Jovanovic M, Bogdanovic G, Mijatovic-Jovanovic V, Jeremic P, Nikolic E A
Clinic for Plastic and Reconstructive Surgery, Clinical Centre of Vojvodina, Novi Sad, Serbia. mjov@nscableet
J BUON. 2009 Jul-Sep;14(3):441-6.
To analyse the incidence and mortality of melanoma in the province of Vojvodina - the north part of Serbia- from the epidemiologic and clinical point of view.
In this retrospective study, we used databases of the Cancer Registry of Vojvodina, Oncology Institute of Vojvodina in Sremska Kamenica; Clinical Centre of Vojvodina in Novi Sad; Institute of Public Health of Vojvodina in Novi Sad; and Institute of Public Health of Serbia in Belgrade.
The incidence and mortality of melanoma in Vojvodina is permanently increasing over the last three decades. The number of newly diagnosed and deceased patients was higher in men and in women in Vojvodina than in central Serbia. Considering the incidence rate, the region of Vojvodina would be placed in the middle of the European countries. The results are more unfavorable with mortality, especially in male population, similar to the range of higher mortality rates among European countries.
These upsetting facts call for improvement of primary and secondary prevention. Education of the population, continuous efforts to recognize groups of population at high risk for developing melanoma and detection of early phases of the disease increases the chances for cure and significantly reduces treatment costs.
从流行病学和临床角度分析塞尔维亚北部伏伊伏丁那省黑色素瘤的发病率和死亡率。
在这项回顾性研究中,我们使用了伏伊伏丁那癌症登记处、斯雷姆斯卡卡梅尼察的伏伊伏丁那肿瘤研究所、诺维萨德的伏伊伏丁那临床中心、诺维萨德的伏伊伏丁那公共卫生研究所及贝尔格莱德的塞尔维亚公共卫生研究所的数据库。
在过去三十年中,伏伊伏丁那黑色素瘤的发病率和死亡率持续上升。伏伊伏丁那新诊断和死亡患者的数量在男性和女性中均高于塞尔维亚中部地区。就发病率而言,伏伊伏丁那地区在欧洲国家中处于中等水平。死亡率方面的结果则更为不利,尤其是在男性人群中,与欧洲国家较高死亡率范围相似。
这些令人不安的事实要求改进一级和二级预防。对公众进行教育,持续努力识别黑色素瘤高发人群并检测疾病早期阶段,可增加治愈机会并显著降低治疗成本。