TITLE:
The Diagnostic Challenges, Possible Etiologies and Lack of Researches of Hepatocellular Carcinoma in Somalia
AUTHORS:
Mohamed Abdulkadir Hassan-Kadle
KEYWORDS:
Diagnostic Challenges, Hepatocellular Carcinoma, Somalia
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.7 No.3,
March
31,
2017
ABSTRACT: Globally,
hepatocellular carcinoma is the second amongst all causes of cancer deaths and
it is one of the common malignancies in both developing and developed
countries. The causes are variety all of the
world ranging from geography, life style and advanced medical care that is available in those countries either developing such as Somalia or developed countries.
Somali contributes to global burden of hepatitis B which is a known risk factor
for HCC and has categorized to the world a part of high prevalence of hepatitis B which is greater than 10%, while there is no more available data of hepatitis C in Somalia that contributes the world.
Diagnoses of hepatocellular carcinoma are now forward in many countries of
developed world, but reality are different from developing countries such as
Somalia which is now out for civil war and has a lack of medical experts in all
fields of medicine such as physician, surgeons, pathologists, radiologists and
the experts of the laboratory field, even if we have these medical personal who are few or they are elder than above 60 years
old plus medical equipment (such as imaging
and laboratory equipment). All these challenges, the author of this manuscript
has faith in the diagnosis of hepatocellular carcinoma that can be rationally made to consider
the clinical presentation of this disorder and to maximize use of offered diagnostic tools and to refer the few medical experts in
the country.