Benghazi Medical Center Research Articles

A Case Series of Cyclic Vomiting Syndrome in Children at Pediatric Gastroenterology Clinic in Benghazi Medical Center

Background: Cyclic vomiting syndrome (CVS) is a functional disorder characterized by repeated episodes of sudden onset of intense vomiting that is followed by symptom-free periods. The diagnosis is based on the fulfillment of Rome IV criteria. The Cyclic vomiting syndrome shares similar features to migraine headaches. It is under-recognized and often misdiagnosed with significant delays in therapy.
 Aims: To evaluate the clinical characteristic of pediatric patients diagnosed with cyclic vomiting syndrome in our institution and their response to treatment.
 Patients and Methods: A prospective case series of 13 pediatric patients with cyclic vomiting syndrome seen between period of November 2018 to November 2020 at pediatric gastroenterology outpatient’s clinic in Benghazi medical center. All relevant data including; age and sex, age of presentation, duration of symptoms, age at diagnosis, presence of aura or prodromal symptoms, patient or family history of headache, treatment and their response to treatment were collected.
 Results: The mean age for diagnosis was 112.2 ± 37.7 months. 46.2% of patients had recognizable prodromal symptoms. Patients with CVS had intense nausea and persistent vomiting that requiring hospitalization. In 44.4% of patients had stopped the episodes as a response to propranolol.
 Conclusion: Cyclic Vomiting Syndrome (CVS) is a functional, an under-recognized, and misdiagnosed episodic. The illness is characterized by stereotypical pattern of vomiting leading to frequent hospitalizations.

Clinical characteristics and nutritional status of patients with colorectal cancer

Introduction: Colorectal cancer (CRC) is one of the most common cancers worldwide and the fourth most common cause of cancer-related death. Patients complications, diet and other lifestyle factors have a significant influence on developing colon cancer. The aim of this work was to study the clinical characteristics and nutritional status of patients with colorectal cancer.Methods: This cross sectional study was conducted with colorectal cancer patients in oncology unit at Benghazi medical center on 88 patients in which 28 male and 50 female. The data collected through modified self-administrated questionnaire. Data was analyzed by either frequencies or by suing Chi-square for significant differences. Results and Discussion: The study enrolled 88 oncology patients. The mean age was 52.6 ± 10.6 years. Eighty eight, out of (56.8%) of the patients were female. The most common ages affected significantly by cancer was those between 41-60 years old (P< 0.05). There were abnormal levels of hemoglobin, red blood cells, serum potassium and serum sodium and carcino embryionic antigen have been identified. Asthma was the most chronic disease reported (P=0.000). Furthermore, The most common risk factors contributed to colorectal cancer found obesity (P=0.000). In addition, there also found that patients experiences severe pains as first sign of cancer developed, constipation, loss appetite, lose weight, nausea and vomiting (P< 0.05). The two methods of cancer treatment significant found were Surgical remove of colorectal cancer (P =0.000) and chemotherapy (P=0.000). High body mass index was determined and high risk for body fat distribution has been found by WHtR (P< 0.05). history of food intake was highly reported through largely consumed all food stuffs and food groups (P< 0.05). Conclusion: There were a numbers of factors implicated in CRC include high WHtR, obesity abnormal levels of biochemical tests and patients participate in government jobs. Taken together, patients with colorectal cancer need routine monitoring to reduced cancer severity, progresses and for maintain their quality of life.

Factors Influencing Nurses` Intention to Leave Their Job in Benghazi Medical Center

Factors Influencing Nurses` Intention to Leave Their Job in Benghazi Medical Center

Factors Influencing Nurses` Intention to Leave Their Job in Benghazi Medical Center

Factors Influencing Nurses` Intention to Leave Their Job in Benghazi Medical Center

A correlative study of the incidences of acute Guillain-Barré syndrome and viral meningoencephalitis in adult patients at Benghazi Medical Center during 2019 (Pre COVID 19)

Viral diseases cause meningoencephalitis VME. Associated GBS is recognised. We aimed to study the correlation between the incidences of GBS and VME, in adult patients admitted to Benghazi Medical Center BMC, from 1st January 2019 to 31st December 2019.

Frequency of dementia among patients admitted to Benghazi Medical Center over a six months period in 2017

Background: With the rising age of the general population in developing countries it is expected that age-related hereditary neurodegenerative disorders such as dementia will become important health issues. In many elderly patients cognitive decline is multifactorial and exists with other comorbidities. . There are currently few data on dementia in Libya. Aims: To determine the size and thereby the impact of dementia in our hospital patient admissions.

