Department of Thoracic Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, China.
Department of Oncology, Suining Central Hospital, Suining, China.
Thorac Cancer. 2018 May;9(5):532-541. doi: 10.1111/1759-7714.12601. Epub 2018 Mar 5.
In recent years, lung cancer incidence has been increasing; however the impact of different histological types of lung cancer is not yet clear.
Trends in the lung cancer incidence rate by histological type were examined based on data of 36 658 primary lung cancer patients from West China Hospital between 1995 and 2015.
The most common histological type of lung cancer in our hospital was adenocarcinoma (ADC) in both genders, followed by squamous cell carcinoma (SQCC), and small cell carcinoma (SCLC), which is consistent with general worldwide trends. The proportion of young patients with SCLC showed a downward trend. In the overall population with lung cancer, the number of elderly patients with lung cancer increased significantly, while the proportion of elderly patients increased gradually. The mean age at diagnosis also increased. The number of women with ADC increased sharply in recent years, especially in young patients, and the incidence rate in women is now greater than in men.
Significant increases in the number of patients with ADC and the rate of lung cancer in women over recent years were observed, indicating that research on the pathogenesis of disease in these patients is urgent.
近年来,肺癌发病率呈上升趋势,但不同组织学类型肺癌的影响尚不清楚。
根据 1995 年至 2015 年我院 36658 例原发性肺癌患者的数据,观察不同组织学类型肺癌的发病率趋势。
我院肺癌最常见的组织学类型为男女两性均为腺癌(ADC),其次为鳞状细胞癌(SQCC)和小细胞癌(SCLC),这与全球普遍趋势一致。青年 SCLC 患者的比例呈下降趋势。在肺癌整体人群中,老年肺癌患者数量显著增加,而老年患者的比例逐渐增加。诊断时的平均年龄也有所增加。近年来,女性 ADC 患者数量急剧增加,尤其是年轻患者,女性的发病率现在高于男性。
近年来观察到 ADC 患者数量和女性肺癌发病率显著增加,表明迫切需要研究这些患者疾病的发病机制。