOUT THE AUTHORS

Dennis R.A. Mans (8)

Department of Pharmacology, Faculty of Medical Sciences, Anton de Kom Universiteit van Suriname, Paramaribo, Suriname

Farida L. Chitanie (1)

Department of Biology, Teachers College, Paramaribo, Suriname

Martinus A. Vrede (2)

Department of Pathology, Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname
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