Song Wan, Jeon Hwang Gyun
Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Urol. 2015 Jun;56(6):422-8. doi: 10.4111/kju.2015.56.6.422. Epub 2015 May 27.
The incidence of cancer is sharply increasing. Cancer is a leading cause of death as well as a significant burden on society. The incidence of urological cancer has shown a higher than average increase and will become an important concern in the future. Therefore, an overall and accurate understanding of the incidence of urological cancer is essential. In this study, which was based on the Korea National Cancer Incidence Database, annual incident cases, age-standardized incidence rates, annual percentage change (APC), and distribution by age group were examined in kidney, bladder, and prostate cancers, respectively. From 1999 to 2011, the total number of each type of urological cancer was as follows: kidney cancer (32,600 cases, 25.5%), bladder cancer (37,950 cases, 29.7%), and prostate cancer (57,332 cases, 44.8%). The age-standardized incidence rates of prostate cancer showed a significant increase with an APC of 12.3% in males. Kidney cancer gradually increased with an APC of 6.0% for both sexes and became the second most frequent urological cancer after 2008. Bladder cancer showed no significant change with an APC of -0.2% for both sexes and has decreased slightly since 2007. The distribution of kidney cancer according to age showed two peaks in the 50- to 54-year-old and 65- to 69-year-old age groups. Bladder and prostate cancers occurred mostly in the 70- to 74-year-old age group. The proportions of male to female were 2.5:1 in kidney cancer and 5.6:1 in bladder cancer. We have summarized the incidence trends of kidney, bladder, and prostate cancers and have provided useful information for screening and management of these cancers in the future.
癌症的发病率正在急剧上升。癌症是主要的死亡原因之一,也是社会的一项重大负担。泌尿系统癌症的发病率增长高于平均水平,未来将成为一个重要问题。因此,全面准确地了解泌尿系统癌症的发病率至关重要。在这项基于韩国国家癌症发病率数据库的研究中,分别对肾癌、膀胱癌和前列腺癌的年度发病病例、年龄标准化发病率、年度百分比变化(APC)以及年龄组分布进行了研究。1999年至2011年,各类泌尿系统癌症的总数如下:肾癌(32,600例,占25.5%)、膀胱癌(37,950例,占29.7%)和前列腺癌(57,332例,占44.8%)。前列腺癌的年龄标准化发病率显著上升,男性的APC为12.3%。肾癌呈逐渐上升趋势,男女的APC均为6.0%,并在2008年后成为第二常见的泌尿系统癌症。膀胱癌无显著变化,男女的APC为-0.2%,自2007年以来略有下降。肾癌的年龄分布在50至54岁和65至69岁年龄组出现两个高峰。膀胱癌和前列腺癌大多发生在70至74岁年龄组。肾癌的男女比例为2.5:1,膀胱癌为5.6:1。我们总结了肾癌、膀胱癌和前列腺癌的发病趋势,并为未来这些癌症的筛查和管理提供了有用信息。