上消化道癌：食管、胃、肝脏、胆囊和胆管、胰腺。

Upper gastrointestinal tract cancers: oesophagus, stomach, liver, gallbladder and biliary ducts, pancreas.

作者信息

Ferretti Stefano, Gafà Lorenzo

机构信息

Registro tumori della Provincia di Ferrara, Centro universitario di ricerche e servizi, Dipartimento di medicina spernmentale e diagnostica, Universita di Ferrara, Sezione di anatomia, istologia e citologia patologica, Fenrara.

出版信息

Epidemiol Prev. 2004 Mar-Apr;28(2 Suppl):34-42.

PMID:15281604

Abstract

In this paper temporal trend of the upper gastrointestinal tract cancers in the Italian Network of Cancer Registries (pool AIRT) are analysed during the period 1986-1997. Oesophagus cancer (4477 cases and 4226 deaths analysed) showed a decrease in incidence rates that was statistically significant among males and less evident in recent years among females. Mortality is significantly decreasing both among males (since 1993) and females. Stomach cancer (34282 cases and 26430 deaths) had a stable decreasing trend, in both sexes, for both incidence which decreased at a rate of more 3% every year, and of mortality, mean annual rate decrease over 4%. As regards liver cancer (13893 cases 13655 deaths) an increasing incidence trend (up to 1993 among males) has been documented; mortality was stable. Cancers of the biliary tract (6662 cases and 5065 deaths) showed stable rates both in incidence (slightly decreasing among females) than in mortality. Pancreas cancer (13300 cases and 12937 deaths) presented increasing incidence in both sexes with stable mortality rates.

摘要

本文分析了意大利癌症登记网络（AIRT库）中1986 - 1997年期间上消化道癌症的时间趋势。食管癌（分析了4477例病例和4226例死亡）发病率呈下降趋势，在男性中具有统计学意义，近年来在女性中不太明显。男性（自1993年起）和女性的死亡率均显著下降。胃癌（34282例病例和26430例死亡）在两性中发病率和死亡率均呈稳定下降趋势，发病率每年下降超过3%，死亡率平均年下降率超过4%。关于肝癌（13893例病例和13655例死亡），已记录到发病率呈上升趋势（男性至1993年）；死亡率稳定。胆管癌（6662例病例和5065例死亡）发病率（女性略有下降）和死亡率均呈稳定态势。胰腺癌（13300例病例和12937例死亡）两性发病率均呈上升趋势，死亡率稳定。