恶性肿瘤在乌克兰儿童人口:趋势和结构特征。

A F Shipko, Z P Fedorenko, A Yu Ryzhov
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引用次数: 0

摘要

建立一个包括儿童在内的癌症患者个性化信息的中央银行,可以获得客观数据,并在乌克兰儿童人口中建立持续的癌症监测。本研究的目的是基于第三版国际儿童癌症分类(ICCC-3),分析癌症发病率(1989-2019)和死亡率(1999-2019)的动态变化。材料和方法:研究队列包括1989-2019年在乌克兰人口中登记的31,537例诊断时年龄为0-19岁的患者。结果:儿童恶性肿瘤以白血病、淋巴瘤、中枢神经系统肿瘤、上皮性肿瘤、骨癌和软组织肉瘤为主。除生殖细胞肿瘤和滋养细胞肿瘤、性腺恶性肿瘤以及其他一些恶性上皮肿瘤外,在女性人群中的发病率无性别差异,其比例高出两倍。我们的分析显示白血病、中枢神经系统肿瘤、神经母细胞瘤、滋养细胞肿瘤和上皮恶性肿瘤的发病率呈上升趋势;减少淋巴瘤和骨肿瘤的发病率;肝脏和肾脏恶性肿瘤发生率的稳定。在研究队列中观察到癌症死亡率的动态变化,即男性白血病和淋巴瘤死亡率下降(但女性没有),而中枢神经系统肿瘤、神经母细胞瘤、软组织肉瘤和生殖细胞肿瘤死亡率上升,不分性别。结论:对乌克兰国家癌症登记处所有相关记录中实施ICCC-3分类的儿童恶性肿瘤的流行病学数据进行分析和展示,可以评估乌克兰儿科人口中癌症发病率和死亡率的主要趋势,同时考虑到肿瘤形态、地形、性别和年龄。
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MALIGNANT TUMORS IN PEDIATRIC POPULATION OF UKRAINE: TRENDS AND STRUCTURAL FEATURES.

The creation of a central bank of personalized information of cancer patients, including children, allowed to obtain objective data and establish continuous cancer surveillance in the child population in Ukraine. The aim of the study was to analyze the dynamics of cancer incidence (1989-2019) and mortality (1999-2019) based on the 3rd revision of International Classification of Childhood Cancer (ICCC-3).

Materials and methods: A study cohort includes 31,537 patients aged 0-19 years at the time of diagnosis in 1989-2019, registered in Ukrainian population.

Results: The major groups of malignancies in the child population are presented by leukemia, lymphomas, central nervous system (CNS) tumors, epithelial neoplasms, bone cancer and soft tissues sarcomas. There were observed no gender differences in cancer incidence, except germ cell tumors and trophoblastic tumors, gonadal malignancies, as well as some other malignant epithelial neoplasms, with their proportion being twice higher in the female population. Our analysis showed a trend towards increase in the incidence of leukemia, CNS neoplasms, neuroblastoma, trophoblastic tumors and epithelial malignancies; decrease in the incidence of lymphomas and bone neoplasms; stabilization in the incidence of malignancies of liver and kidneys. The dynamic changes in cancer mortality in the studied cohort were observed, namely, the decrease of mortality from leukemias and lymphomas in males (but not in females), along with the increase of mortality from CNS neoplasms, neuroblastoma, soft tissues sarcomas and germ cell tumors, regardless of gender.

Conclusions: The analysis and presentation of the epidemiological data on children's malignancies implementing ICCC-3 classification for all relevant records in the National Cancer Registry of Ukraine allows for evaluating the major trends of cancer incidence and mortality in Ukrainian pediatric population, taking into account tumor morphology, topography, gender and age.

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来源期刊
Experimental oncology
Experimental oncology Medicine-Oncology
CiteScore
1.40
自引率
0.00%
发文量
49
期刊介绍: The Experimental Oncology is an English-language journal that publishes review articles, original contributions, short communications, case reports and technical advances presenting new data in the field of experimental and fundamental oncology. Manuscripts should be written in English, contain original work, which has not been published or submitted for publication elsewhere. It also implies the transfer of the Copyright from the author to “Experimental Oncology”. No part of journal publications may be reproduced, stored in a retrieval system or transmitted in any form or by any means without the prior permission of the publisher.
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