Park Hyoung-Chul, Shin Aesun, Kim Byung-Woo, Jung Kyu-Won, Won Young-Joo, Oh Jae Hwan, Jeong Seung-Yong, Yu Chang Sik, Lee Bong Hwa
Korea Colorectal Cancer Study Group (KOCCS), Seoul, Korea.
Ann Coloproctol. 2013 Aug;29(4):144-9. doi: 10.3393/ac.2013.29.4.144. Epub 2013 Aug 29.
The incidence rates of colorectal cancer (CRC) in Korea have been increasing during the past decade. Therefore, it is important to understand the characteristics, including survival, of Korean CRC patients. The aim of this study was to use the nationwide cancer registry to evaluate the characteristics of Korean CRC, focusing on the survival, according to tumor location, sex, and specific age groups.
Using the Korea Central Cancer Registry (KCCR), we analyzed a total of 226,352 CRC cases diagnosed from 1993 to 2010. The five-year relative survivals were compared for the proximal colon, the distal colon, and the rectum. Survival rates were compared between men and women and between patients of young age (less than 40 years old) and patients of advanced age (70 years old or older).
The 5-year survival rates were improved in all subsites between 1993 and 2010. Distal colon cancer showed favorable survival compared to proximal colon or rectal cancer. Females demonstrated worse survival for local or regional cancers, and this difference was significant in for patients in their seventies. Young patients (<40 years old) showed better survival rates for overall and proximal colon cancer comparable to those for older patients (≥40 years old), but advanced age patients (≥70 years old) had worse survivals for all tumor subsites compared to their younger counterparts (<70 years old). These trends were similar in distant CRC.
Korean CRC has certain distinct characteristics of survival according to tumor location, sex, and age. Despite the limitations of available data, this study contributes to a better understanding of survival differences in Korean CRC.
在过去十年间,韩国结直肠癌(CRC)的发病率一直在上升。因此,了解韩国CRC患者的特征,包括生存率,非常重要。本研究的目的是利用全国癌症登记处评估韩国CRC的特征,重点关注根据肿瘤位置、性别和特定年龄组的生存率。
我们使用韩国中央癌症登记处(KCCR)分析了1993年至2010年期间诊断出的总共226,352例CRC病例。比较了近端结肠、远端结肠和直肠的五年相对生存率。比较了男性和女性之间以及年轻患者(小于40岁)和老年患者(70岁及以上)之间的生存率。
1993年至2010年期间,所有亚部位的5年生存率均有所提高。与近端结肠癌或直肠癌相比,远端结肠癌的生存率较好。女性在局部或区域癌症中的生存率较差,这种差异在七十多岁的患者中尤为显著。年轻患者(<40岁)在总体和近端结肠癌方面的生存率与老年患者(≥40岁)相当,但老年患者(≥70岁)在所有肿瘤亚部位的生存率均低于年轻患者(<70岁)。远处CRC的这些趋势相似。
韩国CRC根据肿瘤位置、性别和年龄具有某些独特的生存特征。尽管现有数据存在局限性,但本研究有助于更好地了解韩国CRC的生存差异。