Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지

Epidemiology of Oral and Pharyngeal Cancers in Khon Kaen, Thailand: a High Incidence in Females

Vatanasapt, Patravoot;Suwanrungruang, Krittika;Kamsa-Ard, Supot;Promthet, Supannee;Parkin, Max DM

  • Published : 20111000
⟨ Previous Next ⟩

Abstract

Background: This study was aimed to describe incidence, trends, and survival of oral and pharyngeal cancers in Khon Kaen, the province situated in the northeast of Thai-land. Methods: Data on oral and pharyngeal cancer cases diagnosed during 1985 - 2001 were retrieved from the population-based cancer registry of Khon Kaen. The final status of the patients was verified by database linkage and follow-up using postcards. Results: Of 1,038 cases, 62.6% were female and 37.4% were male, with a mean age of 63 years. The age-standardized incidence rate (ASR) in females (6.2 per 100 000; 95%CI 5.7-6.7) was significantly higher than in males (3.9 per 100 000; 95%CI 3.5-4.4). Annual percent changes in ASR were 1.7 in females (p<0.05), but 1.2 in males. Lip and buccal cancers were the most common sites respectively; however, the incidence of tongue cancer was increasing in the last period. Eighty five percent of all cases were diagnosed in advanced stage (stage III and IV). The overall five-year relative survival was 43.1%. We found stage distribution and survival did not change during the study period. Conclusion: The considerably high incidence in female suggests a need for research on specific risk factors. Moreover, attempts should be made to detect oral cancers earlier in order to improve the outcomes of cancer control.

Keywords

References

  1. Balaram P, Sridhar H, Rajkumar T, et al (2002). Oral cancer in southern India: the influence of smoking, drinking, paan-chewing and oral hygiene. Int J Cancer, 98, 440-5. https://doi.org/10.1002/ijc.10200
  2. Coleman MP, Bieber CA (1991). CANREG: cancer registration software for micro-computers. IARC Sci Pub, 95, 267-74.
  3. Coleman MP, Gatta G, Verdecchia A, et al (2003). EUROCARE-3 summary: cancer survival in Europe at the end of the 20th century. Ann Oncol, 14, 128-49. https://doi.org/10.1093/annonc/mdg756
  4. De Stefani E, Boffetta P, Oreggia F, et al (1998). Hard liquor drinking is associated with higher risk of cancer of the oral cavity and pharynx than wine drinking. A case-control study in Uruguay. Oral Oncology, 34, 99-104. https://doi.org/10.1016/S1368-8375(97)00062-6
  5. Elango JK, Gangadharan P, Sumithra S, Kuriakose MA (2006). Trends of head and neck cancers in urban and rural India. Asian Pac J Cancer Prev, 7, 108-12.
  6. FAO (2003). World Drink Trends 2003: International beverage alcohol consumption and production trends, England: Hehley-on-Thames: NTC Publications Ltd.
  7. Ferlay J, Shin HR, Bray F, et al (2010). GLOBOCAN 2008 v1.2. GLOBOCAN 2008 v1.2, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10 [Internet]. Available at: globocan.iarc.fr [Accessed 2011].
  8. Ferlay J, Parkin DM, Storm H, Whelan SL, et al (2005). Cancer Incidence in Five Continents, Vols. I to VIII, International Agency for Research on Cancer.
  9. IARC (1999). Monographs on the Evaluation of Carcinogenic Risks to Humans. Some chemicals that cause Tumours of the Kidney or Urinary Bladder in Rodents and Some Other Substances 73rd ed., WHO.
  10. IARC (2007). Software: CanReg4. 29 June 2007; http://www.iacr.com.fr/canreg4.htm. Accessed 25 January, 2008.
  11. Johnson N (2001). Tobacco use and oral cancer: a global perspective. J Dental Educ, 65, 328-39.
  12. Kaplan EL, Meier P (1958). Nonparametric estimation from incomplete observations. J Am Stat Assoc, 53, 457-81. https://doi.org/10.1080/01621459.1958.10501452
  13. Kim HJ, Fay MP, Feuer EJ, Midthune DN (2000). Permutation tests for joinpoint regression with applications to cancer rates. Stat Med, 19, 335-51. https://doi.org/10.1002/(SICI)1097-0258(20000215)19:3<335::AID-SIM336>3.0.CO;2-Z
  14. Kujan O, Glenny AM, Oliver RJ, et al (2006). Screening programmes for the early detection and prevention of oral cancer. Cochrane Database of Systematic Re-views (Online), 3, p.CD004150.
  15. Miller CS, Johnstone BM (2001). Human papillomavirus as a risk factor for oral squamous cell carcinoma: a meta-analysis, 1982-1997. Oral Surgery, Oral Med Oral Pathology, Oral Radiology, Endodontics, 91, 622-35.
  16. Morse DE, Kerr AR (2006). Disparities in oral and pharyngeal cancer incidence, mor-tality and survival among black and white Americans. J Am Dent Assoc, 137, 203-12.
  17. Parkin DM, Bray F, Ferlay J, Pisani P (2005). Global cancer statistics, 2002. CA: A Cancer J Clin, 55, 74-108. https://doi.org/10.3322/canjclin.55.2.74
  18. Posner M (2003). Head and Neck Cancer. In World Cancer Report. IARCPress-WHO, 232-41.
  19. Silva I dos santos (1999). Cancer Epidemiology: Principles and Methods 2nd ed., World Health Organization.
  20. Sriamporn S, Parkin DM, Pisani P, et al (2005). A prospective study of diet, lifestyle, and genetic factors and the risk of cancer in Khon Kaen Province, northeast Thailand: description of the cohort. Asian Pac J Cancer Prev, 6, 295-303.
  21. Sriplung H, Sontipong S, Martin N, et al (2005). Cancer incidence in Thailand, 1995-1997. Asian Pac J Cancer Prev, 6, 276-81.
  22. Thomas SJ, MacLennan R (1992). Slaked lime and betel nut cancer in Papua New Guinea. Lancet, 340, 577-8. https://doi.org/10.1016/0140-6736(92)92109-S
  23. Vatanasapt V, Sriamporn S, MacLennan R (1991). Contrasts in risk factors for can-cers of the oral cavity and hypopharynx and larynx in Khon Kaen, Thailand. In New Delhi: Macmillan India, pp. 39-42.
  24. Wangboonskul J, Kaokaw T, Daodee S (2003). Determination of ethanol, methanol and chloroform levels in herbal medicine spirits. ???, 30, 64-73.
  25. Wibulpolprasert S (2005). Thailand Health Profile 2001-2004, Nonthaburi: Bureau of Policy and Strategy, Ministry of Public Health.
  26. Yeole BB, Ramanakumar AV, Sankaranarayanan R (2003). Survival from oral cancer in Mumbai (Bombay), India. Cancer Causes Control, 14, 945-52.