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Background: In Croatia, lung cancer is the most common localization of carcinoma in men and third most common localization in women. Aims: To assess the tracheal, bronchial and lung (TBL) cancer incidence and mortality trends, and the most common stage of disease at diagnosis. Methods: The method of descriptive epidemiology was employed to analyze data on new cases of and deaths from TBL carcinoma according to age, sex, and stage of disease during the 2000-2014 period. Cancer Registry was used as the source of data. Crude rates and age standardized rates (ASR) calculated against standard European population were used. Results: The overall number of diagnosed TBL cancer cases in Croatia decreased from 3, 247 in 2000 to 2, 915 in 2014. Crude incidence rates decreased for men from 121.8 to 103.0, while ASR declined from 85.3 to 81.6. In women, crude incidence rates increased from 28.0 to 35.5, and ASR from 15.2 to 23.2. In 2014 mortality ASR was 46.0, (78.6 for males vs 21.9 for females). The ratio of numbers of deaths to new cases in men and women were 0.97 vs 0.96. According to age, TBL cancer was the most common in people aged >75. According to stage of disease, in 2014 localized TBL cancer was diagnosed in 282 (10, 9%), regional lymph node involvement in 593 (22.9%), and distal metastases in 678 (26, 2%) patients, yielding poorer staging indicators than those for total of all-seat cancers. Conclusion: There is a significant increase in female TBL cancer incidence rate, and a decrease in male TBL cancer incidence rate. Croatia is among the European countries with the highest lung cancer incidence. The late diagnosis and high mortality rate point to the need of upgrading non-smoking campaign and lung cancer screening. |
