Hanchard B, Blake G, Wolff C, Samuels E, Waugh N, Simpson D, Ramjit C, Mitchell K
Jamaica Cancer Registry, Department of Pathology, University of the West Indies, Kingston 7, Jamaica.
West Indian Med J. 2001 Jun;50(2):123-9.
A total of 4285 malignant neoplasms were recorded in Kingston and St. Andrew during the period 1993-1997, 2344 in females and 1941 in males. The crude incidence rate per 100,000 (CIR) for males was 121.6 and for females 129.2. Age standardized rates per 100,000 (ASR) were 156.7 and 176.7 for males and females respectively. In males, the leading sites for cancer were prostate (619 cases), bronchus (265 cases) and large bowel (144 cases) while in females the leading sites were breast (627 cases) cervix uteri (376 cases) and large bowel (204 cases). The crude and age standardized incidence rates have remained stable as compared to those for the previous five year period (1998-1992). The leading sites for both males and females have also been maintained in the same order but there was a marked increase in prostate cancer (ASR 56.4 versus 36). Invasive cervical cancer has shown no significant change in incidence (ASR 25.2 versus 26.3) but the rate for in-situ cancers has decreased (ASR 27.4 versus 43.8). The incidence of cancer of the female breast has remained relatively stable (ASR 43.2 versus 47.1). The trends exhibited by both prostate cancer and in-situ cervical cancer probably represent the influence of screening methods for prostate cancer and ablative management for low grade dysplastic lesions of the cervix uteri respectively.
1993年至1997年期间，金斯敦和圣安德鲁共记录了4285例恶性肿瘤，其中女性2344例，男性1941例。男性每10万人的粗发病率（CIR）为121.6，女性为129.2。男性和女性每10万人的年龄标准化发病率（ASR）分别为156.7和176.7。男性中，癌症的主要发病部位是前列腺（619例）、支气管（265例）和大肠（144例），而女性的主要发病部位是乳房（627例）、子宫颈（376例）和大肠（204例）。与前一个五年期（1988 - 1992年）相比，粗发病率和年龄标准化发病率保持稳定。男性和女性的主要发病部位顺序也保持不变，但前列腺癌有显著增加（年龄标准化发病率从36升至56.4）。浸润性宫颈癌的发病率没有显著变化（年龄标准化发病率从26.3降至25.2），但原位癌的发病率有所下降（年龄标准化发病率从43.8降至27.4）。女性乳腺癌的发病率保持相对稳定（年龄标准化发病率从47.1降至43.2）。前列腺癌和宫颈原位癌呈现的趋势可能分别代表了前列腺癌筛查方法和子宫颈低度发育异常病变消融治疗的影响。
