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An Assessment of Ovarian Cancer Histotypes Across the African Diaspora.


ABSTRACT:

Objective

Ovarian cancer in Black women is common in many West African countries but is relatively rare in North America. Black women have worse survival outcomes when compared to White women. Ovarian cancer histotype, diagnosis, and age at presentation are known prognostic factors for outcome. We sought to conduct a preliminary comparative assessment of these factors across the African diaspora.

Methods

Patients diagnosed with ovarian cancer (all histologies) between June 2016-December 2019 in Departments of Pathology at 25 participating sites in Nigeria were identified. Comparative population-based data, inclusive of Caribbean-born Blacks (CBB) and US-born Blacks (USB), were additionally captured from the International Agency for Research on Cancer and Florida Cancer Data Systems. Histology, country of birth, and age at diagnosis data were collected and evaluated across the three subgroups: USB, CBB and Nigerians. Statistical analyses were done using chi-square and student's t-test with significance set at p<0.05.

Results

Nigerians had the highest proportion of germ cell tumor (GCT, 11.5%) and sex-cord stromal (SCST, 16.2%) ovarian cancers relative to CBB and USB (p=0.001). CBB (79.4%) and USB (77.3%) women were diagnosed with a larger proportion of serous ovarian cancer than Nigerians (60.4%) (p<0.0001). Nigerians were diagnosed with epithelial ovarian cancers at the youngest age (51.7± 12.8 years) relative to USB (58.9 ± 15.0) and CBB (59.0± 13.0,p<0.001). Black women [CBB (25.2 ± 15.0), Nigerians (29.5 ± 15.1), and USB (33.9 ± 17.9)] were diagnosed with GCT younger than White women (35.4 ± 20.5, p=0.011). Black women [Nigerians (47.5 ± 15.9), USB (50.9 ± 18.3) and CBB (50.9 ± 18.3)] were also diagnosed with SCST younger than White women (55.6 ± 16.5, p<0.01).

Conclusion

There is significant variation in age of diagnosis and distribution of ovarian cancer histotype/diagnosis across the African diaspora. The etiology of these findings requires further investigation.

SUBMITTER: George SHL 

PROVIDER: S-EPMC8662547 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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An Assessment of Ovarian Cancer Histotypes Across the African Diaspora.

George Sophia H L SHL   Omotoso Ayodele A   Pinto Andre A   Mustapha Aisha A   Sanchez-Covarrubias Alex P AP   Umar Usman Aliyu UA   Umar Ali Bala AB   Oluwasola Timothy Abiola TA   Okolo Clement Abu CA   Anthony Umeh Uchenna UU   Ukekwe Francis Ikechukwu FI   Bakari Maisaratu A MA   Dahiru Aminu M C AMC   Abdullahi Habiba Ibrahim HI   Abimiku Bawa Ahmed BA   Abdurrahman Aisha A   Usman Asmau A   Ahmed Saad Aliyu SA   Usman Hadiza Abdullahi HA   Kabir Abba A   Eleje George Uchenna GU   Chiemeka Michael Emeka ME   Nzeribe Emily E   Nweke Ikechukwu I   Kadas SaiduAbubakar S   Suleiman Dauda E DE   Ekanem Etim E   Uche Umemmuo Maureen UM   Paul Jibrin J   Agwu Uzoma Maryrose UM   Edegbe Felix O FO   Anorlu Rose I RI   Banjo Adekunbiola A   Ajenifuja Kayode Olusegun KO   Fawole Adegboyega Adisa AA   Kazeem Ibrahim O O IOO   Magaji Francis F   Silas Olugbenga O   Athanasius Boma Precious BP   Tamunomie Nyengidiki Kennedy NK   Bassey Emem E   Abudu Kunle K   Ango Ibrahim G IG   Abdullahi Kabiru K   Lawal Ishak I   Kabir Suleiman Aliyu SA   Ekanem Victor V   Ezeanochie Michael M   Yahaya Usman Rahman UR   Castillo Melissa Nicole MN   Bahall Vishal V   Chatrani Vikash V   Brambury Ian I   Bowe Saida S   Halliday Darron D   Bruney George G   Butler Raleigh R   Ragin Camille C   Odedina Folakemi F   Chamala Srikar S   Schlumbrecht Matthew M   Audu Bala B  

Frontiers in oncology 20211126


<h4>Objective</h4>Ovarian cancer in Black women is common in many West African countries but is relatively rare in North America. Black women have worse survival outcomes when compared to White women. Ovarian cancer histotype, diagnosis, and age at presentation are known prognostic factors for outcome. We sought to conduct a preliminary comparative assessment of these factors across the African diaspora.<h4>Methods</h4>Patients diagnosed with ovarian cancer (all histologies) between June 2016-De  ...[more]

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2023-12-15 | GSE235931 | GEO