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韩国人口口腔癌发病率及生存率的趋势

Trends in the incidence of and survival rates for oral cavity cancer in the Korean population.

作者信息

Choi S W, Moon E K, Park J Y, Jung K W, Oh C M, Kong H J, Won Y J

机构信息

Oral Oncology Clinic, National Cancer Center, Goyang, Korea.

出版信息

Oral Dis. 2014 Nov;20(8):773-9. doi: 10.1111/odi.12251. Epub 2014 May 7.

Abstract

OBJECTIVE

This study assessed trends in the incidence of and survival rates for oral cavity cancer in the Korean population.

MATERIALS AND METHODS

Data from the Korea Central Cancer Registry were extracted for 10,282 patients diagnosed with oral cavity cancer (C01-C06) between 1999 and 2010 to evaluate the age-standardised incidence rate, annual percentage change (APC) and 5-year relative survival rate (RSR) according to gender and age.

RESULTS

In males, the incidence rate slightly decreased [APC of -0.2% (P = 0.6427)]; in females, the incidence rate increased [APC of 3.1% (P < 0.05)]. In males and females, the incidence of oral tongue cancer (C02) significantly increased [APC of 2.2% and 4.1%, respectively (P < 0.05)]. This increase in oral tongue cancer incidence was most prominent in the younger age group (<40 years, APC = 6.1%, P < 0.05). The incidence of buccal cheek cancer increased only among males [APC of 4.8% (P < 0.05)]. The 5-year RSR improved from 42.7% (1993-1995) to 59.5% (2006-2010), corresponding to an increase of 16.8% from 1993 to 2010 (P < 0.05).

CONCLUSION

The incidence of oral cavity cancer in females increased, whereas it stabilised or decreased in males. However, the incidence of oral tongue cancer increased in both males and females, especially in the younger age group.

摘要

目的

本研究评估了韩国人群口腔癌的发病率趋势和生存率。

材料与方法

提取韩国中央癌症登记处1999年至2010年期间诊断为口腔癌(C01 - C06)的10282例患者的数据,以评估按性别和年龄划分的年龄标准化发病率、年度百分比变化(APC)和5年相对生存率(RSR)。

结果

男性发病率略有下降[APC为 -0.2%(P = 0.6427)];女性发病率上升[APC为3.1%(P < 0.05)]。男性和女性的口腔舌癌(C02)发病率均显著上升[分别为APC 2.2%和4.1%(P < 0.05)]。口腔舌癌发病率的增加在较年轻年龄组(<40岁,APC = 6.1%,P < 0.05)中最为显著。颊癌发病率仅在男性中上升[APC为4.8%(P < 0.05)]。5年RSR从42.7%(1993 - 1995年)提高到59.5%(2006 - 2010年),相当于1993年至2010年增加了16.8%(P < 0.05)。

结论

女性口腔癌发病率上升,而男性则稳定或下降。然而,男性和女性的口腔舌癌发病率均上升,尤其是在较年轻年龄组。

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