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[Changing pattern and frequency of lung cancer in Mexico]
F Medina-Morales1, M Salazar-Flores
1Instituto Nacional de Enfermedades Respiratorias (INER), Facultad de Medicina, Universidad Nacional Autónoma de México, México.
Objective:
To assess the frequency, histological type and the epidemiological pattern of lung cancer (LC), during a 40 year period, at the National Institute of Respiratory Diseases (INER).
Material And Methods:
This cross-sectional study was conducted in 1999. Data were abstracted from the INER's service reports for 1983-1996 and the surgical pathology archives for 1957-1996. Data from 1961 patients were analyzed, to obtain frequency measures on: the characteristics of INER LC patient admissions, age, sex, histological studies, specimens and diagnoses.
Results:
Between 1983-1996, LC ranked eighth to second place in INER inpatient admissions. Results were grouped by decades. In the first two decades (1957-1976), 9% of patients were female; 32% in the third (1977-1986), and 38% in the last decade (1987-1996). Epidermoid cell carcinoma was more frequent in the two first decades (61%) and adenocarcinoma in the last two, (41% and 62%, respectively.)
Conclusions:
LC is currently more frequent in women, and adenocarcinoma is the most frequent neoplasia.