Proportion of thyroid cancer and other cancers in the democratic republic of Congo

World J Exp Med. 2023 Jun 20;13(3):17-27. doi: 10.5493/wjem.v13.i3.17.

Abstract

Background: Cancer diagnosis is increasing around the world and in the Democratic Republic of the Congo (DRC). The proportion of thyroid cancer has increased over the past three decades. There are very few studies on cancer epidemiology, and in particular on thyroid cancer in the DRC.

Aim: To establish the most recent proportion of thyroid cancer in the DRC compared to other cancers.

Methods: This is a retrospective and descriptive study of 6106 consecutive cancer cases listed in the pathological registers of 4 Laboratories in the city of Kinshasa. This study included all cancer cases recorded in the registers between 2005 and 2019.

Results: From a sample of 6106 patients, including all cancer types, 68.3% cases were female and 31.7% were male. Breast and cervical cancer were the most common types of cancer in women and, prostate and skin cancer were the most common types in men. Thyroid cancer was sixth in proportion in women and eleventh in men compared to all cancers. Papillary carcinoma was the most common of thyroid cancers. Rare cancers such as anaplastic and medullary thyroid carcinomas had a proportion of 7% and 2%, respectively.

Conclusion: Newer diagnostic tools led to a surge in cancer diagnoses in the DRC. Thyroid cancer has more than doubled its proportion over the last several decades in the country.

Keywords: Africa; Cancer; Democratic Republic of the Congo; Papillary carcinoma; Proportion; Thyroid cancer.