ASSESSING OF MALNUTRITION IN PATIENTS WITH CANCER BY USING PATIENT-GENERATED SUBJECTIVE GLOBAL ASSESSMENT SHORT FORM (PG-SGA-SF)

Introduction: Cancer-related malnutrition has negative consequences are taken too lightly in most oncology wards. The objective of this study is to determine the malnutrition risk (MR)/malnutrition (MN) in cancer patients using PG-SGA short form. Methods: This cross sectional study was conducted with cancer patients in oncology unit at Benghazi medical center on 229 patients in which 107 male and 122 female. The data collected through PG-SGA short form and analyzed by either frequencies or by suing Chi-square for significant differences. Results and discussion: The study enrolled 229 oncology patients. The mean age was 58.34 ± 11.60 years. One hundred and twenty tow (53.7.3%) of the patients were female. The most common three tumor types were breast tumors (27.9%) followed by colorectal cancer (14%) whereas, almost similar report for lung, liver and upper GIT (10.9%). (11.4%) and (11.8%) respectively . The mean BMI of the patients was 26.17 ± 0.3 kg/m2. According to PG-SGA short form of the patients were in moderate risk of nutritional status and overall score of PG-SGA short form was 18. 34± 0.56. Furthermore the prevalence of cancer in this study was significant high in male (P&lt; 0.05) Conclusion: In cancer patients, the risk of malnutrition is significantly high, and this may alter the patient’s life quality and expectancy. Therefore, the nutritional status of the patient that is diagnosed with cancer should be assessed in early stages of the disease. KEYWORDS: malnutrition, cancer, PG-SGA Nutrition Assessments

The Effect of Training Programs on the Performance of Healthcare Workers at Benghazi Medical Center (BMC)

Background: Healthcare workers (HCWs) are considered as one of the cornerstones and play an important role inside the healthcare sector. However, health care workers (HCWs) in developing countries frequently work in challenging environments, mainly dealing with sciences and technology development. Thus, attention to involve the HCWs into training programs to meet their needs and to achieve a better level of work performance and to provide better health services in their institutions.&#x0D; Methods: A descriptive cross-sectional study, aimed to explore the effects of training programs on healthcare workers performance at Benghazi Medical Center (BMC) in Benghazi city, Libya. 51 questionnaires were collected from March 2019 and end in June 2019 by using the impact of training on workers performance. Data were fed to statistical software package version 20.0 SPSS. Approval of the Ethical Committee of faculty of public health was obtained.&#x0D; Results: High percentage (72.5%) of the study respondents had undergone training programs with healthcare institutions. The results also show that the majority of these respondents (59.5%) participated in training on the purpose of performance consideration and 75% associate training to their enhanced performance at work.&#x0D; Conclusion: It may be indicated that training to a big extent can lead to an improved worker's performance but still it is not the only factor that can enhance worker's performance rather it is a combination of factors. Thus, further researches can be done on different factors in the healthcare sector, specifically concerning workers' performance factors such as training needs assessment, training programs design, development, are significant to study for exploring their effects on the workers' performance in the healthcare sector.

The Affect of Salty Food Intake on the Risk of Helicobacter Pylori Infection among Patients Attending Benghazi Medical Center (A Retrospective Cohort Study)

Human infection by Helicobacter pylori is a great public health hazard because they colonize the stomach of approximately half world’s population. The current work tries to detect and assess the association between salty foods and the prevalence of H. Pylori in Benghazi outpatients who attending Benghazi Medical Centre. It is retrospective cohort study on 293 patients in Benghazi Medical Center Gastroenterological Unit. The study includes all adult patients, a confirmed H. Pylori immunity test, a body weight records, and twenty four dietary recalls. Exclusion criteria; this work does not involve study of peptic ulcer and or any other gastric diseases. (69.7%) of the subjects prefer eating salty foods. (72.2%) of the subjects prefer pickled foods; and (83%) of the subjects prefer canning foods. Age, sex, body mass index, nutritional supplement intake were the variables associated with high salt intake among H. pylori patients. All patients in Benghazi Medical Center should be routinely screened for H. Pylori due to their health and financial consequences. Early nutritional intervention strategies including nutrition education should be implemented with an appropriate follow up.

