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Time trends in the incidence of cervical and other genital squamous cell carcinomas and adenocarcinomas in Sweden, 1958-1996

Hemminki, Kari LU ; Li, Xinjun LU and Vaittinen, Pauli (2002) In European Journal of Obstetrics, Gynecology, and Reproductive Biology 101(1). p.9-64
Abstract

OBJECTIVES: We wanted to examine reasons for the different incidence trends for cervical squamous cell carcinoma (SCC, declining) and adenocarcinoma (increasing).

METHODS: The Swedish Family-Cancer Database on 9.6 million individuals was used to derive incidence trends between 1958 and 1996. Cervical cancers were compared to vaginal and vulvar cancers.

RESULTS: A total of 15405 invasive cervical SCCs and 1920 adenocarcinomas were identified. The incidence of SCCs decreased and that of adenocarcinoma increased during the study period, with similar trends among the in situ forms. The incidence of in situ vaginal and vulvar SCC increase 22-fold, whereas, invasive SCC and adenocarcinoma remained unchanged. The age-incidence... (More)

OBJECTIVES: We wanted to examine reasons for the different incidence trends for cervical squamous cell carcinoma (SCC, declining) and adenocarcinoma (increasing).

METHODS: The Swedish Family-Cancer Database on 9.6 million individuals was used to derive incidence trends between 1958 and 1996. Cervical cancers were compared to vaginal and vulvar cancers.

RESULTS: A total of 15405 invasive cervical SCCs and 1920 adenocarcinomas were identified. The incidence of SCCs decreased and that of adenocarcinoma increased during the study period, with similar trends among the in situ forms. The incidence of in situ vaginal and vulvar SCC increase 22-fold, whereas, invasive SCC and adenocarcinoma remained unchanged. The age-incidence curves for adenocarcinoma resembled those for SCC before screening, suggesting similar clinical course.

CONCLUSIONS: The data suggest that the increase in the incidence of adenocarcinoma is related to an increasing prevalence of human papilloma virus (HPV) infection in female genitals, perhaps in addition to other factors. The increase is not seen in SCC because of effective screening.

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author
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publication status
published
subject
keywords
Adenocarcinoma/epidemiology, Adult, Age Factors, Aged, Carcinoma, Squamous Cell/epidemiology, Female, Genital Neoplasms, Female/epidemiology, Humans, Middle Aged, Sweden/epidemiology, Uterine Cervical Neoplasms/epidemiology, Vaginal Neoplasms/epidemiology, Vulvar Neoplasms/epidemiology
in
European Journal of Obstetrics, Gynecology, and Reproductive Biology
volume
101
issue
1
pages
9 - 64
publisher
Elsevier
external identifiers
  • scopus:0037050758
ISSN
0301-2115
DOI
10.1016/S0301-2115(01)00508-5
language
English
LU publication?
no
id
0bdb2689-759c-4185-b4f5-b7e7a1a2a11c
date added to LUP
2019-01-30 12:00:57
date last changed
2019-04-23 04:45:19
@article{0bdb2689-759c-4185-b4f5-b7e7a1a2a11c,
  abstract     = {<p>OBJECTIVES: We wanted to examine reasons for the different incidence trends for cervical squamous cell carcinoma (SCC, declining) and adenocarcinoma (increasing).</p><p>METHODS: The Swedish Family-Cancer Database on 9.6 million individuals was used to derive incidence trends between 1958 and 1996. Cervical cancers were compared to vaginal and vulvar cancers.</p><p>RESULTS: A total of 15405 invasive cervical SCCs and 1920 adenocarcinomas were identified. The incidence of SCCs decreased and that of adenocarcinoma increased during the study period, with similar trends among the in situ forms. The incidence of in situ vaginal and vulvar SCC increase 22-fold, whereas, invasive SCC and adenocarcinoma remained unchanged. The age-incidence curves for adenocarcinoma resembled those for SCC before screening, suggesting similar clinical course.</p><p>CONCLUSIONS: The data suggest that the increase in the incidence of adenocarcinoma is related to an increasing prevalence of human papilloma virus (HPV) infection in female genitals, perhaps in addition to other factors. The increase is not seen in SCC because of effective screening.</p>},
  author       = {Hemminki, Kari and Li, Xinjun and Vaittinen, Pauli},
  issn         = {0301-2115},
  keyword      = {Adenocarcinoma/epidemiology,Adult,Age Factors,Aged,Carcinoma, Squamous Cell/epidemiology,Female,Genital Neoplasms, Female/epidemiology,Humans,Middle Aged,Sweden/epidemiology,Uterine Cervical Neoplasms/epidemiology,Vaginal Neoplasms/epidemiology,Vulvar Neoplasms/epidemiology},
  language     = {eng},
  month        = {02},
  number       = {1},
  pages        = {9--64},
  publisher    = {Elsevier},
  series       = {European Journal of Obstetrics, Gynecology, and Reproductive Biology},
  title        = {Time trends in the incidence of cervical and other genital squamous cell carcinomas and adenocarcinomas in Sweden, 1958-1996},
  url          = {http://dx.doi.org/10.1016/S0301-2115(01)00508-5},
  volume       = {101},
  year         = {2002},
}