Berndt H, Gemperle A, Gemperle I, Hansche G, Hansche R, Lehmann C, Witt K
Arch Geschwulstforsch. 1976;46(6):496-505.
In Berlin, capital of the G.D.R., more than 8,600 cases of bronchial cancer were observed in the period 1955 to 1969 and in 1973/4. Number of cases has increased from one 5-years period to the following period. Incidence of lung cancer in men increased especially in higher age groups whereas in female a rising incidence can be seen in all age groups. Duration of history is no good measure of health behaviour and of diagnostic quality. Distribution of clinical stages gives reliable information on the situation of detection. With rising age, the proportion of advanced stages increases. Stage distribution has not changed during the observation period and no measurable progress towards earlier detection of lung cancer has been achieved. In the same time, proportion of elderly lung cancer patients rose considerably and the chances of radical surgical treatment grew worse. Nevertheless the resection rate has increased. It seems that the quality of specialized surgical care has made some progress. Some conclusions can be drawn for cancer control: Prophylactic examinations are to be concentrated on high risk groups. Patients with suspicion of lung cancer shall be admitted to the specialist without delay. Development of nonsurgical methods of therapy for cancer of the lung is an important goal.
在德意志民主共和国首都柏林，1955年至1969年以及1973/1974年期间观察到超过8600例支气管癌病例。病例数从一个5年期间到下一个期间有所增加。男性肺癌发病率尤其在较高年龄组中上升，而女性在所有年龄组中发病率都在上升。病史长短并非衡量健康行为和诊断质量的良好指标。临床分期分布能提供有关检测情况的可靠信息。随着年龄增长，晚期病例的比例增加。在观察期内分期分布没有变化，在肺癌早期检测方面没有取得可衡量的进展。与此同时，老年肺癌患者的比例大幅上升，根治性手术治疗的机会变差。尽管如此，切除率有所提高。似乎专科手术护理质量取得了一些进展。可以得出一些癌症控制方面的结论：预防性检查应集中在高危人群。疑似肺癌患者应立即转诊至专科医生处。开发肺癌非手术治疗方法是一个重要目标。
