Mejia-Aranguré Juan Manuel, Pérez-Saldivar María Luisa, Fajardo-Gutiérrez Arturo
Unidad de Investigación en Epidemiología Clinica, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México.
Rev Med Inst Mex Seguro Soc. 2011;49 Suppl 1:S103-10.
During 1996-2007, a total of 209 new cases of childhood cancer were registered in Guerrero, 67.5% of them were leukemias (39.7%), lymphomas (14.4%), and central nervous system tumors (CNST, 13.4%). The overall incidence 172.2 was the highest of the jurisdictions studied. The highest incidences of leukemias, lymphomas, and neuroblastomas (67.5, 25.0, and 10.6, respectively) were encountered in Guerrero. Germ cell tumors had the lowest incidence (6.4). Children under five years of age had the highest incidence; the male/female ratio was 1.3. The overall incidence of the neoplasias tended to remain stable; only Hodgkin lymphomas showed a tendency to increase (average annual percent change (AAPC): 6.8; CI 95 % = 0.1, 14.0) and only CNST, a trends to decrease (AAPC -11.2, CI 95 % -19.2, -2.0). Of the solid tumors, 72.9 % were diagnosed as either III or IV stage.
1996年至2007年期间，格雷罗共登记了209例儿童癌症新病例，其中67.5%为白血病（39.7%）、淋巴瘤（14.4%）和中枢神经系统肿瘤（CNST，13.4%）。总体发病率为172.2，是所研究辖区中最高的。格雷罗的白血病、淋巴瘤和神经母细胞瘤发病率最高（分别为67.5、25.0和10.6）。生殖细胞肿瘤发病率最低（6.4）。五岁以下儿童发病率最高；男女比例为1.3。肿瘤的总体发病率趋于稳定；只有霍奇金淋巴瘤呈上升趋势（平均年变化百分比（AAPC）：6.8；95%置信区间=0.1，14.0），只有CNST呈下降趋势（AAPC -11.2，95%置信区间-19.2，-2.0）。在实体瘤中，72.9%被诊断为III期或IV期。
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