National Vice President, Intramural Research, American Cancer Society, Atlanta, GA.
CA Cancer J Clin. 2014 Mar-Apr;64(2):83-103. doi: 10.3322/caac.21219. Epub 2014 Jan 31.
In this article, the American Cancer Society provides estimates of the number of new cancer cases and deaths for children and adolescents in the United States and summarizes the most recent and comprehensive data on cancer incidence, mortality, and survival from the National Cancer Institute, the Centers for Disease Control and Prevention, and the North American Association of Central Cancer Registries (which are reported in detail for the first time here and include high-quality data from 45 states and the District of Columbia, covering 90% of the US population). In 2014, an estimated 15,780 new cases of cancer will be diagnosed and 1960 deaths from cancer will occur among children and adolescents aged birth to 19 years. The annual incidence rate of cancer in children and adolescents is 186.6 per 1 million children aged birth to 19 years. Approximately 1 in 285 children will be diagnosed with cancer before age 20 years, and approximately 1 in 530 young adults between the ages of 20 and 39 years is a childhood cancer survivor. It is therefore likely that most pediatric and primary care practices will be involved in the diagnosis, treatment, and follow-up of young patients and survivors. In addition to cancer statistics, this article will provide an overview of risk factors, symptoms, treatment, and long-term and late effects for common pediatric cancers.
本文由美国癌症协会提供了美国儿童和青少年癌症新发病例和死亡人数的估计,并总结了国家癌症研究所、疾病控制和预防中心以及北美癌症登记协会(首次详细报告)的最新和最全面的癌症发病率、死亡率和生存率数据,这些数据包括来自 45 个州和哥伦比亚特区的高质量数据,覆盖了美国 90%的人口。2014 年,预计将有 15780 例新的癌症病例被诊断出来,1960 例癌症死亡将发生在出生至 19 岁的儿童和青少年中。儿童和青少年癌症的年发病率为每 100 万出生至 19 岁的儿童 186.6 例。大约每 285 名儿童中就有 1 人在 20 岁之前被诊断患有癌症,大约每 530 名 20 至 39 岁的年轻人是儿童癌症幸存者。因此,大多数儿科和初级保健实践都可能参与年轻患者和幸存者的诊断、治疗和随访。除了癌症统计数据,本文还将概述常见儿科癌症的风险因素、症状、治疗以及长期和晚期影响。