Incidence of small bowel cancer in the United States and worldwide: geographic, temporal, and racial differences

Incidence of small bowel cancer in the United States and worldwide: geographic, temporal, and racial differences
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DOI:
10.1007/s10552-005-3635-6
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发表时间:
2005-09-01
影响因子:
2.3
通讯作者:
Lilienfeld, DE
Lilienfeld, DE
中科院分区:
医学4区
文献类型:
--
作者:
Haselkorn, T;Whittemore, AS;Lilienfeld, DE

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目的:研究的人口统计学和地理模式的小肠癌发病率在美国和worldwide.Methods:发病率数据的监测,流行病学,和最终结果(SEER)程序之间的1973年至2000年被用来分析四种组织学类型的小肠癌,腺癌,类癌肿瘤,淋巴瘤和肉瘤。国际比较使用五大洲癌症发病率(CIVIII)的数据进行。小肠和大肠癌和胃癌发病率之间的地理相关性,performed.Results:男性的所有类型的小肠癌的发病率高于女性。与白人相比,黑人的癌症和类癌的发病率几乎是白人的两倍(每百万人中分别为10.6对5.6;每百万人中分别为9.2对5.4)。小肠癌的发病率有所上升,其中类癌(21%)和黑人男性(120%)的发病率增幅最大。小肠癌和大肠癌发病率之间的地理相关性,但不是小肠癌和胃癌,observed.Conclusions:在美国的小肠癌发病率是较高的黑人相比,白人,特别是癌和类癌肿瘤。小肠癌的发病率正在上升,特别是在黑人男性中。大肠癌和小肠癌之间的地理相关性表明有共同的病因。
Objective: To examine the demographic and geographic patterns of small bowel cancer incidence in the United States and worldwide.Methods: Incidence data from the Surveillance, Epidemiology, and End Results (SEER) program between 1973 to 2000 were used to analyze the four histologic types of small bowel cancer, adenocarcinomas, carcinoid tumors, lymphomas, and sarcomas. International comparisons were made using data from Cancer Incidence in Five Continents (CIVIII). Geographic correlations between small bowel and both large bowel and stomach cancer incidence, were performed.Results: Men had higher rates than women for all types of small bowel cancer. Blacks had almost double the incidence of carcinomas and carcinoid tumors compared to whites (10.6 vs. 5.6 per million people; 9.2 vs. 5.4 per million people, respectively). Small bowel cancer incidence has risen, with the greatest increase for carcinoid tumors (21%) and black men (120%). A geographic correlation between small and large bowel cancer incidence, but not small bowel and stomach cancer, were observed.Conclusions: Small bowel cancer incidence in the U.S. is higher in blacks compared to whites, particularly for carcinomas and carcinoid tumors. Small bowel cancer incidence is rising, particularly in black men. The geographic correlation between large and small bowel cancer suggests shared etiologies.