An international comparison of male and female breast cancer incidence rates.

An international comparison of male and female breast cancer incidence rates.
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DOI:
10.1002/ijc.27841
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发表时间:
2013-04-15
影响因子:
6.4
通讯作者:
Cook, Michael B.
Cook, Michael B.
中科院分区:
医学1区
文献类型:
--
作者:
Ly, Diana;Forman, David;Ferlay, Jacques;Brinton, Louise A.;Cook, Michael B.

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女性乳腺癌发病率的全球国际趋势以前已经有过描述,但没有对男性乳腺癌发病率进行过可比的分析。我们使用五大洲癌症发病率(CI5)获得了男性和女性病例和人口数据。我们计算了年龄调整后的性别特异性发病率和男女发病率比(FMIRRs),并比较了1988-2002年期间的趋势。该分析包括8,681例男性乳腺癌病例和114万例女性乳腺癌病例。以色列男性发病率最高,为每10万人年1.24例;美国女性发病率最高,为每10万人年90.7例。泰国男性(0.16)和女性(18.0)的发病率最低。总的来说,男性乳腺癌的发病率趋势是可变的;少数国家显示出增加的迹象。相比之下,大多数国家的女性发病率一直在上升。1988-2002年各国男性和女性乳腺癌发病率的Pearson相关系数(r)为0.69。男性乳腺癌的发病率一般低于每10万人年1例,而女性乳腺癌的发病率要高得多,总的FMIRR为122。男性和女性之间发病率和时间趋势的差异可能反映了潜在危险因素、发病机制和/或过度诊断的性别差异。相反,男性和女性乳腺癌发病率之间的高度相关性可能表明,两性都有一些共同的乳腺癌风险因素。
Global international trends in female breast cancer incidence have been described previously but no comparable analysis of male breast cancer incidence rates has been conducted. We obtained male and female case and population data using Cancer Incidence in Five Continents (CI5). We calculated age-adjusted sex-specific incidence rates and female-to-male incidence rate ratios (FMIRRs) and compared trends of such for the period 1988–2002. This analysis included 8,681 male breast cancer cases and 1.14 million female breast cancer cases. The highest male incidence rate was observed in Israel at 1.24 per 100,000 man-years, and the highest female incidence rate was observed in the USA at 90.7 per 100,000 woman-years. The lowest incidence rates for males (0.16) and females (18.0) were observed in Thailand. In general, male breast cancer incidence trends were variable; a minority of countries displayed evidence for an increase. In contrast, female incidence rates have been increasing in a majority of countries. The Pearson correlation coefficient (r) for male and female breast cancer incidence rates by country during 1988–2002 was 0.69. Male breast cancer rates were generally less than 1 per 100,000 man-years, in contrast to the much higher rates of female breast cancer, providing for an overall FMIRR of 122. The differences in both incidence rates and time trends between males and females may reflect sex differences in underlying risk factors, pathogenesis, and/or over-diagnosis. Conversely, the high correlation between male and female breast cancer incidences may indicate that both sexes share some common risk factors for breast cancer.
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