[西班牙的肺癌。当前的流行病学、生存率及治疗情况]

[Lung cancer in Spain. Current epidemiology, survival, and treatment].

作者信息

Escuín Julio Sánchez De Cos

机构信息

CibeRes, Sección de Neumología, Hospital San Pedro de Alcántara, Cáceres, España.

出版信息

Arch Bronconeumol. 2009 Jul;45(7):341-8. doi: 10.1016/j.arbres.2008.06.005. Epub 2009 Mar 25.

Abstract

In 2005, 19 115 people died of lung cancer in Spain. In spite of the increase since 1950 in absolute mortality rates, the adjusted rate for men has declined. The incidence among women is lower in Spain than in other countries but it has increased (with a ratio of 1 woman for every 8.5 men). More than 50% of the patients are over 70 years of age. While the proportion of adenocarcinomas relative to other histological types has increased worldwide, squamous cell carcinoma still predominates in Spain (ranging from 24%-50.5%). The number of patients treated by surgical resection has not increased (14.8% in Spain in 2003). Operative mortality is 6.8%. Between 25% and 50% of patients receive only palliative medication. Absolute overall survival in patients with lung cancer is under 10% in many countries. The 5-year survival rate among patients treated surgically has increased slightly, with stage IA rates ranging from 58.3% to 68.5% and stage IIIA from 28.3% to 35.8%.

摘要

2005年,西班牙有19115人死于肺癌。尽管自1950年以来绝对死亡率有所上升,但男性的调整率却有所下降。西班牙女性的发病率低于其他国家,但呈上升趋势(男女比例为1:8.5)。超过50%的患者年龄在70岁以上。虽然全球范围内腺癌相对于其他组织学类型的比例有所增加,但鳞状细胞癌在西班牙仍占主导地位(占24%-50.5%)。接受手术切除治疗的患者数量没有增加(2003年西班牙为14.8%)。手术死亡率为6.8%。25%至50%的患者仅接受姑息治疗。许多国家肺癌患者的绝对总生存率低于10%。接受手术治疗的患者5年生存率略有提高,IA期患者的生存率在58.3%至68.5%之间,IIIA期患者的生存率在28.3%至35.8%之间。

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