a Department of Otorhinolaryngology, Head and Neck Surgery and Audiology , Rigshospitalet, University of Copenhagen , Copenhagen , Denmark.
b Department of Pathology , Rigshospitalet, University of Copenhagen , Copenhagen , Denmark.
Acta Oncol. 2019 Jul;58(7):977-982. doi: 10.1080/0284186X.2019.1572923. Epub 2019 Mar 1.
The purpose of this registry study was to evaluate trends in incidence and survival of laryngeal cancer in the Danish population from 1980 to 2014. This study includes all patients with laryngeal cancer registered in the Danish Cancer Registry (DCR) in the period 1980-2014. The age-adjusted incidence rate (AAIR) per 100,000 and average annual percent change (AAPC) were calculated. We evaluated the relative survival at five years in relation to gender, anatomical location, year at diagnosis, and histological type. Further, an age-period-cohort (APC) model of incidence was constructed. A total of 8748 patients (82% males) were included. The median age at diagnosis was 60 years, range 18-101 years. The AAIR decreased from 3.6 per 100,000 in 1980 to 2.3 per 100,000 in 2014 with an AAPC of -0.8% ( < .008). Considering the anatomic location, we found that glottic cancer had a significantly better survival at five years compared to the other locations. We observed no significant difference in survival for supraglottic, subglottic and larynx unspecified cancer during the observation period. During the period 1980-2014, we found no improvement in five year relative survival. This nation-wide study reports a significant decrease in the incidence of laryngeal cancer. Glottic cancer had a significantly better survival at five years compared to other locations.
本研究旨在评估 1980 至 2014 年丹麦人群喉癌发病率和生存率的变化趋势。本研究包括在 1980 至 2014 年间登记在丹麦癌症登记处(DCR)的所有喉癌患者。计算了每 100,000 人年龄调整发病率(AAIR)和平均年百分比变化(AAPC)。我们评估了与性别、解剖部位、诊断年份和组织学类型相关的 5 年相对生存率。此外,还构建了发病的年龄-时期-队列(APC)模型。共纳入 8748 例患者(82%为男性)。诊断时的中位年龄为 60 岁,范围为 18-101 岁。AAIR 从 1980 年的 3.6/100,000 降至 2014 年的 2.3/100,000,AAPC 为-0.8%(<0.008)。考虑解剖部位,我们发现与其他部位相比,声门型癌症的 5 年生存率显著提高。在观察期间,我们未发现声门上型、声门下型和未特指部位的喉癌生存率有显著差异。1980 至 2014 年期间,5 年相对生存率无改善。这项全国性研究报告了喉癌发病率的显著下降。与其他部位相比,声门型癌症的 5 年生存率显著提高。