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Wojewódzkie Centrum Onkologii W Gdańsku Nowotwory Złośliwe W

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Wojewódzkie Centrum Onkologii W Gdańsku Nowotwory Złośliwe W ISSN 1896-897X WOJEWÓDZKIE CENTRUM ONKOLOGII W GDAŃSKU NOWOTWORY ZŁOŚLIWE W WOJEWÓDZTWIE POMORSKIM W 2007 ROKU Monika Nowaczyk, Ewa Solska, Eneasz Reca POMORSKI REJESTR NOWOTWORÓW PRZY WOJEWÓDZKIM CENTRUM ONKOLOGII W GDAŃSKU Strona 1 REGIONAL ONCOLOGY CENTRE IN GDANSK CANCER IN POMERANIA REGION IN 2007 POMERANIAN REGISTRY AT REGIONAL ONCOLOGY CENTRE IN GDANSK NOWOTOWORY ZŁOŚLIWE W WOJEWÓDZTWIE POMORSKIM W 2007R / CANCER IN POMERANIA REGION IN 2007 Wojewódzkim Centrum Onkologii w Gdańsku Dyrektor: lek. med. Ewa Solska Pomorski Rejestr Nowotworów pod kierownictwem lek. med. Joanny Wójcik-Tomaszewskiej Zespół: Lek. med. Joanna Wójcik-Tomaszewska [email protected] Eneasz Reca [email protected] Jolanta Zduńczyk [email protected] Iwona Giedroyć-Mazur [email protected] ISSN 1896-897X Publikacja wydana w ramach zadania „Rejestracja nowotworów złośliwych” Narodowego Programu Zwalczania Chorób Nowotworowych Gdańsk 2009 Pomeranian Registry in Gdansk at Regional Oncology Centre in Gdansk Director: Ewa Solska, MD Team of specialists: Joanna Wojcik-Tomaszewska, MD Eneasz Reca Jolanta Zduńczyk Iwona Giedroyc-Mazur This publication has been completed within the “Malignant Cancer Register” project by the National Programme for Battle Against Cancer. Gdansk 2009 NOWOTOWORY ZŁOŚLIWE W WOJEWÓDZTWIE POMORSKIM W 2007R / CANCER IN POMERANIA REGION IN 2007 SPIS TREŚCI – LIST OF CONTENTS Rozdział I WERSJA POLSKA - Chapter I POLISH VERSION ........................................ 7 1. Słowo wstępne .................................................................................................................... 8 2. Streszczenie ......................................................................................................................... 8 3. Wojewódzki Rejestr Nowotworów w Gdańsku .................................................................. 9 4. Materiał i metody statystyczne ......................................................................................... 10 5. Stan zdrowia populacji Województwa Pomorskiego........................................................ 12 5.1 Opis populacji .......................................................................................................... 12 5.2 Zachorowania na nowotwory złośliwe w 2007 roku................................................ 13 5.3 Zgony chorych na nowotwory złośliwe w 2007r ..................................................... 17 5.4 Omówienie ............................................................................................................... 21 6. Poszczególne sytuacje kliniczne ....................................................................................... 28 6.1 Nowotwory złośliwe oskrzela i płuca (C34) ............................................................ 28 6.2 Nowotwory złośliwe piersi (C50) ............................................................................ 33 6.3 Nowotwory złośliwe gruczołu krokowego (C61) .................................................... 37 6.4 Nowotwory złośliwe jelita grubego (C18-C21) ....................................................... 40 Rozdział II WERSJA ANGIELSKA - Chapter II ENGLISH VERSION ....................... 47 1. Introduction ....................................................................................................................... 48 2. Abstract ............................................................................................................................. 48 3. Regional Cancer Registry in Gdansk ................................................................................ 49 4. Research material and statistical methods ........................................................................ 50 5. Health condition of Pomerania ......................................................................................... 51 5.1 Population characteristics ......................................................................................... 51 5.2 Malignant cancer incidence rates in 2007 ................................................................ 51 5.3 Malignant cancer mortality rates in 2007 ................................................................. 52 5.4 Exposition ................................................................................................................. 52 6. Specific clinical situations ................................................................................................ 54 6.1 Malignant neoplasm of bronchus and lung (C34) .................................................... 54 6.2 Malignant breast cancer (C50) ................................................................................. 