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[发展中国家的睾丸癌流行病学。文献综述。]

[Testicular Cancer Epidemiology in Developing Countries. Review of the literature.].

作者信息

Medina-Rico Mauricio, López-Ramos Hugo

机构信息

Unidad de Urología. Hospital Universitario San Ignacio. Pontificia Universidad Javeriana. Bogotá. Colombia.

出版信息

Arch Esp Urol. 2017 Jun;70(5):513-523.

PMID:28613204
Abstract

OBJECTIVE

Testicular cancer (TC) is the most common cancer in men between 15 and 44 years. It has been reported that the incidence of TC is rising. The aim of this article is to determine the epidemiology of TC in Colombia.

METHODS

A literature review on four databases was performed PubMed, Embase, Lilacs and Scielo. Studies of incidence, prevalence, mortality and survival of TC were taken from different countries. Studies included were published in the last 10 years.

RESULTS

2308 references were reviewed by title and abstract. In search of local references in non-indexed journals 5 references were extracted. In total 139 references for review in full text were selected. The global incidence and prevalence of cancer varies. In the Northern Europe region, the highest incidence is evident, mainly in Denmark, Croatia and Norway. Followed by Western Europe and South America with Chile. In Colombia the general age incidence is 2,2/100.000, finding a zero incidence in departments such as Chocó and Guajira.

CONCLUSIONS

A rise in the incidence of TC has been seen globally, this trend mainly in developing countries. In Colombia most studies are crossectional studies. By seeing the epidemiological data from some departments and the lack of specialists in those regions, it can be deduced the existence of an underreport of the disease that reveals the need to improve both surveillance systems and information registration, such as policies to achieve early diagnosis of TC.

摘要

目的

睾丸癌(TC)是15至44岁男性中最常见的癌症。据报道,TC的发病率正在上升。本文旨在确定哥伦比亚TC的流行病学情况。

方法

对四个数据库进行了文献综述,即PubMed、Embase、Lilacs和Scielo。选取了来自不同国家的关于TC发病率、患病率、死亡率和生存率的研究。纳入的研究发表于过去10年。

结果

通过标题和摘要对2308篇参考文献进行了综述。在非索引期刊中搜索本地参考文献时提取了5篇。总共选择了139篇全文进行综述。全球癌症的发病率和患病率各不相同。在北欧地区,发病率最高,主要在丹麦、克罗地亚和挪威。其次是西欧和南美洲的智利。在哥伦比亚,总体年龄发病率为2.2/10万,在乔科省和瓜希拉省等部门发病率为零。

结论

全球范围内TC的发病率呈上升趋势,这种趋势主要出现在发展中国家。在哥伦比亚,大多数研究是横断面研究。通过观察一些部门的流行病学数据以及这些地区缺乏专科医生的情况,可以推断出该病存在报告不足的情况,这表明需要改进监测系统和信息登记,例如制定实现TC早期诊断的政策。

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