Assuntos
Neoplasias Femorais/secundário , Úmero , Neoplasias Primárias Múltiplas , Osteossarcoma/secundário , Amputação Cirúrgica , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Criança , Diagnóstico Diferencial , Feminino , Neoplasias Femorais/patologia , Humanos , Osteossarcoma/patologia , Osteossarcoma/terapiaAssuntos
Neoplasias/epidemiologia , Sistema de Registros , Feminino , Humanos , Masculino , Neoplasias/patologia , PanamáRESUMO
Cervical cancer is more common in Latin America than elsewhere in the world. Previous work indicated that Panama also had a high incidence of cervical cancer and that the disease clustered in rural Herrera Province; to document this and collect detailed information on risk factors, the authors established a population-based Cervical Cancer Registry in Panama. Cervical cancer cases diagnosed between 1974 and 1979 were identified by visiting every major hospital in the country. The registry abstracted epidemiologic, clinical, and other information from patients' hospital charts. It recorded an age-adjusted invasive cervical cancer incidence of 28.4/100,000 between 1974 and 1979; rural Herrera Province supported the highest rate (79.1/100,000), while urban Panama Province had a low rate (24.6/100,000); in situ disease followed a similar pattern (48.7/100,000 in Herrera Province and 17.6/100,000 in Panama Province). Women born in Herrera Province retained high cervical cancer rates irrespective of residence at diagnosis (64.7/100,000), while women from Panama Province had low rates (12.4/100,000) which were comparable to those seen in US whites. In addition to having high cancer rates, women from Herrera Province developed invasive disease at an unusually young age; women between 35 and 39 years of age had an incidence of 151/100,000.
Assuntos
Neoplasias do Colo do Útero/epidemiologia , Adolescente , Adulto , Fatores Etários , Métodos Epidemiológicos , Feminino , Humanos , Pessoa de Meia-Idade , Panamá , Sistema de Registros , População RuralAssuntos
Neoplasias do Colo do Útero/epidemiologia , Adulto , Idoso , Anticorpos Antivirais/análise , Feminino , Humanos , Pessoa de Meia-Idade , Invasividade Neoplásica , Panamá , Comportamento Sexual , Simplexvirus/imunologia , Neoplasias do Colo do Útero/etiologia , Neoplasias do Colo do Útero/patologiaAssuntos
Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , Feminino , Neoplasias do Colo do Útero , PanamáRESUMO
Data were examined from the Panama National Cancer Register, which was created by the Panamanian National Oncology Institute in 1974 to record data on all histopathologically diagnosed cancers in the Republic. Age- and sex-specific incidence rates were summarized for all cancers registered between 1974 and 1978. The age-adjusted incidences of invasive cervical cancer (37.8/100,000 population), penis cancer (1.9/100,000), and oral cancer (male, 3.2/100,000; female, 3.7/100,000) were among the highest in the world. In addition, both male and female genital cancers were clustered in rural Herrera Province (age-adjusted incidence: cervix, 84.7; and penis, 4.3).