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Increasing trend in the incidence of cervical cancer among the elderly in Korea: a population-based study from 1993 to 2002

Cited 11 time in Web of Science Cited 11 time in Scopus
Authors
Jo, Hoenil; Jeon, Yong Tark; Hwang, Soon Young; Shin, Hai-Rim; Song, Yong Sang; Kang, Soon Beom; Lee, Hyo Pyo; Kim, Jae Weon
Issue Date
2007-07-27
Publisher
Taylor & Francis
Citation
Acta Oncol. 2007;46(6):852-8.
Keywords
Age FactorsAgedAged, 80 and overEpidemiologic StudiesFemaleGeriatricsHumansIncidenceKorea/epidemiologyMiddle AgedRisk AssessmentUterine Cervical Neoplasms/*epidemiology/pathology/surgery
Abstract
Cancer is primarily a disease of older adults. However, little data is available on the clinical features of cervical cancer in elderly patients. We investigated the trends in incidence and clinical features associated with cervical cancer among the elderly in Korea during the period of 1993-2002. We obtained data from the National Cervical Cancer Incidence Database, which was constructed in collaboration with the Korea Central Cancer Registry (KCCR) and Korea Gynecologic Cancer Registry (KGCR). A total of 44 191 women with cervical cancer were diagnosed between 1993 and 2002. Patients were divided into three groups based on age: /=70 years (Group 3). During this period, upward incidence trends were noted in Group 3 while constant and downward incidence trends were noted in Groups 1 and 2, respectively. Pooled analysis across years revealed that squamous cell carcinoma and advanced stage (IIB, III, and IV) were more common in Group 3 than in Groups 1 and 2. With regard to primary treatments in the elderly patients, surgery appeared to be performed increasingly despite the fact that advanced stage (IIB, III, and IV) was more common in Group 3 than in Groups 1 and 2. Our findings suggest that the incidence of cervical cancer in the elderly is increasing in Korea, while it is decreasing overall. The current health service must emphasize education for the elderly about cervical cancer prevention while concentrating on screening.
ISSN
0284-186X (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17653911

https://hdl.handle.net/10371/29534
DOI
https://doi.org/10.1080/02841860601134493
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College of Medicine/School of Medicine (의과대학/대학원)Program in Cancer Biology (협동과정-종양생물학전공)Journal Papers (저널논문_협동과정-종양생물학전공)
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