Problem of hepatocellular carcinoma in West Africa

Table 1 Summary of some studies indicating male preponderance of hepatocellular carcinoma relative to other cancers in West Africa

Country	Liver cancer relative to cancer elsewhere	Source of study population	Coverage
Niger[55]	Most common in men; M:F ratio of 1.4:1	National cancer registry	National
The Gambia[56]	Most common in men; 2nd in women	National cancer registry	National
Ghana[57]	Most common in men, 3rd in women; M:F ratio of 1.2:1	Southern Ghana	Mortality data from a tertiary centre
Nigeria[58]	Most common in men; M:F ratio of 2.4:1	South East Nigeria	Cancer mortality data
Nigeria[59]	Most common in 50-59 years old	South West Nigeria	Pathology reports
Côte d’Ivoire[60]	Second in men; less common in women	Cancer registry	National
Mali[61]	Most common cancer in men; cervical cancer leads in women	Cancer registry	National
Guinea-Conakry[62]	Most common in men; second in women	Cancer registry	Regional