Increased Incidence of Early Onset Colorectal Cancer in Arizona: A Comprehensive 15-year Analysis of the Arizona Cancer Registry.

Hassan Aziz, Viraj Pandit, Ryan M DiGiovanni, Eric Ohlson, Angelika C Gruessner, Jana Jandova, Valentine N Nfonsam
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引用次数: 11

Abstract

Introduction: The aim of this study was to investigate and analyze the incidence of early-onset colorectal cancer in Arizona, using the Arizona Cancer Registry.

Methods: We performed a retrospective analysis of patients with colorectal cancer reported in the Arizona Cancer Registry from 1995-2010. Outcome measure: incidence of CRC in patients younger than 50 years.

Results: 39,623 cases of colorectal cancer were reported to the Arizona Cancer Registry during a period of 15 years. Overall, there was a 17% decrease in the incidence of CRC. However, there was a 23% increase in incidence among patients in the age group 10-50. During the same time period, 15% and 41% increase in the incidence of colon and rectal cancer was observed, respectively. The most significant increase (102%) in overall CRC incidence was seen in the age group 10-29. The highest increase (110%) in incidence of colon cancer was observed in the same age group, while the most significant increase in incidence rates (225%) of rectal cancer was seen in the age group 30-34.

Conclusion: Although there is an overall decrease in incidence of colorectal cancer in Arizona, alarming increase in incidence of early-onset CRC was observed; mirroring the national trends.

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亚利桑那州早发性结直肠癌发病率增加:对亚利桑那州癌症登记的15年综合分析
本研究的目的是调查和分析亚利桑那州早发性结直肠癌的发病率,使用亚利桑那州癌症登记处。方法:我们对1995-2010年亚利桑那州癌症登记处报告的结直肠癌患者进行了回顾性分析。结局指标:年龄小于50岁的患者中CRC的发生率。结果:15年间,亚利桑那州癌症登记处报告了39,623例结直肠癌病例。总体而言,结直肠癌的发病率降低了17%。然而,在10-50岁年龄组的患者中发病率增加了23%。在同一时期,结肠癌和直肠癌的发病率分别增加了15%和41%。10-29岁年龄组CRC总发病率增幅最大(102%)。同一年龄组的结肠癌发病率增幅最大(110%),而30-34岁年龄组的直肠癌发病率增幅最大(225%)。结论:虽然亚利桑那州的结直肠癌发病率总体下降,但早发性CRC的发病率却出现了惊人的上升;反映国家趋势。
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