Idiopathic Thrombocytopenic Purpura in Patients Admitted to Benghazi Children Hospital

Introduction: Childhood immune thrombocytopenia (ITP) is an acquired autoimmune disorder characterized by isolated thrombocytopenia (peripheral blood platelet count &lt;100 x 109/L). ITP is one of the most common bleeding disorders in children, with an incidence of approximately four per 100.000 per year. Aim: Aim is to review presenting features, response to therapy, and natural history of ITP treated at Benghazi medical center, department of pediatric. Methods: Cross-sectional descriptive study was carried out at the Pediatric Department of Benghazi medical center. Results: The study included 86 patients their mean age was 4.2±2.7years,with minimum age 11months and maximum age 12years.Male to female ratio was 1:1.15, female constitute to more than half (53.5%) .Mean duration of hospital stay was 5.2± 4.3 days , minimum duration was one day and maximum was 23 days. Bruise was presented by 84.9% of patients, 67.4% was presented by history of upper respiratory tract infection and 30.2% presented with bleeding from different site. Repeated admission was recorded in 93% of the patients. Family history of ITP was recorded in 4.7%. Respiratory manifestation was present in 4.8%, CNS manifestation present in 2.4%, hepatosplenomegaly in 2.4%, Lymphoadnopathy in 2.4%, renal manifestation in 1.2% and musculoskeletal manifestation in 1.2%. WBC count was &gt;4 in 1.2% , 4-11 in 73.3% and 25.5% had level &gt; 11 x103/ml, mean level was 9.7± 3.4 x103/ ml. Sever decrease of platelets was recorded in 54.7% of the patients , 36% had moderate decrease , mild recorded in 9.3% and no one had normal count .Peripheral blood smear, 26.7% of patients had normocytic normochromic. 25.5%was microcytic hypochromic 4.7% had microcytic normochromic, 1.2% had atypical lymphocyte with decrease plat, 1.2% had Normocytic hypochromic, 14% were normal and 15.5% not done. Bone marrow was normal in 68.5% of the patients, 1.2% of patients had thrombocytopenia, 1.2% of them had aplastic anemia, 1.2% of .........

Clinical Characteristics and Management Practice among Patients Diagnosed with Atrial Ibrillation in Benghazi Libya, A Cross Sectional Study

Introduction: There are no data so far regarding the frequency and outcome of the different types of atrial fibrillation (AF) in the clinical setting for Libyan patients. Furthermore, it is unknown whether the actual clinical management and therapy of AF in Libya conform to the international guidelines. The aim of this study was to determine the frequency, demographic, and clinical characteristics of AF patients. Patients and Methods: Three hundred patients attending the outpatient clinic and cardiology department at Benghazi Medical Center and National Cardiac Center between May 2020 and October 2020 were included. Patients' data were obtained through medical records using the chart review. Patients were categorized into a clinical type of AF, based on the physician's perception of the AF at the time of presentation. Results: Three hundred patients with an established diagnosis of AF were enrolled, including 210 (70%) females and 90 (30%) males. The mean age at the time of diagnosis was 49.5 ± 21.5 years, with an age range of 29–79 years. Of them 139 (46.3%) were diagnosed as permanent AF, 132 (44%) paroxysmal AF, while new-onset AF was diagnosed in 29 (9.7%). The three clinical categories of AF were enrolled under the care of both cardiologists and internal medicine physicians, but permanent AF patients were more often enrolled under the care of a cardiologist. Patients with permanent AF were older compared with those with paroxysmal subtype (61.8 ± 9 and 50.1 ± 12, respectively), with significant female predominance (P = 0.03), and more often had coronary artery disease (CAD), valvular heart disease, and a previous stroke/TIA (P = 0.01, P = 0.124, and P = 0.002, respectively). Diabetes was the most prevalent associated medical condition, followed by hypertension and hyperlipidemia. CAD was diagnosed among 122 patients. Of permanent AF patients, 28 patients (20.1%) previously suffered from a stroke, mostly TIA, in contrast to 14 patients (10.6%) of the other AF patients. Conclusion: Our AF patients were characterized by an unfavorable cardiovascular risk profile. We recognize a lower rate of oral anticoagulation prescription, which needs further evaluation.

