Research Article
Cutaneous Malignancy due to Arsenicosis in Bangladesh: 12-Year Study in Tertiary Level Hospital
(a) History of arsenic associated malignancy in the worst affected districts |
| | Name and % of affected area | Basal Cell Carcinoma | Squamous Cell Carcinoma | Melanoma | Merkel Cell Carcinoma | Total | (BCC) | (SCC) | (MCC) | Male | Female | Male | Female | Male | Female | Male | Female | N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % |
| WORST AFFECTED DISTRICTS | Chandpur (90%) | 20 | 2.08 | 4 | 0.42 | 23 | 2.4 | 16 | 1.67 | 1 | 0.1 | 2 | 0.21 | - | - | 1 | 0.1 | 67 | 6.98 | Munshiganj (83%) | 12 | 1.25 | 3 | 0.31 | 8 | 0.83 | 4 | 0.42 | - | - | - | - | - | - | - | - | 27 | 2.81 | Gopalganj (79%) | 15 | 1.56 | 7 | 0.73 | 10 | 1.04 | 12 | 1.25 | 1 | 0.1 | - | - | - | - | - | - | 45 | 4.69 | Brahmanbaria (70%) | 13 | 1.35 | 17 | 1.77 | 11 | 1.15 | 6 | 0.63 | - | - | - | - | - | - | - | - | 47 | 4.90 | Jhenaidah (69%) | 16 | 1.67 | 10 | 1.04 | 3 | 0.31 | 1 | 0.10 | - | - | - | - | - | - | - | - | 30 | 3.13 | Madaripur (69%) | 12 | 1.25 | 4 | 0.42 | 23 | 2.4 | 17 | 1.77 | 3 | 0.31 | 1 | 0.1 | - | - | - | - | 60 | 6.25 | Noakhali (69%) | 13 | 1.35 | 11 | 1.15 | 6 | 0.63 | 8 | 0.83 | - | - | - | - | - | - | 1 | 0.1 | 39 | 4.06 | Satkhira (67%) | 8 | 0.83 | 6 | 0.63 | 5 | 0.52 | 4 | 0.42 | - | - | - | - | - | - | - | - | 23 | 2.40 | Comilla (65%) | 17 | 1.77 | 10 | 1.04 | 13 | 1.35 | 11 | 1.15 | - | - | - | - | - | - | - | - | 51 | 5.31 | Faridpur (65%) | 4 | 0.42 | 5 | 0.52 | 9 | 0.94 | 5 | 0.52 | - | - | - | - | - | - | - | - | 23 | 2.40 | Shariatpur (65%) | 14 | 1.46 | 11 | 1.15 | 14 | 1.46 | 3 | 0.31 | 2 | 0.21 | 1 | 0.1 | - | - | - | - | 45 | 4.69 | Lakshmipur (64%) | 12 | 1.25 | 13 | 1.35 | 9 | 0.94 | 6 | 0.63 | - | - | - | - | - | - | - | - | 40 | 4.17 | Pabna (62%) | 18 | 1.88 | 7 | 0.73 | 6 | 0.63 | 7 | 0.73 | - | - | - | - | - | - | - | - | 38 | 3.96 | Meherpur (60%) | 6 | 0.63 | 5 | 0.52 | 11 | 1.15 | 7 | 0.73 | - | - | - | - | - | - | - | - | 29 | 3.02 | Bagerhat (60%) | 12 | 1.25 | 6 | 0.63 | 10 | 1.04 | 12 | 1.25 | - | - | - | - | - | - | - | - | 40 | 4.17 | Natore (58%) | 14 | 1.46 | 13 | 1.35 | 6 | 0.63 | - | - | - | - | - | - | - | - | - | - | 33 | 3.44 | Total | 206 | 21.46 | 132 | 13.76 | 167 | 17.42 | 119 | 12.41 | 7 | 0.72 | 4 | 0.41 | - | - | 2 | 0.2 | 637 | 66.35 |
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(b) History of arsenic associated malignancy in the least affected districts |
| | | BCC | SCC | Melanoma | MCC | Total | Male | Female | Male | Female | Male | Female | Male | Female | N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % | N | % |
| LEAST AFFECTED DISTRICTS | Thakurgaon | 6 | 0.63 | 11 | 1.15 | 3 | 0.31 | - | - | - | - | - | - | - | - | - | - | 20 | 2.08 | Panchagarh | 5 | 0.52 | 9 | 0.94 | 4 | 0.42 | 1 | 0.10 | - | - | - | - | - | - | - | - | 19 | 1.98 | Nilphamari | 13 | 1.35 | 6 | 0.63 | 4 | 0.42 | 8 | 0.83 | - | - | - | - | - | - | - | - | 31 | 3.23 | Lalmonirhat | 6 | 0.63 | 10 | 1.04 | 2 | 0.21 | 4 | 0.42 | - | - | - | - | - | - | - | - | 22 | 2.29 | Patuakhali | 7 | 0.73 | 3 | 0.31 | 1 | 0.10 | - | - | - | - | - | - | - | - | - | - | 11 | 1.15 | Barguna | 2 | 0.21 | 9 | 0.94 | 1 | 0.10 | 4 | 0.42 | - | - | - | - | - | - | - | - | 16 | 1.67 | Barisal | 6 | 0.63 | 10 | 1.04 | - | - | 3 | 0.31 | - | - | - | - | - | - | - | - | 19 | 1.98 | Chuadanga | 7 | 0.73 | 9 | 0.94 | 3 | 0.31 | 1 | 0.10 | - | - | - | - | - | - | - | - | 20 | 2.08 | Jessore | 10 | 1.04 | 9 | 0.94 | - | - | 5 | 0.52 | - | - | - | - | - | - | - | - | 24 | 2.50 | Feni | 13 | 1.35 | 11 | 1.15 | 10 | 1.04 | 8 | 0.83 | - | - | - | - | - | - | - | - | 42 | 4.38 | Khulna | 4 | 0.42 | 6 | 0.63 | - | - | - | - | - | - | - | - | - | - | - | - | 10 | 1.04 | Magura | 9 | 0.94 | 13 | 1.35 | 3 | 0.31 | 2 | 0.21 | - | - | - | - | - | - | - | - | 27 | 2.81 | Narail | 11 | 1.15 | 8 | 0.83 | 4 | 0.42 | 5 | 0.52 | - | - | - | - | - | - | - | - | 28 | 2.92 | Rajbari | 2 | 0.21 | 6 | 0.63 | 9 | 0.94 | 6 | 0.63 | - | | - | - | - | - | - | - | 23 | 2.40 | Pirojpur | 1 | 0.10 | 3 | 0.31 | 2 | 0.21 | 5 | 0.52 | - | - | - | - | - | - | - | - | 11 | 1.15 |
| | Total | 102 | 10.64 | 123 | 12.83 | 46 | 4.79 | 52 | 5.41 | - | - | - | - | - | - | - | - | 323 | 33.65 |
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