epidemiology of cancer in the county of vâlcea between 2003-2007
DESCRIPTION
Personal work - medical study in OncologyTRANSCRIPT
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EPIDEMIOLOGY OF CANCER IN THE COUNTY OF VLCEA BETWEEN 2003-2007AUTHOR: CRISTINA MUNTEAN
SCIENTIFIC COORDINATOR: ASSIST. PROF. DR. ANDA CRISAN
COAUTHORS: ADRIAN DOBRICEANU, CRISTIAN NINULESCU, MIHNEA IOAN IONESCU
UNIVERSITY OF MEDICINE AND PHARMACY OF CRAIOVA, ROMANIA
- Neoplasic disease = a national and international public health
problem
WHO malignant disease 12,5% of the deaths in the entire world
(more than the combined mortality of AIDS, tuberculosis and malaria)
84 million persons will be diagnosed with cancer in the next 10 years worldwide
Romania: the cancer incidence is increasing
2000 - 43941 new cases
2001 - 57863 new cases
2002 - 58251 new cases
An estimated increase of approximately 2000 new cases/ year will occur in the following years
(40477 new cases diagnosed in 1994 68317 in 2011)
INTRODUCTION
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INTRODUCTION
The most frequent localisations of neoplasias :
-lung (bronchopulmonary) cancer
-breast cancer
-gastric and colorectal cancer
-uterine cervix cancer
-prostate cancer
-ENT cancers
YEARNEW CASES/YEAR200394820041013200510052006101720071039 -
TYPE OF MALIGNANCYNEW CASESBRONCHOPULMONARY128BREAST103UTERINE CERVIX80COLORECTAL 74GASTRIC73ENT43PROSTATE40OTHER407TOTAL948
INCIDENCE AND PERCENTAGE OF THE FREQUENT LOCALISATIONS OF MALIGNANCIES -
INCIDENCE AND PERCENTAGE OF THE FREQUENT LOCALISATIONS OF MALIGNANCIES
INCIDENCE OF MALIGNANCYLUNGGASTRICCRBREASTCERVIXENTPROSTATEOTHERTOTAL2004166111100747455433901013200513994120926857363991005 -
INCIDENCE AND PERCENTAGE OF THE FREQUENT LOCALISATIONS OF MALIGNANCIES
INCIDENCE OF MALIGNANCYLUNGCRBREASTGASTRICENTUTERINE CERVIXPROSTATEOTHERTOTAL200614312788807053424141017200715412399777461593921039 -
EPIDEMIOLOGY OF BRONCHOPULMONARY NEOPLASIA
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EPIDEMIOLOGY OF BRONCHOPULMONARY NEOPLASIA
SOCIAL BACKGROUND: PREDOMINANTLY RURAL AREAS
MORE FREQUENT>50 YEARS OF AGE
BP10-1920-2930-3940-4950-5960-69>7020031 ( 0,78%)7 (5,46%)35 (27,34%)41 (32,03%)44 (34,37%)20042 (1,20%)16 (9,63%)33 (19,87%)66 (39,75%)49 (29,51%)20051 (0,71%)16 (11,51%)35 (25,17%)48 (34,53%)39 (28,05%)20061(0,69%)1 (0,69%)13 (9,09%)46 (32,16%)43 (30,06%)39 (27,27%)20072 (1,29%)6 (3,89%)8 (5,19%)43 (27,92%)54 (35,06%)41 (26,62%)YEARRural background200357%200458,4%200556,48%200663,79%200761,11% -
EPIDEMIOLOGY OF GASTROINTESTINAL TRACT
SINCE 2004 DECREASE OF THE GASTRIC NEOPLASM INCIDENCE INCREASE IN THE INCIDENCE OF THE COLORECTAL NEOPLASM
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Gastric neoplasm in males
Colorectal cancer:
slightly equal incidence
in males and females
EPIDEMIOLOGY OF THE GASTROINTESTINAL TRACT CANCERS
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EPIDEMIOLOGY OF GASTROINTESTINAL TRACT CANCERS
GASTRIC CANCER :
IN PATIENTS FROM
RURAL AREAS
COLORECTAL NEOPLASM:
SMALL DIFFERENCE
BETWEEN URBAN AND RURAL
AREAS
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EPIDEMIOLOGIY OF GASTROINTESTINAL TRACT NEOPLASIAS
THE AGE OF REPORTING A GASTRIC