Diagnostic Pattern of Adult Acute Leukemia in Benghazi Medical Center/ Libya

Objective: To study the demographic characters and diagnostic tools of acute leukemia among adults in Benghazi/ Libya. Patients and Method: A retrospective cross sectional analysis of 54 cases of AML and ALL was conducted at hematology department at Benghazi medical center (BMC) from January 2013 to December 2014. Demographic data, Complete Blood Picture (CBC), Peripheral Blood Film (PBF), Bone Marrow Aspiration (BMA), immunophenotyping as well as cytogenetic if applicable were evaluated. Result: Forty-two (77.8%) were diagnosed as AML and twelve (22.2%) as ALL. The median age for diagnosis of AML was 43 years. with male to female ratio 1.3:1 while for ALL the median age was 20 years, and male to female ratio was 2:1. Anemia was noted in (90.5%) and (100%) for AML and ALL, respectively. Thrombocytopenia was detected in (83%) for both types. Almost half of AML patients (47%) and (41%) of ALL cases presented with leukocytosis. Blasts were detected in more than two third (74%) of PBF of AML and (75%) in ALL patients. CD13 and CD33 and cyMPO were the most common positive myeloid presenting antigens. However, in ALL B-lymphoid markers CD10 and CD19 were the major positive antigens. Conclusion: AML was most common than ALL in adults, AML was common in middle age while ALL in young age group. Hematology departments require urgent improvement of diagnostic services in Libya in order to ensure good clinical management.

Water Treatment for Hemodialysis in Benghazi Medical Center (BMC)

Background: A single 4-hour dialysis treatment can require up to 400 liters of water per week for dialysis patients compare that with healthy person who drinks less than 15 liters of water per week. Therefore, it is clearly important to know and monitor the chemical and microbiological purity of the dialysis water.&#x0D; Aims: Determine the physicochemical and bacteriological characteristics of water used by hemodialysis services Isolate and identify fungi present in water systems of hemodialysis units in Benghazi Medical center (BMC) in Benghazi, Libya.&#x0D; Methods: Analysis study carried out in hemodialysis unit in BMC collected samples from each places (A &amp; B) sections.&#x0D; Results: Six samples that target to chemical analysis and 32 samples for microbiological test, Chemical parameters of study area A and B for drinking and dialysis water were within international standards, but there was a minute of Calcium elevation in area B that was 3.3mg/l. No contamination with bacteria observed in all samples in section (A), the counts of yeasts and filamentous fungi investigated in the tap water, in the treated water, and dialysis machine in section B and Penicillium spp was the most frequent fungi.&#x0D; Conclusions: Our study demonstrated that the tap and dialysis water success to meet the all-chemical and microbiological requirements in (A) area inside hospital of Benghazi center. In generally to prevent the risk of contaminants for hemodialysis patients need to a high water quality management program and development of water treatment system in hemodialysis centers.

Pattern of Admission of Stroke in Benghazi Medical Center: A Cross-Sectional Study

Background: Stroke is a leading cause of death and disability worldwide, accounting for 11.13% of total deaths, and the main cause of disability worldwide. The aim of this study is to know the pattern of stroke admissions at Benghazi Medical Center (BMC) and the possible risk factors. Materials and Methods: This was a cross-sectional study of 110 patients admitted to BMC who were diagnosed with stroke based on the International Classification of Diseases, Revision 10 (ICD-10), from January to June 2019. Data about age, gender, comorbidities, and medical history were collected. Results: In the study period, the medical records of 110 patients were surveyed for stroke diagnostic code based on ICD-10. Our research protocol identified 110 stroke records, out of which 10 cases were unspecified stroke. Of 100 specified stroke cases, 70 cases described an ischemic incidence and 30 cases reported a hemorrhagic incidence. Analysis of demographic attributes over this dataset showed that 65 men and 35 women with mean ages of 66.4 ± 14.2 and 64.6 ± 12.4, respectively, were admitted with stroke diagnosis, irrespective of stroke type. Further analysis indicated that both ischemic and hemorrhagic stroke subtypes had a high incidence in age ≥70 years (P = 0.003). The relationship between age group and stroke subtype was significant (P

Retrospective Evaluation of Chronic Idiopathic Thrombocytopenia in Libyan Children

