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首页> 外文期刊>BMJ: British medical journal >Managing oesophageal cancer in a resource poor setting -a Malawian example
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Managing oesophageal cancer in a resource poor setting -a Malawian example

机译:在一个资源匮乏管理食道癌设置——马拉维的例子

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摘要

The incidence of cancer of the oesophagus is increasing worldwide. Countries with adequate resources now have a range of diagnostic and treatment options for patients with this disease; unfortunately the situation in resource poor settings is hugely different. Oesophageal cancer is the sixth most common cancer in Malawi with almost equal proportions in men and women. By contrast with western Europe, adenocarci-noma is rare; more than 90% of patients present with squamous cell carcinoma. Accepted risk factors such as smoking and alcohol (especially home brewed spirit) play a part in the pathogenesis of this condition in Africa, as elsewhere, but other factors need to be considered-human papillomavirus infection, nitrosamines from open fire cooking, and aflatoxins from stored maize.
机译:癌症的发病率的食管增加全球。现在有一个范围的诊断和资源这种疾病的患者的治疗方案;不幸的是,在资源匮乏的情况设置是非常不同的。是第六个最常见的癌症在马拉维男性和女性的比例几乎相等。与西欧,adenocarci-noma罕见的;鳞状细胞癌。如吸烟和酒精(特别是回家酿造精神)的发病机制中发挥作用这种情况在非洲,和其他地方一样,但是其他的需要认为人类的因素乳头瘤病毒感染,从开放的亚硝胺火烹饪,并从存储玉米黄曲霉毒素。

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