||Brathwaite, A. Fitzgerald.|
||Histopathologic cancers in the Commonwealth of Dominica|
||Bull Pan Am Health Organ;20(3):267-75, 1986.
||As in most countries, cancer is a leading cause of death in the Commonwealth of Dominica. This article presents data on cancers diagnosed from biopsy specimens examined at Dominica's Princess Margaret Hospital in 1968-1975 and 1981-1983, years when a pathologist was available at the hospital to perform that work. Of course, not all of the island's inhabitants with cancers had tissue specimens removed for diagnosis. But few Dominicans are apt to have travelled to other areas for treatment, and so it appears that most cancer cases were seen at the Princess Margaret Hospital and were diagnosed through microscopic examinations at the hospital laboratory. In all, 392 malignancies were diagnosed at the laboratory during the study periods. Most of these (228) occurred in female patients, making the ratio of male to female cases 1:1.4. The number of cancer-related deaths appears distributed differently, however, with the male:female mortality ratio being about even. The cancers most frequently diagnosed in women were those of the breast and cervix, followed by those of the reticuloendothelial system, ovary, stomach, body of the uterus, skin, and colon. The most frequent diagnosed cancers among males, in descending order, were those of the prostrate, reticuloendothelial system, skin, stomach, penis, oral cavity, liver, and colon. Only two cases of lung cancer were diagnosed. This finding, together with available mortality data, indicates that lung cancer is relatively rare-far less common than in Jamaica, where it is the most frequently diagnosed cancer among males and appears to have a rising incidence among females. Prostrate cancer diagnosed, affected patients ranging in age from 53 to 84; only three of these patients were under age 60. Regarding cervical cancer, patients with this disease tended to be fairly old, the highest number of diagnosis being made in the 60-69 year group. In general, it appears that the rate of patients appearing with actual clinical dis-reduced by instituting a Pap smear screening program to detect premalignant conditions.(AU)|
||JM3.1 - Médical Library|