The national cancer data base report on ovarian cancer

摘要: Background. Reports generated from the National Cancer Data Base (NCDB), a joint project of American College Surgeons Commission on and Society, have described trends in demographics, stage, treatment patterns, survival for variety cancers. In this report, most current (1991) data ovarian cancer are presented include some comparisons with 1985/1986 data. Methods. Three calls hospital registries across United States yielded 17,114 cases 1985, 1986, 1991 combined. These represent approximately 23%, 43%, respectively, annual number those years. Results. One-fourth reported were diagnosed women less than 50 years age. Younger patients (<40 years) more likely to received conservative therapy (unilateral oophorectomy), consistent their high prevalence (59%) Stage I disease. The an unknown Joint Committee (AJCC) stage decreased 49% 17% 1991, although distribution within stages was unchanged. Increases important staging procedures threefold increase proportion de-bulking 50% omentectomies accompanying hysterectomy compared 1985/1986. More advanced disease older age, lower income, African Americans, smaller hospitals. Relative 5-year rates 74% disease, 58% II, 30% III, 19% IV. Asians Hispanics relatively rate I–II (45%) non-Hispanic whites Americans (38% 33%, respectively). favorable I/IV ratio (1.5) had overall 41% 37% (Stage ratios 1.0 0.7, There little difference use multi-modality between 1991. Conclusions. A trend toward complete surgery full surgical/pathologic observed but there not yet evidence indicate significant improvements published figures during past 10-15 years. Important ethnic demographic differences type noted could be differentiated tumor stage. 1995;76:1096–1103.