Immune thrombocytopenic purpura (ITP) is the most common cause of acquired thrombocytopenia in children. Approximately 10-20% of children with Immune thrombocytopenia (ITP) suffer from a chronic clinical disease that requires follow up and medical intervention according to the severity of bleeding manifestation.&#x0D; Aims: To evaluate the demographic, clinical, and laboratory features, treatment modalities, and response to therapy in Libyan children with chronic idiopathic thrombocytopenia.&#x0D; Methods: A retrospective study was conducted at the hematology clinic of the pediatric department, Benghazi medical center, and Benghazi Children Hospital. The duration of the study was from January 1998 to December 2018. comprised of demographics, clinical, laboratory data, therapy and therapy response in Libyan chronic ITP.&#x0D; Results: In our study, the mean age of chronic ITP patients was 4.9 years, slightly higher in male patients 43 (52.4%) With a male/female ratio 1.1:1. The most frequent symptoms were mild which were limited to bruises and petechiae on the skin. (57.3%). The preceding history of viral infection was uncommon in patients with chronic ITP (22%) while the past history of MMR vaccination is quite rare and constituted only (2%). The mean platelet count before treatment (i.e. at presentation) was (22.7x109/L) while mean platelet count after treatment (213.6 x109/L. Treatment consisted of combined Steroid + IVIG in 27 (77.1% response), steroids in 23 (73.9% response), intravenous immunoglobulin (IVIG) in 11 (90.9% response), and no therapy in 21 (95.2% response).Complete response was achieved in 82.9% % showed a complete response either spontaneous or following the treatment. No patient was presented with intracranial hemorrhage.&#x0D; Conclusions: Chronic ITP in Libyan children had a benign nature, none of our patients developed severe symptoms as life-threatening bleeding like CNS bleeding or died, IVIG give more optimistic response as compare to steroid. And the majority of children with chronic ITP in this study achieved remission.

Awareness of hand hygiene among physicians at Benghazi Medical Center during COVID-19 pandemic. A cross sectional study

Introduction: Hands of the physicians play a significant role in the transmission of nosocomial infections; the aim of the current study is to describe the physician's knowledge regarding hand hygiene (HH) and their compliance to that during their daily round. Materials and Methods: A cross-sectional descriptive study was conducted among physicians working at Benghazi Medical Center during May 2020. We used WHO's HH questionnaire for healthcare workers. The maximum score obtainable for knowledge was 25. The practice of HH was assessed by a self-designed questionnaire. Results: A total of 250 out of 276 giving a response rate of 90.5%. Physicians with work experience of 5 years or less constituted the highest involved group (68%). Based on the WHO HH questionnaire a moderate level of knowledge prevailed (45.2%) followed by a good (36%) and poor (18.8%) level of knowledge respectively, and as expected the highest level of good knowledge was found among those with more than 10 years of work experience. Regarding HH practice, most of the studied group prefer to use alcohol-based hand rub routinely 112/250, the same findings regarding Frequency of performing HH in the daily round. Strangely 182 (72.8%) say that HH is effective in controlling COVID-19 while only 134 (53.6%) say that protects physicians against COVID-19, though in their knowledge, most of our physicians prefer to perform quick HH method. Conclusion: HH is an important tool for the prevention of the COVID19 pandemic. The overall knowledge and practice of HH were moderate to good among study subjects and few numbers of physicians had attended formal training about HH in the last 3 years. These findings indicate that our physicians require increased emphasis on HH

Estimation of Sex Using Sacrum and Coccyx Computed Tomography of Libyan Population in Benghazi

Background: Sex identification of human skeleton is essential for bioarcheological and forensic studies. Determination of Sex is important to establish personal identity. Sex identification accurately depends on the presence of complete remains. Aim: This study aimed to estimate sex from measurements of sacrum and coccyx by computed tomography (CT) of Libyan population. Subjects and methods: A cross-sectional study was carried out in Radiological center of Aljala Hospital of Benghazi and Benghazi Medical Center, Libya on 120 subjects who were divided into 60 males and 60 females. Sex was determined through measuring anterior and posterior sacral lengths (ASL and PSL), anterior and posterior sacrococcygeal lengths (ASCL and PSCL), anterior sacral width (ASW), curved length of sacrum (CLS), length of auricular surface (LAS), mid-sagittal and maximum transverse diameters of base (MDB and MTDB) by using sacrum and coccyx CT. Results: There was very high statistical significant difference between the mean values of different studied parameters between males and females .All these parameters were higher in males except MTDB that was higher in females. Regarding ASW, there was no significant difference between the mean values of males and that of females. The most accurate sex parameters were CLS 99.0%, PSCL 98.3% and MDB 90.5%. Conclusion: Males were significantly higher than females regarding mean values of all studied parameters except MTDB that was higher in females. The most sexually dimorphic individual measurements for sex determination found in the study were CLS, PSCL and MDB. Recommendation: Other studies using different bones and techniques should be done.

