Abstract

BackgroundCancer epidemiology in Saudi Arabia (SA) differs from that of the USA with respect to types of common malignancies. Hematologic malignancies are among the top five cancers prevalent in SA, including lymphoma and leukemia. Most common malignancies in SA also include breast, thyroid, and colorectal cancer. We sought to evaluate the current trends of these most common cancers in SA.MethodsElectronic search analysis pertaining to Hodgkin’s lymphoma, leukemia, breast, colorectal, and thyroid cancer were carried out from two databases: The Saudi Cancer Registry (SCR) and the Surveillance, Epidemiology, and End Results (SEER). Data on prevalence and incident frequency were collected. Trends from 2001 to 2014 were calculated and compared between SCR and SEER.FindingsLeukemia is the most common cancer type among males in SA, followed by colorectal cancer. Hodgkin’s lymphoma has become the third most common malignancy among Saudi males. Percentage of women’s breast cancer and thyroid cancer among total cancer cases have increased by 10.5% and 1.7% respectively from 2001 to 2014, making them the first and second most common cancers in women respectively. Trends of thyroid cancer among males has been stable. Colorectal cancer stands as third most common among Saudi females.InterpretationsThere have been significant changes in trends of incidence rate of the most common cancers in SA among both males and females over the past decade. Breast cancer rates have risen at an alarming pace. More epidemiological studies need to be conducted to evaluate etiological factors at environmental, molecular, and genetic levels.

Highlights

  • Saudi Arabia (SA) is a country with a population of 33 million and differs from the rest with respect to disease epidemiology as it carries one of the highest rates of consanguinity worldwide

  • Colorectal cancer stood as the third most common cancer among Saudi females, but has moved from the fourth most to the top three most common cancers among Saudi men between the years of 2001 and 2014 [2]

  • The percentage of adenocarcinomas in colorectal cancer cases increased from around 69.9% of cases in 2001 to 79.9% in men and 79.3% in women in 2014

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Summary

Introduction

Saudi Arabia (SA) is a country with a population of 33 million and differs from the rest with respect to disease epidemiology as it carries one of the highest rates of consanguinity worldwide. According to the recent report published by SCR utilizing data up to 2014, cancer incidence varied significantly by gender, with colorectal cancer (13.3%), non-Hodgkin lymphoma (8.4%), and leukemia (8.2%) being the most common types in males [1]. This contrasts to a very different profile of epidemiology in the European and North American (especially US) countries where solid cancers are much more common than hematologic malignancies. Cancer epidemiology in Saudi Arabia (SA) differs from that of the USA with respect to types of common malignancies. We sought to evaluate the current trends of these most common cancers in SA

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