55 6.3 Malignant prostate neoplasm (C61) ......................................................................... 55 6.4 Malignant colorectal cancer (C18-C21) .................................................................. 56 Rozdział III Tabele i Wykresy - Chapter III TABLES & ILLUSTRATIONS ............... 59 Lista tabel. ................................................................................................................................ 77 Spis rysunków. ......................................................................................................................... 80 Strona 5 NOWOTOWORY ZŁOŚLIWE W WOJEWÓDZTWIE POMORSKIM W 2007R / CANCER IN POMERANIA REGION IN 2007 Strona 6 NOWOTOWORY ZŁOŚLIWE W WOJEWÓDZTWIE POMORSKIM W 2007R / CANCER IN POMERANIA REGION IN 2007 Rozdział I WERSJA POLSKA - Chapter I POLISH VERSION Strona 7 NOWOTOWORY ZŁOŚLIWE W WOJEWÓDZTWIE POMORSKIM W 2007R / CANCER IN POMERANIA REGION IN 2007 1. Słowo wstępne Biuletyn „NOWOTWORY ZŁOŚLIWE W WOJEWÓDZTWIE POMORSKIM W 2007 ROKU” jest publikacją mającą na celu przedstawienie najważniejszych danych dotyczących zachorowań i zgonów na nowotwory złośliwe w województwie pomorskim w 2007 roku. Obecny biuletyn Pomorskiego Rejestru Nowotworów jest szóstym opracowaniem naszych danych i jest adresowany do władz Województwa Pomorskiego, oraz wszystkich osób zainteresowanych problemem chorób nowotworowych w Województwie Pomorskim. Ewa Solska 2. Streszczenie Do Pomorskiego Rejestru Nowotworów zgłoszono w 2007 roku 7678 nowych rozpoznań nowotworów złośliwych oraz 5334 zgony u chorych z rozpoznaniem choroby nowotworowej. Dane o zgłaszanych chorych pozwalają ocenić stan zdrowia społeczeństwa. W dalszym ciągu w Województwie Pomorskim współczynniki zachorowalności i zgonów są jednymi z najwyższych w Polsce. Współczynnik zachorowalności na nowotwory złośliwe u mężczyzn wyniósł 270 (trzecie miejsce) i u kobiet 200 (piąte miejsce) na 100 tys. mieszkańców z uwzględnieniem struktury wieku. Według standaryzowanych współczynników zgonów chorych na nowotwory złośliwe Województwo Pomorskie znajduje się na 2 miejscu zarówno wśród mężczyźni jak i kobiet. Nadal najczęstszym rozpoznaniem u mężczyzn są nowotwory złośliwe płuc, zaś u kobiet występują na drugim miejscu po najczęściej rozpoznawanych nowotworach złośliwych piersi. W następnej kolejności poważne zagrożenie stanowią nowotwory jelita grubego. Aby wyciągać właściwe wnioski, najistotniejsza jest kompletność rejestracji. Bez regularnego, rzetelnego zgłaszania nowych rozpoznań i zgonów wyciągnięte hipotezy mogą być mylące. Jedynie zrozumienie tego problemu przez wszystkich lekarzy może dać efekty w postaci jasnego obrazu zdrowia społeczeństwa. Poniższe opracowanie zawiera dane epidemiologiczne Województwa Pomorskiego z 2007 roku. Przedstawiono stan zdrowia Pomorzan na tle innych województw. Omówiono strukturę zachorowań i zgonów dla mężczyzn i kobiet z uwzględnieniem powiatów. Przedstawiono szczegółowo najczęściej występujące nowotwory. Strona 8 NOWOTOWORY ZŁOŚLIWE W WOJEWÓDZTWIE POMORSKIM W 2007R / CANCER IN POMERANIA REGION IN 2007 3. Wojewódzki Rejestr Nowotworów w Gdańsku Wojewódzki Rejestr Nowotworów działa przy Wojewódzkim Centrum Onkologicznym w Gdańsku powstałym po przekształceniu Wojewódzkiej Przychodni Onkologicznej w Gdańsku. Do 1999 roku rejestr zbierał dane z województwa gdańskiego, słupskiego i elbląskiego, a po nowym podziale administracyjnym analizuje dane z terenu obejmującego Województwo Pomorskie. W Polsce działa 16 rejestrów nowotworów, głównie w miastach wojewódzkich. Do głównych zadań Wojewódzkiego Rejestru Nowotworów należy zbieranie danych o każdym podejrzeniu choroby nowotworowej, nowo rozpoznanych przypadkach tej choroby, oraz analizuje dane o przebiegu leczenia pacjentów i zgonach z powodu choroby nowotworowej. W ramach struktur WCO obok Wojewódzkiego Rejestru Nowotworów działa Centrum Profilaktyki Onkologicznej i Promocji Zdrowia, którego zadaniem jest objęcie społeczeństwa województwa pomorskiego badaniami profilaktycznymi i edukacją o możliwościach zapobiegania i wczesnego rozpoznania chorób nowotworowych. Wojewódzkie Centrum Onkologii od lat współpracuje w tym zakresie z Polską Unią Onkologii, Ministerstwem Zdrowia, Urzędem Marszałkowskim i Urzędem Miasta Gdańsk. Zadaniem rejestru nowotworów złośliwych jest umożliwienie planowania i przeprowadzenia skutecznej walki z zagrożeniem jakim są nowotwory złośliwe. Działania w zakresie pokonywania chorób nowotworowych obejmują pierwotną i wtórną profilaktykę, diagnostykę, leczenie, rehabilitację po leczeniu onkologicznym oraz opiekę hospicyjną nad chorymi z nowotworami złośliwymi. Rejestry nowotworów złośliwych gromadząc dane o zachorowaniach oraz zgonach na nowotwory złośliwe w określonej populacji wpływają na politykę zdrowotną w danym regionie. Celem poprawy jakości danych dla Wojewódzkiego Rejestru Nowotworów istnieje konieczność
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