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[突然死亡个体的肿瘤学秘密]

[Oncology secrets of suddenly deceased individuals].

作者信息

Stoklásková Kateřina, Ďatko Miroslav, Daňková Eva, Votava Milan, Schneller Karel, Zeman Martin, Vojtíšek Tomáš, Zelený Michal

出版信息

Soud Lek. 2017 Fall;62(3):30-32.

PMID:28933558
Abstract

Malignant neoplasms represent the second most common cause of death in men and women in the Czech Republic after cardiovascular diseases. The incidence, prevalence and mortality is recorded in the Czech National Cancer Registry. The most recent data available is from 2013, in this year there were 81 541 patients newly diagnosed with cancer and 26 944 people died of cancer. From a long-term perspective, the incidence of neoplasms is increasing and the mortality is decreasing. In the Institute of Forensic Medicine in Brno there were 480 cases of newly reported malignant tumors during the period 2010-2015, which were not known before the autopsy. 71.4 % of these cases were men and 28.6 % were women. In 212 cases the tumor was advanced and was the immediate cause of death. The total number of deadly cases in men was 149, the age average was 66.2 years. The most common malignant tumor leading to death was of bronchi and lungs (39.6 %), large intestine (9.4 %), pancreas (6.7 %), liver (4.7 %), stomach (4 %) and prostatic gland (4 %). In women the total number of deaths resulting from malignant tumor was 63, the age average was 72.6 years. The most common malignant tumor leading to death was of bronchi and lungs (33.3%), ovary (11.1 %), large intestine (9.5 %), gall bladder (6.3 %) and kidney (6.3 %). Some of the autopsy findings are shown on the photographs at the end of the article.

摘要

恶性肿瘤是捷克共和国男性和女性继心血管疾病之后的第二大常见死因。发病率、患病率和死亡率记录在捷克国家癌症登记处。最新可得数据来自2013年,当年有81541例新诊断癌症患者,26944人死于癌症。从长期来看,肿瘤发病率在上升,死亡率在下降。在布尔诺法医学研究所,2010 - 2015年期间新报告了480例恶性肿瘤病例,这些病例在尸检前并不为人所知。其中71.4%为男性,28.6%为女性。在212例病例中,肿瘤已处于晚期,是直接死因。男性死亡病例总数为149例,平均年龄为66.2岁。导致死亡的最常见恶性肿瘤是支气管和肺部肿瘤(39.6%)、大肠肿瘤(9.4%)、胰腺肿瘤(6.7%)、肝脏肿瘤(4.7%)、胃部肿瘤(4%)和前列腺肿瘤(4%)。女性因恶性肿瘤导致的死亡病例总数为63例,平均年龄为72.6岁。导致死亡的最常见恶性肿瘤是支气管和肺部肿瘤(33.3%)、卵巢肿瘤(11.1%)、大肠肿瘤(9.5%)、胆囊肿瘤(6.3%)和肾脏肿瘤(6.3%)。文章末尾的照片展示了一些尸检结果。

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