The Role of Total Quality Management (TQM) in Improving the Health Services Provided at the Benghazi Medical Center (BMC)

In healthcare settings, clients/patients urge for quality in services have been increasing. Quality and performance management in healthcare settings becomes more demanding due to lack of effective methods for enhancing performance leadership, accountability, managerial skills and poor strategic planning. This, therefore, warrants, effective quality management approach, such as Total Quality Management (TQM) , is implemented, assessed or monitored appropriately to improve competitiveness, effectiveness and flexibility.This descriptive study was conduct on ( 117 ) patients from various clinical departments of inpatients admitted to Benghazi Medical Center (BMC), Libya during period from Jun to March 2020. All patients were asked questions through the questionnaire form. The relative weight was used in the statistics to clarify the importance of each axis and its effect on the quality of service provision from the patients' point of view and attention to it through the total quality management.It was found that (87%) of patients were their length of stay from (2-9 days). The relative weight is the average of "receive it at the reception desk" (4.2), while is poor of "waiting room" (3.9). The patients ’opinion about radiological examinations and analyzes obtained with a moderate average relative weighted, and moderate service quality from patient opinion view .There is a low level of quality health services provided by public hospitals, and a deficiency in the service provided by the nursing towards the patients.

Prevalence of Side Effects of Propofol Anesthesia among Adult and Pediatric Patients Undergoing Surgery

Introduction: Propofol is a short-acting medication that lowers awareness and causes a transient memory loss. It is given intravenously. The aim of this study was to assess the prevalence of various side effects of the use of propofol as an anesthetic in various surgical procedures and to compare their prevalence among adults and children. Materials and Methods: One hundred patients were included in the study, fifty adults and fifty of children, who underwent various types of surgery and received propofol anesthesia, at Pediatrics Hospital, Benghazi Medical Center (BMC) and Al-Hawari hospital, from September to November 2019. Results: The mean age was 6.37 ± 4.18 years in the pediatric group (ranging from 1 to 15 years) and 40.0 ± 17.03 years in the adult group (range from 16 to 97 years). The indication of surgery among the adult group was cholecystectomy (14 patients, 28%), followed by ENT operations (12 patients, 24%), while the indication of surgery among the pediatric group was tonsillectomy (20 patients, 40%), followed by hernia repair (15 patients, 30%). Thirty-five adults (70%) and 40 children (80%) suffered different types of complications during the study. Pain at the site of propofol injection was the most common complication. It was observed in 21 adult patients (42%) and 23 children (46%). Bronchospasm developed among 11 children who underwent tonsillectomy. Low blood pressure was more prevalent among adult patients (14 patients, 28%). An arrhythmia was developed in nine patients (six adults and three children). Two adults and five children experienced delayed recovery from anesthesia. The recovery time was 14.67 ± 8.37 min (5–45 min), Conclusion: Burning at site of propofol injection is the most common side effect of propofol anesthesia; other complications need further evaluation by more detailed studies.

Trends, and tumor characteristics of lung cancer and malignant pleural mesothelioma in the East of Libya

Background: Lung cancer is the most common cancer worldwide and the leading cancer killer. Lung cancer is classified histologically into two types; small-cell lung cancer and nonsmall-cell lung cancer (NSCLC) (squamous cell carcinoma, adenocarcinoma (AC), large cell carcinoma [LCC]). Malignant pleural mesothelioma is a rare thoracic tumor. We aimed to provide comprehensive epidemiological data about lung cancer in the eastern part of Libya. Patients and Methods: A retrospective medical records review of lung cancer patients attending the oncology department of Benghazi Medical Center from January 1, 2006 to December 31, 2015. Results: There were 684 lung cancer cases out of 7725 total registered cancer cases (8.85%), 627 were male (91.7%, median age 63.5), and 57 females (8.3%, median age 64). NSCLC was the dominant histology 78.5%, SCLC 11%, and malignant mesothelioma 2.5%. NSCLC subtypes were AC (35.1%), squamous carcinoma (25.7%), LCC (4.6%), and not otherwise specified (12.6%). Only 30.6% of cases were diagnosed in Libya, the most commonly used diagnostic modalities were bronchoscopic biopsy 46.6%, and computed tomography guided biopsy 17.4%. Only 18 cases were tested for epidermal growth factor receptor sensitizing mutations and anaplastic lymphoma kinase rearrangement fusion. Stage IV was the most common initial stage for NSCLC 60%, malignant mesothelioma 47.1%, and 74.7% of SCLC presented with extensive disease. Only 42.9% of males and 5.3% of female lung cancer patients were smokers. Conclusions: Lung cancer is a major health burden in Libya, and it is increasing in incidence; this epidemiological study tries to put this problem into public health and clinical perspective.