新墨西哥州三大主要族群的胆管癌种类和趋势。
Diversification and trends in biliary tree cancer among the three major ethnic groups in the state of New Mexico.
机构信息
Department of Surgery, Surgical Oncology, University of New Mexico, Albuquerque, NM, USA.
出版信息
Am J Surg. 2012 Mar;203(3):361-5; discussion 365. doi: 10.1016/j.amjsurg.2011.12.002. Epub 2012 Jan 10.
BACKGROUND
New Mexico's population is composed of 45% non-Hispanic whites, 42% Hispanics, 10% American Indians, and 3% other minorities. The purpose of this study was to compare the trends of biliary tract cancer among these groups over the past 3 decades.
METHODS
The state's tumor registry was used to ascertain the incidence of gallbladder cancer, extrahepatic bile duct cancer, and intrahepatic bile duct cancer.
RESULTS
A total of 1,449 new biliary cancers were diagnosed between 1981 and 2008. The contemporary incidence of gallbladder cancer remains several times higher among American Indians than in other ethnicities: for men, 4.1%, 1.1%, and .8% for American Indians, Hispanics, and non-Hispanic whites, respectively, and for women, 8.1%, 2.1%, and 1.0%, respectively.
CONCLUSIONS
Biliary malignancies are more prevalent among American Indians. Despite a decline in the incidence of gallbladder cancer among American Indians and Hispanics, it remains higher compared with the state's non-Hispanic white population.
背景
新墨西哥州的人口由 45%的非西班牙裔白人、42%的西班牙裔、10%的美洲印第安人和 3%的其他少数民族组成。本研究旨在比较过去 30 年来这些人群中胆道癌的趋势。
方法
该州的肿瘤登记处用于确定胆囊癌、肝外胆管癌和肝内胆管癌的发病率。
结果
1981 年至 2008 年间共诊断出 1449 例新的胆道癌。当代胆囊癌在美洲印第安人中的发病率仍数倍于其他族裔：男性分别为 4.1%、1.1%和 0.8%，分别为美洲印第安人、西班牙裔和非西班牙裔白人，女性分别为 8.1%、2.1%和 1.0%。
结论
胆道恶性肿瘤在美洲印第安人中更为普遍。尽管美洲印第安人和西班牙裔的胆囊癌发病率有所下降，但与该州的非西班牙裔白人人口相比仍较高。
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