AND COLORECTAL CANCER IS FREQUENTLY OVER 60 YEARS
COLORECTAL10-1920-29YEARS30-39YEARS40-49YEARS50-59YEARS60-69YEARS>70YEARS20035 (6,75 %)15 (20,27%)17 (23%)37 (50%)20043 (3%)9 ( 9% )14 (14%)35 (35%)39 (39%)20051(0,83%)5 (4,16%)6 (5%)16 (13,33%)42 (35%)50 (41,66%)20065(3,93%)6 (4,72%)17(13,38% )43 (33,85%)56 ( 44,09% )20075 (4,06%)7 (5,69%)30 (24,39%)37 (30,087%)44 (35,77%)Gastric10-1920-29YEARS30-39YEARS40-49YEARS50-59YEARS60-69YEARS>70YEARS20031 (1,36%)4 (5,47 %)9 (12,32%)27 (36,98%)32 (43,83%)20041 (0,90%)1 (0,90%)4 ( 3,60% )17 (15,31%)38 (34,23%)50 (45,04%)20051(1,06%)2 (2,12%)2 (2,12%)13 (13,82%)25 (26,60%)51 (54,25%)20061 (1,25%)1 (1,25%)14 (17,5% )32 (40% )32 ( 40% )20073 (3,90%)4 (5,19%)19 (11,68%)20 (25,97%)41 (53,24%) -
EPIDEMIOLOGY OF GENITAL CANCERS IN WOMEN
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EPIDEMIOLOGY OF GENITAL CANCER IN WOMEN
BREAST CANCER IN URBAN AREAS
UTERINE CERVIX CANCER IN RURAL AREAS
YEAR2003200420052006200755,33%55,4%59,78%59,09%65,65%YEAR2003200420052006200750%51,35%50%62,26%60,65% -
EPIDEMIOLOGY OF GENITAL NEOPLASIAS IN WOMEN
Age of reporting breast cancer is frequently over 50 years
Most uterine cervix cancers are reported at ages ranging from 40-59 years
Breast cancer10-1920-29years30-39years40-49years50-59years60-69years>70years20031(0,97%)5 (4,85%)25 (24,27 %)25 ( 24,27%)17 (16,50%)30 (29,12%)20046 (8,1%)8 (10,8% )19 (25,67%)17 (22,97%)24 (32,43%)20051 (1,08%)2 (2,17%)18 (19,56%)25 (27,17%)24(26,08%)22 (23,91%)20068(9,09%)13 (14,77%)25 (28,40% )19(21,59% )23 (26,13% )20079 (9,09%)14 (14,14%)21 (21,21%)28 (28,28%)27 (27,27%)Cervix 10-1920-29ani30-39ani40-49ani50-59ani60-69ani>70ani20034 (5%)11 (13,75%)20 (25 %)16 (20%)13 (16,25%)16 (20%)20047 (9,45%)22 (29,72% )18 (24,32%)13 (17,56%)14(18,91%)20051(1,47%)2(2,94%)5 (7,35%)18 (26,47%)20 (29,41%)11 (16,17%)11(16,17%)20065(9,43%)15 (28,30)21 (39,62% )7 (13,20% )5( 9,43% )20071 (1,67%)18 (29,50%)17 (27,86%)14 (22,95%)11(18,03%) -
EPIDEMIOLOGY OF ENT CANCERS
Incidence is rising
Predominantly in males
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PREDOMINANTLY IN
PATIENTS
FROM RURAL AREAS
Most frequent in patients
aged 50-69 years
EPIDEMIOLOGY OF THE ENT CANCERS
ENT cancers10-1920-29years30-39years40-49years50-59years60-69years>70years20032 (4,65%)3 (6,97 %)14 ( 32,55%)13 (30,23%)11 (25,58%)20041(1,81%)13(23,63% )9 (16,36%)22 (40%)10 (18,18%)20058 (14%)14 (47,60%)23 (40,40%)12 (21%)20061 (1,42%)2(2,86%)12 (17,14%)19 (27,14% )23(32,85% )13 (18,60% )20072 (2,70%)9 (12,16%)26 (35,13%)20 (27%)17 (23%) -
EPIDEMIOLOGY OF PROSTATE CANCER
Absent < 50 years of age
Predominant in patients over 60 years old
Social background: predominantly rural
Prostate cancer50-59years60-69years>70years20032(5%)1(2,5%)28 (70%)20042(4,65%)7 (16,27)33 (76,74%)20052 (5,55%)19 (52,77%)14 (38,88%)200616(38,09% )23 (54,76% )20073 (5,08%)18 (30,50%)38 (64,40%)YearRural200355%200458,13%200555,55%200652,38%200759,32% -
DEATHS DUE TO CANCER BETWEEN 2003-2007
YEARLungGastricCRBreastENTCervixProstateOtherTotal200312117,38%8912,78%588,33%476,75%365,17%294,16%233,30%29342,09%696200413021,66%10217%579,5%396,5%427%294,83%233,83%17829,66%600200514318,33%9211,79%779,87%395%354,48%273,46%253,20%34243,84%780200612315,12%718,73%718,73%445,41%415,04%303,69%242,95%40950,30%813200712412,02%716,88%595,72%393,78%393,78%302,90%282,71%63561,59%1031 -
