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Esophageal Carcinoma in El-Gharbia Governorate, Egypt: Clinico-Epidemiologic Study and Treatment Outcome

Received: 25 January 2017    Accepted: 10 February 2017    Published: 2 March 2017
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Abstract

Background: Esophageal carcinoma (EC) is rare and little is known about them in Egypt. Gharbia population-based cancer registry (GPBCR) is the first population-based cancer registry in Egypt located in the Tanta Cancer Center (TCC). It has been successfully functioning since January 1999, covering 4.1 million population. We aimed to determine EC characteristics in Egyptian patients. Materials and methods: Retrospective analysis of 70 cases with ECs, who were identified in GPBCR between January 2000 and December 2002; of whom 35 were treated at TCC. Patients’ medical records were reviewed regarding clinic-epidemiologic, treatment, and follow-up data. Results: Median age was 60 years (range, 18-83 years) with male predominance (63%). Dysphagia was the most common presentation (75%). The lower third was the commonest site (55%) followed by the middle third (25%). Squamous cell carcinoma (SCC) was the commonest histology (66%) followed by adenocarcinoma (AC; 24%). Majority of ACs (70%) were located in the lower esophagus while SCC had no site of preference (p=0.04). Less than one third of patients were candidates for radical treatment while the majority of patients received palliative and supportive treatment. Surgery, radiotherapy and chemotherapy were employed in 43%, 20%, and 34% of patients respectively. The median progression-free survival and overall survival were 6 and 7 months, respectively. Site, histology, stage and treatment modality had no significant impact on survival. Conclusions: Esophageal carcinoma in Gharbia Governorate, Egypt is characterized by predominance of male gender, lower third location and squamous histology. Overall and progression free survivals are dismal.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 2, Issue 1)
DOI 10.11648/j.ijcocr.20170201.14
Page(s) 15-21
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

Egypt, Gharbia Population-Based Cancer Registry, Esophageal Cancer

References
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Cite This Article
  • APA Style

    Ahmed Abdelmabood Zeeneldin, Magdy Saber, Ashraf Hamed Hassouna, Sara Ahmed Farag. (2017). Esophageal Carcinoma in El-Gharbia Governorate, Egypt: Clinico-Epidemiologic Study and Treatment Outcome. International Journal of Clinical Oncology and Cancer Research, 2(1), 15-21. https://doi.org/10.11648/j.ijcocr.20170201.14

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    ACS Style

    Ahmed Abdelmabood Zeeneldin; Magdy Saber; Ashraf Hamed Hassouna; Sara Ahmed Farag. Esophageal Carcinoma in El-Gharbia Governorate, Egypt: Clinico-Epidemiologic Study and Treatment Outcome. Int. J. Clin. Oncol. Cancer Res. 2017, 2(1), 15-21. doi: 10.11648/j.ijcocr.20170201.14

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    AMA Style

    Ahmed Abdelmabood Zeeneldin, Magdy Saber, Ashraf Hamed Hassouna, Sara Ahmed Farag. Esophageal Carcinoma in El-Gharbia Governorate, Egypt: Clinico-Epidemiologic Study and Treatment Outcome. Int J Clin Oncol Cancer Res. 2017;2(1):15-21. doi: 10.11648/j.ijcocr.20170201.14

