EPIDEMIOLOGY OF CANCER IN THE COUNTY OF

VLCEA BETWEEN 2003-2007

AUTHOR: CRISTINA MUNTEAN

SCIENTIFIC COORDINATOR: ASSIST. PROF. DR. ANDA
CRISAN
COAUTHORS: ADRIAN DOBRICEANU, CRISTIAN
NINULESCU, MIHNEA IOAN IONESCU
UNIVERSITY OF MEDICINE AND PHARMACY OF CRAIOVA,
ROMANIA

INTRODUCTION

Neoplasic disease = a national and international public health problem

WHO

malignant disease 12,5% of the deaths in the entire world

(more than the combined mortality of AIDS, tuberculosis and malaria)
84 million persons will be diagnosed with cancer in the next 10 years
worldwide

Romania: the cancer incidence is increasing

2000 - 43941 new cases
2001 - 57863 new cases
2002 - 58251 new cases
An estimated increase of approximately 2000 new cases/ year will occur in the
following years
(40477 new cases diagnosed in 1994 68317 in 2011)

INTRODUCTION

YEAR

NEW
CASES/YEAR

2003

948

2004

1013

2005

1005

2006

1017

2007

1039

The most frequent localisations of neoplasias :

-lung (bronchopulmonary) cancer
-breast cancer
-gastric and colorectal cancer
-uterine cervix cancer
-prostate cancer
-ENT cancers

INCIDENCE AND PERCENTAGE OF THE FREQUENT

LOCALISATIONS OF MALIGNANCIES
TYPE OF
MALIGNANCY

NEW
CASES

BRONCHOPUL
MONARY

128

BREAST

103

UTERINE
CERVIX

80

COLORECTAL

74

GASTRIC

73

ENT

43

PROSTATE

40

OTHER

407

TOTAL

948

INCIDENCE AND PERCENTAGE OF THE FREQUENT

LOCALISATIONS OF MALIGNANCIES

INCIDENCE OF
MALIGNANCY

LUN
G

GASTRIC

CR

BREAST

CERVIX

ENT

PROSTATE

OTHER

TOTAL

2004

166

111

100

74

74

55

43

390

1013

2005

139

94

120

92

68

57

36

399

1005

INCIDENCE AND PERCENTAGE OF THE FREQUENT

LOCALISATIONS OF MALIGNANCIES

INCIDENCE OF
MALIGNANCY

LUNG

CR

BREAST

GASTRIC

ENT

UTERINE
CERVIX

PROSTATE

OTHER

TOTAL

2006

143

127

88

80

70

53

42

414

1017

2007

154

123

99

77

74

61

59

392

1039

EPIDEMIOLOGY OF BRONCHOPULMONARY NEOPLASIA

EPIDEMIOLOGY OF BRONCHOPULMONARY NEOPLASIA

MORE FREQUENT>50 YEARS OF AGE

BP

30-39

40-49

50-59

60-69

>70

2003

1 ( 0,78%)

7 (5,46%)

35
(27,34%)

41
(32,03%)

44
(34,37%)

2004

2 (1,20%)

16 (9,63%)

33
(19,87%)

66
(39,75%)

49
(29,51%)

2005

1 (0,71%)

16 (11,51%)

35
(25,17%)

48
(34,53%)

39
(28,05%)

1 (0,69%)

13 (9,09%)

46
(32,16%)

43
(30,06%)

39
(27,27%)

2006

1019

20-29

1(0,69%)

YEAR 54
Rural 41
2
6 (3,89%)
8 (5,19%)
43
background
(1,29%)
(35,06%)
(26,62%)
SOCIAL BACKGROUND:
PREDOMINANTLY RURAL AREAS(27,92%)
2007

2003

57%

2004

58,4%

2005

56,48%

2006

63,79%

2007

61,11%

EPIDEMIOLOGY OF GASTROINTESTINAL TRACT

SINCE 2004

DECREASE OF THE GASTRIC NEOPLASM INCIDENCE

INCREASE IN THE INCIDENCE OF THE COLORECTAL NEOPLASM

EPIDEMIOLOGY OF THE GASTROINTESTINAL TRACT CANCERS

Gastric neoplasm in males

Colorectal cancer:
slightly equal incidence
in males and females

EPIDEMIOLOGY OF GASTROINTESTINAL TRACT CANCERS

GASTRIC CANCER :
IN PATIENTS FROM
RURAL AREAS

COLORECTAL NEOPLASM:
SMALL DIFFERENCE
BETWEEN URBAN AND RURAL
AREAS

EPIDEMIOLOGIY OF GASTROINTESTINAL TRACT

NEOPLASIAS
THE AGE OF REPORTING A GASTRIC
AND COLORECTAL CANCER IS FREQUENTLY OVER 60 YEARS
Gastric

10-19

20-29
YEARS

2003

30-39
YEARS

40-49
YEARS

50-59
YEARS

60-69
YEARS

>70
YEARS

1 (1,36%)

4 (5,47 %)

9 (12,32%)

27 (36,98%)

32
(43,83%)

2004

1 (0,90%)

1 (0,90%)

4
( 3,60% )

17
(15,31%)

38 (34,23%)

50 (45,04%)

2005

1(1,06%)

2 (2,12%)

2 (2,12%)

13
(13,82%)

25 (26,60%)

51 (54,25%)

2006

1 (1,25%)

1 (1,25%)

14 (17,5% )

32 (40% )

32 ( 40% )

4 (5,19%)
40-49
YEARS

19
(11,68%)
50-59
YEARS

20 (25,97%)
60-69
YEARS

41 (53,24%)
>70
YEARS

2007
COLO
RECT
AL

10-19

20-29
YEARS

3 (3,90%)
30-39
YEARS

2003

5 (6,75
%)

