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[15至16岁青少年的癌症流行病学]

[Cancer epidemiology in adolescents of 15 and 16-year-old].

作者信息

Juárez-Ocaña Servando, Palma-Padilla Virginia, González-Miranda Guadalupe, Carreón-Cruz Rogelio, Mejía-Aranguré Juan Manuel, Fajardo-Gutiérrez Arturo

机构信息

Unidad de Investigación Médica en Epidemiología Clínica, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2008 Jul-Aug;46(4):361-6.

PMID:19213206
Abstract

OBJECTIVE

to present the frequency of different types of cancer in adolescents with 15 and 16-year-old treated at the Instituto Mexicano del Seguro Social (IMSS) in Mexico City (MC) hospitals.

METHODS

it was an observational and prolective study. During January 1 of 1996 to December 31 of 2005, were analyzed new cases of adolescents of 15 and 16-year-old with malignant neoplasms in adolescents at IMSS. The neo-plasms were grouped according with the International Classification of Childhood Cancer; they were stratified by age, sex, and place of residence, and the frequency of these variables were obtained.

RESULTS

a total of 207 cases were registered. Leukemias were more frequent with 55 cases (26.6%); the second place was for bone tumors with 36 cases (17.4%) and the third place were lymphomas with 32 cases (15.5%). There were not cases of retinoblastoma and renal tumors; only 8 cases of carcinomas (3.9%) were registered. The greatest frequency was observed in males with 116 cases (56.0%), with male/female ratio of 1.3:1. Mexico City and State of Mexico were more frequent places of residence with 70.5% of cases. Near of forty nine percent of cases (48.8%) with solid tumors were diagnosed in III or IV stages.

CONCLUSIONS

the pattern of cancer was different from older adolescents (15 to 19-year-old), it is necessary to conduct studies of survey in order to determine epidemiology of cancer in the Mexican adolescents.

摘要

目的

呈现墨西哥城墨西哥社会保险局(IMSS)下属医院收治的15至16岁青少年中不同类型癌症的发病频率。

方法

这是一项观察性前瞻性研究。在1996年1月1日至2005年12月31日期间,对IMSS中15至16岁患有恶性肿瘤的青少年新发病例进行分析。肿瘤按照国际儿童癌症分类进行分组;按年龄、性别和居住地进行分层,并得出这些变量的频率。

结果

共登记了207例病例。白血病最为常见,有55例(26.6%);其次是骨肿瘤,有36例(17.4%),第三位是淋巴瘤,有32例(15.5%)。未出现视网膜母细胞瘤和肾肿瘤病例;仅登记了8例癌症(3.9%)。男性病例最多,有116例(56.0%),男女比例为1.3:1。墨西哥城和墨西哥州是居住频率较高的地区,占病例的70.5%。近49%(48.8%)的实体瘤病例在III期或IV期被诊断出来。

结论

癌症模式与年龄稍大的青少年(15至19岁)不同,有必要开展调查研究以确定墨西哥青少年癌症的流行病学情况。

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