Department of Medicine and Oral Surgery, Dental Sciences Group - Health Sciences Research Centre, Instituto Superior de Ciências da Saúde Norte, Paredes, Portugal.
J Oral Pathol Med. 2013 Apr;42(4):345-51. doi: 10.1111/jop.12010. Epub 2012 Oct 4.
To analyse the trends and patterns of lip, oral and oro-pharyngeal cancer incidence in Portugal between 1998 and 2007.
Data on lip, oral and oro-pharyngeal cancers was collected from the databases maintained at the three main Regional Cancer Registries of Portugal (1998-2007). The data were analysed by gender, age and by site. Incidence rates were age standardized by the direct method, and joinpoint regression was used to estimate trends in incidence.
During this 10-year period, a total of 9623 cases of lip, oral and oropharynx cancers were reported, 7565 (78.6%) in males and 2058 (21.4%) in females. There was an increase in the age-standardized incidence of oral cancers by 1.96% per year for both sexes grouped together and an increase of 4.34% per year for the female group. Oro-pharyngeal cancer showed an increase incidence trend of 3.49% per year for both sexes grouped together and an increase of 3.49% per year for male group among the sites analysed. Lip cancer showed a decrease in its incidence rate.
In view of rising trends, it is necessary to implement policies on oral cancer control by initiating campaigns on oral cancer awareness and screening and to harness political measures on tobacco and alcohol control for the Portuguese population.
分析 1998 年至 2007 年葡萄牙唇、口腔和口咽癌的发病趋势和模式。
从葡萄牙三个主要地区癌症登记处（1998-2007 年）的数据库中收集唇、口腔和口咽癌的数据。数据按性别、年龄和部位进行分析。发病率采用直接法年龄标准化，并采用联合点回归法估计发病率趋势。
在这 10 年期间，共报告了 9623 例唇、口腔和口咽癌病例，男性 7565 例（78.6%），女性 2058 例（21.4%）。男女合计，口腔癌的年龄标准化发病率每年增加 1.96%，女性组每年增加 4.34%。分析的部位中，男女合计口咽癌的发病率呈每年 3.49%的上升趋势，男性组的发病率呈每年 3.49%的上升趋势。唇癌的发病率呈下降趋势。
鉴于上升趋势，有必要通过开展口腔癌宣传和筛查活动，以及利用葡萄牙人口的烟草和酒精控制政治措施，实施口腔癌控制政策。