15
(20,27%)

17 (23%)

37 (50%)

3 (3%)

9 ( 9% )

14 (14%)

35 (35%)

39 (39%)

5 (4,16%)

6 (5%)

16
(13,33%)

42 (35%)

50 (41,66%)

2006

5(3,93%)

6 (4,72%)

17(13,38%
)

43 (33,85%)

56 ( 44,09%
)

2007

5 (4,06%)

7 (5,69%)

30

37

44 (35,77%)

2004
2005

1(0,83%)

EPIDEMIOLOGY OF GENITAL CANCERS IN WOMEN

EPIDEMIOLOGY OF GENITAL CANCER IN WOMEN

BREAST CANCER IN URBAN AREAS

YEAR

2003

2004

2005

2006

2007

55,33%

55,4%

59,78%

59,09%

65,65%

2003

2004

2005

2006

2007

50%

51,35%

50%

62,26%

60,65%

UTERINE CERVIX CANCER IN RURAL AREAS

YEAR

EPIDEMIOLOGY OF GENITAL NEOPLASIAS IN WOMEN

Age of reporting breast cancer is frequently over 50 years
Breast
cancer

10-19

2003

1
(0,97%)

20-29
years

2004
2005

1
(1,08%)

2006
2007
Cervix

10-19

20-29
ani
4 (5%)

2004

2006

40-49
years

50-59
years

60-69
years

>70
years

5
(4,85%)

25 (24,27
%)

25
( 24,27%)

17
(16,50%)

30
(29,12%)

6 (8,1%)

8 (10,8% )

19 (25,67%)

17
(22,97%)

24
(32,43%)

2
(2,17%)

18
(19,56%)

25 (27,17%)

24(26,08%
)

22
(23,91%)

8(9,09%)

13 (14,77%)

25
(28,40% )

19(21,59%
)

23 (26,13%
)

9
14 (14,14%)
21ages
(21,21%)
28 40-59 years
27
Most uterine cervix cancers
are
reported at
ranging from

2003

2005

30-39
years

1(1,47%
)

2(2,94%)

(9,09%)
30-39
ani

40-49
ani

50-59
ani

(28,28%)
60-69
ani

(27,27%)
>70
ani

11
(13,75%)

20 (25 %)

16 (20%)

13 (16,25%)

16 (20%)

7 (9,45%)

22 (29,72% )

18 (24,32%)

13 (17,56%)

14(18,91%
)

5 (7,35%)

18 (26,47%)

20 (29,41%)

11 (16,17%)

11(16,17%
)

5(9,43%)

15 (28,30)

21
(39,62% )

7 (13,20% )

5( 9,43% )

EPIDEMIOLOGY OF ENT CANCERS

Incidence is rising

Predominantly in males

EPIDEMIOLOGY OF THE ENT CANCERS

PREDOMINANTLY IN
PATIENTS
FROM RURAL AREAS

Most frequent in patients

aged 50-69 years
ENT
cancers

1019

20-29
years

2003
2004

30-39
years

40-49
years

50-59
years

60-69
years

>70
years

2 (4,65%)

3 (6,97 %)

14
( 32,55%)

13
(30,23%)

11 (25,58%)

13(23,63%
)

9 (16,36%)

22 (40%)

10 (18,18%)

8 (14%)

14 (47,60%)

23
(40,40%)

12 (21%)

12

19

23(32,85%

13

1(1,81%)

2005
2006

2(2,86%)

EPIDEMIOLOGY OF PROSTATE CANCER

Absent < 50 years of age

Predominant in patients over 60 years old
Social background: predominantly rural
Year

Rural

2003

55%

2004

58,13%

2005

55,55%

2006

52,38%

2007

59,32%

Prostate
cancer

50-59
years

60-69
years

>70
years

2003

2(5%)

1(2,5%)

28 (70%)

2004

2(4,65%)

7 (16,27)

33 (76,74%)

2005

2 (5,55%)

19 (52,77%)

14 (38,88%)

16(38,09% )

23 (54,76% )

18 (30,50%)

38 (64,40%)

2006
2007

3 (5,08%)

DEATHS DUE TO CANCER BETWEEN 2003-2007

YEAR

Lung

Gastric

CR

Breast

ENT

Cervix

Prostate

Other

Total

2003

121
17,38%

89
12,78%

58
8,33%

47
6,75%

36
5,17%

29
4,16%

23
3,30%

293
42,09%

696

2004

130
21,66%

102
17%

57
9,5%

39
6,5%

42
7%

29
4,83%

23
3,83%

178
29,66%

600

2005

143
18,33%

92
11,79%

77
9,87%

39
5%

35
4,48%

27
3,46%

25
3,20%

342
43,84%

780

2006

123
15,12%

71
8,73%

71
8,73%

44
5,41%

41
5,04%

30
3,69%

24
2,95%

409
50,30%

813

2007

124
12,02%

71
6,88%

59
5,72%

39
3,78%

39
3,78%

30
2,90%

28
2,71%

635
61,59%

1031

CONCLUSIONS
Incidence increasing during 2003-2007 for most of the studied
localisations of the malignancy, except gastric cancer,
which is decreasing since 2004

Social background predominantly rural

(except breast cancer predominantly
urban)

Localisations of cancers that can affect both males and females

males were predominantly affected, except
colorectal cancer, more frequent in females in 2003
Can affect patients of any age predominantly patients over 50
years
old

EPIDEMIOLOGY OF CANCER IN THE COUNTY OF VLCEA

BETWEEN 2003-2007