Incidence and survival of squamous cell carcinoma of the tongue in Scandinavia, with special reference to young adults
Incidence and survival of squamous cell carcinoma of the tongue in Scandinavia, with special reference to young adults
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DOI：
10.1002/ijc.10577
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发表时间：
2002-09-01
影响因子：
6.4
通讯作者：
Wennerberg, J
中科院分区：
文献类型：
--
作者：
Annertz, K;Anderson, H;Wennerberg, J
在一些国家，在过去的几十年里，年轻人的舌头鳞状细胞癌（SCC）的发病率有所增加。一些报告表明，与老年患者相比，年轻患者的存活率较低。在其他报告中，在比较年轻成人和老年患者时，没有任何显著的生存差异，然而一些作者表明年轻成人的生存更好。这种疾病在年轻人中很少见，早期的报道是基于比较小的数量和选定的患者。我们的目的是首先进行一项基于人群的研究，以确定是否可以在包括斯堪的纳维亚国家丹麦、芬兰、瑞典和挪威在内的更大人群中验证舌头鳞状细胞癌发病率增加。第二个目的是确定年轻人与老年患者的存活率。该材料基于斯堪的纳维亚癌症登记处的年度癌症发病率和生存报告。研究期间为1960年至1994年，在此期间，报告了5024例舌头SCCs。其中，276人（5.5%）是年轻人（20-39岁）。除了65-79岁的女性外，所有年龄段的发病率都有所增加。这一增长在年轻人中最为明显：按10万人年计算，男性为0.06-0.32，女性为0.03-0.19。与老年患者相比，年轻人的相对生存率明显更好。(C) 2002 Wiley-Liss, Inc。
In several countries, increased incidence of squamous cell carcinoma (SCC) of the tongue in young adults, has been suspected during the last decades. Some reports indicate a lower survival rate for young patients compared to older patients. In other reports, there has not been any considerable difference in survival when comparing young adults to older patients, whereas some authors have shown better survival for young adults. This disease is rare in young adults, and early reports were based on comparable small numbers and selected patients. Our aim was first to perform a population-based study to determine if an increased incidence in SCC of the tongue could be verified in a larger population comprising the Scandinavian countries Denmark, Finland, Sweden and Norway. A second aim was to determine survival rates for young adults compared to older patients. The material was based on the annual cancer incidence and survival reports from the Scandinavian cancer registries. The study period was 1960-1994, During that period, 5,024 SCCs of the tongue were reported. Of these, 276 (5.5%) were young adults (20-39 years). The incidence increased at all ages except for women 65-79 years old. The increase was most pronounced in young adults: 0.06-0.32 for men and 0.03-0.19 for women, counted by 100,000 person-years. Relative survival was significantly better for young adults compared to older patients. (C) 2002 Wiley-Liss, Inc.