Adenocarcinoma of the Lung

نویسندگان

  • Appasaheb R. Patel
  • Iris Obrams
  • Susan Devesa
  • William Travis
چکیده

Time Trends in Lung Cancer Incidence Susan Devesa (National Cancer Institute) presented lung cancer incidence data for the period 1969-i986 for five geographic areas (Atlanta, GA; Connecticut; Detroit, Ml; Iowa; San Francisco, CA; and Oakland, CA) covering 7% of the United States population. Overall, the rate of lung cancer increased 3%/year from 38.6 to 58.4/1 00,000 personyears during this period. The mate of lung cancer was highest among black men, followed by white men, while mates among women were considerably lower. Among men, squamous cell carcinoma was the most frequent cell type, followed by adenocancinoma and small cell carcinoma. Among women, however, adenocancinoma was the most frequent cell type. On the basis of SEER data for the period 1 983-i 987, for both sexes and all races combined, adenocarcinoma accounted for 31.5% of all lung carcinomas with a rate of 1 6.7/1 00,000 person-years, exceeding that of 1 5.3 for squamous cell carcinoma. Cohorts at highest risk for adenocancinoma were born somewhat later than those at highest risk for squamous cell carcinoma. Women at highest risk were born later than men at highest risk for both cell types. Adenocancinoma was the most frequent type of lung carcinoma among black men under age 50, white men under age 60, black women under age 65, and white women of all ages. The ratio of adenocancinoma to squamous cell carcinoma has been steadily increasing; in white males, this ratio was 1 :2.3 from 1 969 to 1 971 but 1 :1 .4 from 1 984 to 1 986. These data suggest that exposure and mechanisms may vary by histological type.

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تاریخ انتشار 2005