扩散型胃癌的趋势:关注的是年轻女性
Giovanni Corso1,2, Claudia Santucci3, Federica Toffolutti4
1Division of Breast Surgery, European Institute of Oncology (IEO), IRCCS.
概括
胃癌 (GC) 发病率正在下降,但扩散型正在上升,特别是在年轻女性中. 这种趋势的趋势.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 胃肠病学 胃肠病学
背景情况:
- 胃癌 (GC) 的发病率呈现下降趋势.
- 关于扩散型GC的趋势和比例分布存在不确定性.
- 扩散型GC代表了一个独特的组织学亚型,具有潜在不同的病因因子.
研究的目的:
- 分析胃癌发病率的趋势和扩散型GC的比例分布.
- 调查分散型GC的年龄,性别和时间变化.
- 了解在定义的人口中GC亚型的不断变化的景观.
主要方法:
- 利用了弗里乌利-威尼西亚-朱利亚癌症登记处 (1995-2021) 的数据.
- 对比分散的GC比例,涉及诊断时的年龄,日历年龄和性别.
- 总体和扩散GC的计算年龄标准化发病率.
主要成果:
- 在1995年至2021年期间,分散的GC占所有GC的10.2%.
- 扩散GC的比例在年轻人 (<45岁) 中更高,特别是女性 (34.0%) 与男性 (25.7%) 相比.
- 随着时间的推移,观察到扩散性GC的比例越来越高,特别是在女性中 (9.9%至14.10%),尽管GC发病率总体下降.
结论:
- 扩散性GC的百分比在年轻人群中增加,特别是女性,即使整体GC率下降.
- 年轻女性中扩散型GC比例上升的原因尚不清楚.
- 潜在的解释可能涉及与其他GC基因型相关的风险因素暴露的减少.
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