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  • @article{10.11648/j.ijcocr.20170201.14,
      author = {Ahmed Abdelmabood Zeeneldin and Magdy Saber and Ashraf Hamed Hassouna and Sara Ahmed Farag},
      title = {Esophageal Carcinoma in El-Gharbia Governorate, Egypt: Clinico-Epidemiologic Study and Treatment Outcome},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {2},
      number = {1},
      pages = {15-21},
      doi = {10.11648/j.ijcocr.20170201.14},
      url = {https://doi.org/10.11648/j.ijcocr.20170201.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20170201.14},
      abstract = {Background: Esophageal carcinoma (EC) is rare and little is known about them in Egypt. Gharbia population-based cancer registry (GPBCR) is the first population-based cancer registry in Egypt located in the Tanta Cancer Center (TCC). It has been successfully functioning since January 1999, covering 4.1 million population. We aimed to determine EC characteristics in Egyptian patients. Materials and methods: Retrospective analysis of 70 cases with ECs, who were identified in GPBCR between January 2000 and December 2002; of whom 35 were treated at TCC. Patients’ medical records were reviewed regarding clinic-epidemiologic, treatment, and follow-up data. Results: Median age was 60 years (range, 18-83 years) with male predominance (63%). Dysphagia was the most common presentation (75%). The lower third was the commonest site (55%) followed by the middle third (25%). Squamous cell carcinoma (SCC) was the commonest histology (66%) followed by adenocarcinoma (AC; 24%). Majority of ACs (70%) were located in the lower esophagus while SCC had no site of preference (p=0.04). Less than one third of patients were candidates for radical treatment while the majority of patients received palliative and supportive treatment. Surgery, radiotherapy and chemotherapy were employed in 43%, 20%, and 34% of patients respectively. The median progression-free survival and overall survival were 6 and 7 months, respectively. Site, histology, stage and treatment modality had no significant impact on survival. Conclusions: Esophageal carcinoma in Gharbia Governorate, Egypt is characterized by predominance of male gender, lower third location and squamous histology. Overall and progression free survivals are dismal.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Esophageal Carcinoma in El-Gharbia Governorate, Egypt: Clinico-Epidemiologic Study and Treatment Outcome
    AU  - Ahmed Abdelmabood Zeeneldin
    AU  - Magdy Saber
    AU  - Ashraf Hamed Hassouna
    AU  - Sara Ahmed Farag
    Y1  - 2017/03/02
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ijcocr.20170201.14
    DO  - 10.11648/j.ijcocr.20170201.14
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
    SP  - 15
    EP  - 21
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20170201.14
    AB  - Background: Esophageal carcinoma (EC) is rare and little is known about them in Egypt. Gharbia population-based cancer registry (GPBCR) is the first population-based cancer registry in Egypt located in the Tanta Cancer Center (TCC). It has been successfully functioning since January 1999, covering 4.1 million population. We aimed to determine EC characteristics in Egyptian patients. Materials and methods: Retrospective analysis of 70 cases with ECs, who were identified in GPBCR between January 2000 and December 2002; of whom 35 were treated at TCC. Patients’ medical records were reviewed regarding clinic-epidemiologic, treatment, and follow-up data. Results: Median age was 60 years (range, 18-83 years) with male predominance (63%). Dysphagia was the most common presentation (75%). The lower third was the commonest site (55%) followed by the middle third (25%). Squamous cell carcinoma (SCC) was the commonest histology (66%) followed by adenocarcinoma (AC; 24%). Majority of ACs (70%) were located in the lower esophagus while SCC had no site of preference (p=0.04). Less than one third of patients were candidates for radical treatment while the majority of patients received palliative and supportive treatment. Surgery, radiotherapy and chemotherapy were employed in 43%, 20%, and 34% of patients respectively. The median progression-free survival and overall survival were 6 and 7 months, respectively. Site, histology, stage and treatment modality had no significant impact on survival. Conclusions: Esophageal carcinoma in Gharbia Governorate, Egypt is characterized by predominance of male gender, lower third location and squamous histology. Overall and progression free survivals are dismal.
    VL  - 2
    IS  - 1
    ER  - 

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Author Information
  • Medical Oncology, Hematology Department, National Cancer Institute, Cairo University, Cairo, Egypt

  • Medical Oncology, Hematology Department, National Cancer Institute, Cairo University, Cairo, Egypt

  • Radiation Oncology Department, National Cancer Institute, Cairo University, Cairo, Egypt

  • Tanta Cancer Center, Ministry of Health, Gharbia, Egypt

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