Elwood J M, Lee J A
Can Med Assoc J. 1974 Apr 20;110(8):913-5.
In Canada the death rate from all primary malignant neoplasms of skin has remained approximately stable since the early 1950s. The rates have fallen in those over age 65 and risen in those aged 45 to 64 and 15 to 44. We have no reason to believe that this is due to a change in certification or to a deterioration in treatment. The rise has been wholly due to a doubling in the death rate from malignant melanoma. This is in agreement with the trend of Canadian incidence data and with the experience of other developed countries. We are of the opinion that this change is largely due to a genuine increase in the incidence of malignant melanoma.
自20世纪50年代初以来,加拿大所有原发性皮肤恶性肿瘤的死亡率一直保持相对稳定。65岁以上人群的死亡率有所下降,而45至64岁以及15至44岁人群的死亡率则有所上升。我们没有理由认为这是由于认证方式的改变或治疗水平的下降所致。死亡率上升完全是由于恶性黑色素瘤死亡率翻了一番。这与加拿大发病率数据的趋势以及其他发达国家的情况相符。我们认为,这一变化主要是由于恶性黑色素瘤发病率的真正上升。