德国儿童和青少年癌症 - 概述
Claudia Spix1, Friederike Erdmann1, Desiree Grabow1
1German Childhood Cancer Registry Division of Childhood Cancer Epidemiology Institute of Medical Biostatistics, Epidemiology and Informatics University Medical Center of the Johannes Gutenberg University Mainz.
Journal of health monitoring
|July 6, 2023
概括
儿童癌症罕见但致命,白血病和淋巴瘤是常见的. 虽然预后比成人更好,但幸存者面临长期影响,遗传因素越来越多地被确定.
科学领域:
- 儿科瘤学 儿科瘤学
- 癌症流行病学癌症流行病学
- 儿童癌症研究儿童癌症研究
背景情况:
- 儿童癌症仅占总癌症病例的一小部分,但是儿童与疾病有关的死亡的主要原因.
- 儿科癌症的诊断模式与成人癌症有很大的不同.
- 德国90%以上的儿童和青少年癌症通过集中协议或临床试验进行管理.
研究的目的:
- 描述德国常见的儿童癌症的发病率和预后.
- 突出关于儿科恶性瘤的关键流行病学数据.
- 讨论儿童癌症幸存者的风险因素和长期结果.
主要方法:
- 自1980年以来,使用了来自德国儿童癌症登记处 (GCCR) 的数据.
- 专注于三个典型的诊断:淋巴细胞白血病 (LL),星细胞瘤和神经母细胞瘤.
- 根据收集的流行病学数据分析发病率和预后.
主要成果:
- 在德国 (年龄在18岁以下) 每年诊断出大约2250种新的儿童癌症.
- 白血病和淋巴瘤占儿童癌症新发病例的近50%,主要是急性形式.
- 与成人癌症相比,儿童癌症的整体预后明显更好.
结论:
- 儿童癌症的外部风险因素缺乏一致的证据;遗传因素越来越被认可.
- 免疫系统和感染被假设在淋巴细胞白血病中发挥作用.
- 至少75%的幸存者经历了密集治疗相关的晚期副作用,在诊断后不久或几十年后出现.
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