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格陵兰岛鼻咽癌和唾液腺癌的流行病学

Epidemiology of nasopharyngeal and salivary gland carcinoma in Greenland.

作者信息

Albeck H, Nielsen N H, Hansen H E, Bentzen J, Ockelmann H H, Bretlau P, Hansen H S

机构信息

Department of Otolaryngology and Head & Neck Surgery, Rigshospitalet, University of Copenhagen, Denmark.

出版信息

Arctic Med Res. 1992 Oct;51(4):189-95.

PMID:1334414
Abstract

From 1950 to 1989 one hundred and forty-four cases of either undifferentiated nasopharyngeal carcinoma (NPC) or salivary gland carcinoma (SGC) were diagnosed in Greenlanders, all born in Greenland. The Greenland SGC is an anaplastic carcinoma with histopathology and electronmicroscopic cytopathological alterations as found in undifferentiated NPC. Both NPC and SGC from Greenland and Alaska are associated with Epstein-Barr virus infection. The incidence rate of NPC based on newly diagnosed cases during the last 15 years is 12.7 for men and 9.2 for women. The same figures for anaplastic SGC are 3.4 and 3.1. These are among the highest incidence rates of Epstein-Barr virus associated carcinomas on record. From 1950 to 1989 there has been an increase in the rate of NPC. From the cumulated rate, it can be predicted that the number of cases will continue to increase during the years to come. During the ten year period 1980 to 1989 patients were questioned about their childhood life style and the family history was taken. The Inuit lifestyle is quite different from that of Europeans and Chinese, but in common with Chinese from Guangzhou (formerly Canton) Greenlanders have a high consumption of fish, fresh as well as dried. Familial clustering has been rarely reported, but in the present investigation 27% of the patients diagnosed between 1980 and 1990 had a positive familial history with one or more confirmed cases among first degree relatives.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

1950年至1989年间,格陵兰岛出生的居民中诊断出144例未分化鼻咽癌(NPC)或唾液腺癌(SGC)。格陵兰岛的SGC是一种间变性癌,其组织病理学和电子显微镜细胞病理学改变与未分化NPC相同。格陵兰岛和阿拉斯加的NPC和SGC均与爱泼斯坦-巴尔病毒感染有关。基于过去15年新诊断病例计算的NPC发病率,男性为12.7,女性为9.2。间变性SGC的相应数字分别为3.4和3.1。这些是有记录以来爱泼斯坦-巴尔病毒相关癌症的最高发病率之一。1950年至1989年间,NPC发病率有所上升。从累积发病率来看,可以预测未来几年病例数将继续增加。在1980年至1989年的十年期间,对患者的童年生活方式进行了询问,并采集了家族病史。因纽特人的生活方式与欧洲人和中国人不同,但与广州(原称 Canton)的中国人一样,格陵兰人大量食用新鲜和干制鱼类。家族聚集现象鲜有报道,但在本次调查中,1980年至1990年间确诊的患者中有27%有阳性家族史,一级亲属中有一例或多例确诊病例。(摘要截选至250词)

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