Prostate cancer epidemiology in a rural area of North Western Greece
| Autor: | C. Papandreou, A. Ntemou, K. Hastazeris, P. Raptis, V. Kordela, S. Aspiotis, E. Kitsiou, V. Malamou-Mitsi, Z. Xousianitis, Nikolaos E. Stavropoulos, V. Kafarakis, E. Ioachim, A. Makatsori, N. Sofikitis, Ioannis Tsimaris, Nikolaos Grivas, N.J. Agnantis |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Prostate biopsy Epidemiology Rural Health Prostate cancer Prostate Internal medicine Biopsy Medicine Humans Overdiagnosis Stage (cooking) Aged Gynecology Aged 80 and over medicine.diagnostic_test Greece business.industry Incidence (epidemiology) Incidence Public Health Environmental and Occupational Health Prostatic Neoplasms Middle Aged Prostate-Specific Antigen medicine.disease medicine.anatomical_structure Oncology Neoplasm Grading business |
| Zdroj: | Asian Pacific journal of cancer prevention : APJCP. 13(3) |
| ISSN: | 2476-762X |
| Popis: | Epirus is a rural area of North-Western Greece. We reviewed data from 4 hospitals for 4.975 patients who underwent prostate biopsy in Epirus in the twelve year period from 1999 to 2010. Two six -year periods were compared (1999-2004 and 2004-2010). All cases of prostate cancer confirmed by biopsy were recorded and agestandardized incidence rates per 100,000 males were calculated. We also recorded the clinical stage for patients diagnosed in our hospital and correlated this with PSA and Gleason scores. Percentage of positive prostate biopsies was also calculated. There were a total of 1714 new cases during 1999-2010 and the mean annual age-adjusted incidence was 34/100.000. The mean incidences during 1999-2004 and 2005-2010 were 26/100,000 and 42/100,000, respectively. The mean age at diagnosis was 74. The most common Gleason score was 6 and the prevalent clinical stage was T2. Median PSA at diagnosis was 10.8 ng/ml. There was a significant difference between stage cT4 and all other stages regarding PSA value (p=0.000). A positive correlation was found between Gleason score and PSA (p=0.013). These results are in accordance with the incidence rise recorded in neighboring countries of South-East Europe. However we should keep in mind the risk of overdiagnosis and the detection of low-risk cancers that would not have caused morbidity or death during a man’s lifetime anyway. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|