| """ |
| Cancer Pathology & Histopathology - Sub-Saharan Africa |
| Author: Electric Sheep Africa |
| |
| Based on African pathology registry data and WHO Classification of Tumours |
| """ |
|
|
| import numpy as np, pandas as pd, argparse, os |
|
|
| np.random.default_rng(42) |
|
|
| CANCER_TYPES = ['Breast', 'Cervix', 'Prostate', 'Colorectal', 'Liver', 'Lung', 'Ovary', 'Stomach', 'Thyroid', 'Bladder'] |
| COUNTRIES = ['Kenya', 'Uganda', 'Nigeria', 'Ghana', 'Tanzania', 'South Africa', 'Ethiopia'] |
| YEAR = {y: 0.1 for y in range(2018, 2026)} |
|
|
| |
| IHC_MARKERS = ['ER', 'PR', 'HER2', 'Ki67', 'p53', 'EGFR', 'CK7', 'CK20', 'Vimentin', 'CD45'] |
| AVAILABILITY = {'National referral': 0.92, 'Regional': 0.72, 'District': 0.35} |
|
|
| |
| MORPHOLOGY_CODES = { |
| '8140/3': ('Adenocarcinoma', 0.35), |
| '8070/3': ('Squamous cell carcinoma', 0.25), |
| '8500/3': ('Ductal carcinoma', 0.15), |
| '8510/3': ('Medullary carcinoma', 0.05), |
| '8260/3': ('Papillary carcinoma', 0.08), |
| '8310/3': ('Clear cell carcinoma', 0.04), |
| '8430/3': ('Mucoepidermoid carcinoma', 0.03), |
| '8720/3': ('Melanoma', 0.03), |
| '8890/3': ('Leiomyosarcoma', 0.02), |
| } |
|
|
| def sc(p, rng): |
| a = np.array(list(p.values())) |
| return rng.choice(list(p.keys()), p=a/a.sum()) |
|
|
| def gen(n=4500, seed=42): |
| rng = np.random.default_rng(seed) |
| recs = [] |
| for i in range(n): |
| country = sc(dict.fromkeys(COUNTRIES, 1/len(COUNTRIES)), rng) |
| cancer = sc(dict.fromkeys(CANCER_TYPES, 1/len(CANCER_TYPES)), rng) |
| year = sc(YEAR, rng) |
| facility = sc({'National referral': 0.25, 'Regional': 0.40, 'District': 0.35}, rng) |
| |
| |
| morph_code = sc({k: v[1] for k, v in MORPHOLOGY_CODES.items()}, rng) |
| morph_name = [v[0] for k, v in MORPHOLOGY_CODES.items() if k == morph_code][0] |
| |
| |
| avail_markers = [m for m in IHC_MARKERS if rng.random() < AVAILABILITY[facility]] |
| if not avail_markers: |
| avail_markers = ['Not done'] |
| |
| recs.append({ |
| 'pathology_id': f'PATH-{country[:3].upper()}-{year}-{i+1:05d}', |
| 'country': country, 'year': year, 'facility_type': facility, |
| 'cancer_type': cancer, 'icd_o_morphology_code': morph_code, |
| 'morphology_description': morph_name, |
| 'grade': sc({'Well differentiated': 0.12, 'Moderately differentiated': 0.35, |
| 'Poorly differentiated': 0.38, 'Undifferentiated': 0.15}, rng), |
| 'lymphovascular_invasion': rng.choice(['Present', 'Absent', 'Not documented'], p=[0.32, 0.48, 0.20]), |
| 'perineural_invasion': rng.choice(['Present', 'Absent', 'Not documented'], p=[0.18, 0.52, 0.30]), |
| 'margin_status': sc({'Negative': 0.62, 'Close': 0.18, 'Positive': 0.12, 'Not applicable': 0.08}, rng), |
| 'ihc_er': sc({'Positive': 0.55, 'Negative': 0.35, 'Not done': 0.10}, rng), |
| 'ihc_pr': sc({'Positive': 0.48, 'Negative': 0.42, 'Not done': 0.10}, rng), |
| 'ihc_her2': sc({'Positive': 0.15, 'Negative': 0.72, 'Equivocal': 0.05, 'Not done': 0.08}, rng), |
| 'ihc_ki67_index': round(rng.uniform(5, 90), 1) if 'Ki67' in avail_markers else 'Not done', |
| 'ihc_p53': sc({'Positive': 0.45, 'Negative': 0.40, 'Not done': 0.15}, rng), |
| 'molecular_subtype': sc({'Luminal A': 0.38, 'Luminal B': 0.15, 'HER2+': 0.12, 'Triple negative': 0.25, 'N/A': 0.10}, rng) if cancer == 'Breast' else 'N/A', |
| 'specimen_type': sc({'Core needle biopsy': 0.42, 'Excisional biopsy': 0.28, 'Resection': 0.22, 'Fine needle aspirate': 0.08}, rng), |
| 'diagnosis_confirmed': rng.choice(['Yes', 'No - inconclusive', 'No - suboptimal'], p=[0.85, 0.12, 0.03]), |
| 'turnaround_time_days': rng.integers(3, 28) |
| }) |
| return pd.DataFrame(recs) |
|
|
| if __name__ == "__main__": |
| p = argparse.ArgumentParser() |
| p.add_argument('--n', type=int, default=4500) |
| p.add_argument('--output', type=str, default='.') |
| a = p.parse_args() |
| |
| for sn, m, s in [('low_burden', 0.8, 42), ('moderate_burden', 1.0, 43), ('high_burden', 1.2, 44)]: |
| d = gen(int(a.n * m), s) |
| d['scenario'] = sn |
| d.to_csv(os.path.join(a.output, f'cancer_pathology_histopathology_{sn}.csv'), index=False) |
| print(f"Saved: cancer_pathology_histopathology_{sn}.csv, n={len(d)}") |
|
|