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Uterine cervix cancer treatment at Radiumhemmet: 90 years' experience. Time trends of age, stage, and histopathology distribution.

Hellman K, Hellström AC, Pettersson BF - Cancer Med (2014)

Bottom Line: Since the introduction of screening programs for cervical cancer (CC) the incidence has decreased and CC is discovered at an earlier stage.A reduction in squamous cell carcinoma (SCC) cases and a sixfold increase in the proportion of adenocarcinoma (AC) cases were observed.The changes in the distribution by age, stage, and histopathology during this 90-year period are probably associated with: improved social conditions and increased access to health care, the introduction of screening programs for CC in the 1960s, and a change in the risk factors for CC (changed sexual behavior, introduction of contraceptive pills, and changed smoking habits).

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecological Oncology, Radiumhemmet, Solna, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

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Distribution of stage by year of treatment of 18,472 cases of carcinoma of the uterine cervix treated at Radiumhemmet.
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fig05: Distribution of stage by year of treatment of 18,472 cases of carcinoma of the uterine cervix treated at Radiumhemmet.

Mentions: The stage distribution shows a continuous shift toward earlier stages at diagnosis during the study period (Fig. 5). Starting as early as 1940, the percentage of stage I cases increased and this has been even more pronounced since 1960. The percentage of cases in stages III and IV decreased in 1930, but after 1960 the drop has leveled out. Stage II cases increased from 1920 to 1959 and thereafter decreased.


Uterine cervix cancer treatment at Radiumhemmet: 90 years' experience. Time trends of age, stage, and histopathology distribution.

Hellman K, Hellström AC, Pettersson BF - Cancer Med (2014)

Distribution of stage by year of treatment of 18,472 cases of carcinoma of the uterine cervix treated at Radiumhemmet.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3987078&req=5

fig05: Distribution of stage by year of treatment of 18,472 cases of carcinoma of the uterine cervix treated at Radiumhemmet.
Mentions: The stage distribution shows a continuous shift toward earlier stages at diagnosis during the study period (Fig. 5). Starting as early as 1940, the percentage of stage I cases increased and this has been even more pronounced since 1960. The percentage of cases in stages III and IV decreased in 1930, but after 1960 the drop has leveled out. Stage II cases increased from 1920 to 1959 and thereafter decreased.

Bottom Line: Since the introduction of screening programs for cervical cancer (CC) the incidence has decreased and CC is discovered at an earlier stage.A reduction in squamous cell carcinoma (SCC) cases and a sixfold increase in the proportion of adenocarcinoma (AC) cases were observed.The changes in the distribution by age, stage, and histopathology during this 90-year period are probably associated with: improved social conditions and increased access to health care, the introduction of screening programs for CC in the 1960s, and a change in the risk factors for CC (changed sexual behavior, introduction of contraceptive pills, and changed smoking habits).

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecological Oncology, Radiumhemmet, Solna, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

Show MeSH
Related in: MedlinePlus