CONCLUSIONS
Incidence increasing during 2003-2007 for most of the studied localisations of the malignancy, except gastric cancer, which is decreasing since 2004
Social background predominantly rural
(except breast cancer predominantly urban)
Localisations of cancers that can affect both males and females
males were predominantly affected, except colorectal cancer, more frequent in females in 2003
Can affect patients of any age predominantly patients over 50 years old
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EPIDEMIOLOGY OF CANCER IN THE COUNTY OF VLCEA BETWEEN 2003-2007
20032004200520062007
Incidence of Neoplasias in 2003
Other
42.93%
BP
13.50%
Breast
10.86%
Uterine cervix
8.43%
CR
7.80%
Gastric
7.70%
Prostate
4.21%
ENT
4.53%
Incidence of Neoplasias in 2005
ENT
5.67%
Prostate
3.58%
Uterine cervix
6.76%
Breast
9.15%
Gastric
9.35%
CR
11.94%
BP
13.83%
Other
39.70%
Incidence of Neoplasias in 2006
Uterine Cervix
5.21%
Prostate
4.12%
ENT
6.88%
Gastric
7.86%
Breast
8.65%
CR
12.48%
BP
14.06%
Other
40.70%
Incidence of Neoplasiasin 2007
Other
37.72%
BP
14.82%
CR
11.83%
Breast
9.52%
Gastric
7.41%
ENT
7.12%
Prostate
5.67%
Uterine cervix
5.87%
83,6%
16,4%
68,08%
31,92%
77,70%
22,3%
81,12%
18,88%
81,81%
18,19%
0
20
40
60
80
100
20032004200520062007
INCIDENCE OF LUNG CANCER DEPENDING ON SEX
BETWEEN 2003-2007
MEN
WOMEN
2003
2004
2005
2006
2007
128
166
139
143
154
INCIDENCE OF LUNG CANCER BETWEEN 2003-
2007
2003
2004
2005
2006
2007
73
111
94
80
77
74
100
120
127
123
INCIDENCE OF THE GASTRIC AND COLORECTAL
CANCER BETWEEN 2003-2007
COLORECTAL CANCER
GASTRIC CANCER
47,3
52,7
56
44
53,33
46,66
55,12
44,88
52,84
47,16
0,00%
10,00%
20,00%
30,00%
40,00%
50,00%
60,00%
70,00%
80,00%
90,00%
100,00%
20032004200520062007
Sex distribution of colorectal cancer between
2003-2007
males
females
63,02
36,98
62,16
37,84
60,63
39,36
68,75
31,25
58,44
41,55
0,00%
10,00%
20,00%
30,00%
40,00%
50,00%
60,00%
70,00%
80,00%
90,00%
100,00%
20032004200520062007
Sex distribution of gastric cancer between 2003-2007
males
females
SOCIAL BACKGROUND OF PATIENTS WITH
COLORECTAL CANCER DURING 2003-2007
55,40%
50,00%
40,00%
51%
44,60%
50,00%
60,00%
49%
44,72%
55,28%
2003
2004
2005
2006
2007
urban
rural
SOCIAL BACKGROUND OF PATIENTS WITH
GASTRIC CANCER DURING 2003-2007
65,76%
59,46%
57,45%
73%
68,84%
34,24%
40,54%
42,55%
27%
34,16%
2003
2004
2005
2006
2007
urban
rural
BREAST CANCER INCIDENCE BETWEEN 2003-
2007
99
88
92
103
74
20032004200520062007
UTERINE CERVIX CANCER
INCIDENCE BETWEEN 2003-2007
61
53
68
80
74
20032004200520062007
74
70
57
43
55
20032004200520062007
86%
14%
92,73%
7,27%
82,45%
17,55%
94,28%
5,71%
87,83%
12,17%
0
20
40
60
80
100
20032004200520062007
Sex distribution of ENT cancers between 2003-2007
males
females
65,11%
34,89%
52,72%
47,28%
61,40%
38,60%
52,86%
47,14%
58,1%
41,89%
0
10
20
30
40
50
60
70
20032004200520062007
Incidence of ENT cancers depending on the social background
rural
urban
59
42
36
40
43
20032004200520062007
Incidence of Neoplasias in 2004
ENT
5.42%
Prostate
4.24%
Uterine Cervix
7.30%
Breastr
7.30%
CR
9.87%
Gastric
10.95%
BP
16.38%
Other 38.50%