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[Ovarian cancer].

S Sagae1, M Mori

  • 1Department of Obstetrics & Gynecology, Sapporo Medical University School of Medicine, South 1, West 17, Chuo-ku, Sapporo 060-8556, Japan.

Gan to Kagaku Ryoho. Cancer & Chemotherapy
|March 13, 2001
PubMed
Summary
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Ovarian cancer mortality is rising in Japan, contrasting with declining rates in North America and Europe. Incidence is increasing in France, Spain, and Japan, highlighting a concerning trend.

Area of Science:

  • Gynecology
  • Epidemiology
  • Oncology

Context:

  • Ovarian cancer mortality rates have seen a consistent annual increase in Japan between 1968 and 1995.
  • While North America and Northern Europe show decreasing incidence rates, France, Spain, and Japan are experiencing a rise in ovarian cancer cases.
  • This epidemiological shift necessitates a closer examination of contributing factors and regional variations.

Purpose:

  • To analyze the trends in ovarian cancer mortality and incidence in Japan.
  • To compare these trends with international patterns, particularly in North America, Northern Europe, France, and Spain.
  • To identify established risk and preventive factors for epithelial ovarian cancer.

Summary:

  • Age-adjusted ovarian cancer deaths and mortality rates in Japan increased significantly from 1968 to 1995, with a fourfold rise in absolute deaths.

Related Experiment Videos

  • Internationally, while mortality rates remain high in North America and Northern Europe, their incidences have declined; conversely, incidences are increasing in France, Spain, and Japan.
  • Key risk factors for epithelial ovarian cancer include older age, Northern European/North American ethnicity, family history, nulliparity, infertility, and obesity. Preventive factors include oral contraceptive use, gravidity, lactation, tubal ligation, and hysterectomy.

    • Impact:

    • Highlights a critical public health concern regarding rising ovarian cancer trends in Japan and other specific regions.
    • Provides a basis for further research into the unique epidemiological drivers of ovarian cancer in these populations.
    • Informs potential public health interventions and clinical management strategies by reiterating known risk and protective factors.