美国青少年妇科恶性肿瘤患者的时间趋势

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY Gynecologic Oncology Reports Pub Date : 2024-07-09 DOI:10.1016/j.gore.2024.101455
Christian Pino , Matthew W. Lee , Zachary S. Anderson , Aaron D. Masjedi , Erin Yu , Katelyn B. Furey , Laila I. Muderspach , Lynda D. Roman , Jason D. Wright , Koji Matsuo
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引用次数: 0

摘要

在这项回顾性队列研究中,对 13,763,447 名患有 16 种不同恶性肿瘤的患者进行了检查,其中包括 1,232,841 名患有五种妇科恶性肿瘤(子宫 [n = 690,590] 、卵巢 [n = 276,812] 、宫颈 [n = 166,779] 和阴道 [n = 17,085] 的患者、从 2004 年到 2020 年,在癌症委员会国家癌症数据库中确认的 16 种不同恶性肿瘤的 1,232,841 名患者(子宫 [n = 690,590] 、卵巢 [n = 276,812] 、宫颈 [n = 166,779] 、外阴 [n = 81,575] 和阴道 [n = 17,085] )中,宫颈癌(25.在 27 个按性别分类的癌症组别(25.3%)中,宫颈癌(25.3%)的青少年和年轻成人(AYA)患者比例最高。在研究期间,有 8 组青少年和青年患者的年发病率在 P < .05 的水平上有统计学增长,其中 7 组(87.5%)为女性恶性肿瘤。在这 7 种女性恶性肿瘤中,结肠直肠癌(4.1%,95% 置信区间为 3.6-4.6)的 AYA 患者年比例增幅最大,其次是卵巢恶性肿瘤(3.1%,95% 置信区间为 2014-2020 年的 1.6-4.5)、胰腺恶性肿瘤(2.1%,95% 置信区间为 2014-2020 年的 1.6-4.5)。1%,95% 置信区间为 1.0-3.2)、子宫(1.2%,95% 置信区间为 0.3-2.0(2013-2020 年))、乳腺(0.8%,95% 置信区间为 0.2-1.4(2012-2020 年))、宫颈(0.8%,95% 置信区间为 0.2-1.5(2011-2020 年))和肾脏(0.4%,95% 置信区间为 0.1-0.9)。总之,这些数据表明,在几种与肥胖有关的女性恶性肿瘤和三种最常见的妇科恶性肿瘤中,青少年患者患癌的比例正在增加。
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Temporal trends of adolescents and young adults (AYA) with gynecologic malignancy in the United States

In this retrospective cohort study examining 13,763,447 patients with 16 different malignancies, including 1,232,841 patients with five gynecologic malignancies (uterus [n = 690,590], ovary [n = 276,812], cervix [n = 166,779], vulva [n = 81,575], and vagina [n = 17,085]), identified in the Commission-on-Cancer’s National Cancer Database from 2004 to 2020, cervical cancer (25.3 %) had the highest rate of adolescent and young adult (AYA) patients among 27 gender-stratified cancer groups (25.3%). There were 8 groups that the annual rates of AYA patients statistically increased during the study period at a P < .05 level, of which 7 (87.5 %) groups were for female malignancies. Among these 7 female malignancies, the annual percentage rate increase in AYA patients was largest for colorectal cancer (4.1 %, 95 % confidence interval 3.6–4.6), followed by malignancies in the ovary (3.1 %, 95 % confidence interval 1.6–4.5 in 2014–2020), pancreas (2.1 %, 95 % confidence interval 1.0–3.2), uterus (1.2 %, 95 % confidence interval 0.3–2.0 in 2013–2020), breast (0.8 %, 95 % confidence interval 0.2–1.4 in 2012–2020), cervix (0.8 %, 95 % confidence interval 0.2–1.5 in 2011–2020), and kidney (0.4 %, 95 % confidence interval 0.1–0.9). In conclusion, these data suggested that proportion of cancers attributable to AYA patients is increasing in several obesity-related female malignancies and in the three most common gynecologic malignancies.

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来源期刊
Gynecologic Oncology Reports
Gynecologic Oncology Reports OBSTETRICS & GYNECOLOGY-
CiteScore
2.00
自引率
0.00%
发文量
183
审稿时长
41 days
期刊介绍: Gynecologic Oncology Reports is an online-only, open access journal devoted to the rapid publication of narrative review articles, survey articles, case reports, case series, letters to the editor regarding previously published manuscripts and other short communications in the field of gynecologic oncology. The journal will consider papers that concern tumors of the female reproductive tract, with originality, quality, and clarity the chief criteria of acceptance.
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