Morbidity of gynecologic cancer in St. Petersburg

Abstract

Objective: 1600 cases of female genitalia tumors are annually registered in St. Petersburg, 15,8% of all malignant tumors. The most common tumors are cancer of uteri (40,9%), ovary (29,7%) and cervical cancer (22,9%).

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Methods: Presented computer data are based on the morbidity, survival and mortality rates of gynecological cancer received from Population based cancer registry of St. Petersburg from 1980 to 1997.

Results: Incidence of cancer of uteri are increased by 79% (from 8,1 to 14,5°/₀₀₀₀ standard indices), in all age groups, the most — in group over 70 years old. The average age is 60 year. The absolute index increased twofold (from 320 to 656). Localized tumors were in 73,3%. The 3-survival rates were 69%. Ovarian cancer is registered about 500 cases annually, incidence has varied from 11 to 12°/₀₀₀₀ in 1997 - 11,4°/₀₀₀₀. The average age is 58 year. The advanced ovarian cancer constitutes more than 75%. The 3- survival rates were 48%. Cervical cancer is registered annually more than 350 cases. Standardized indices decreased from 13,1 to 8,2°/₀₀₀₀, but in 1997 there was marked an increasing to 9,5°/₀₀₀₀ , the most in age 30-40 years. Advanced cancer was established in 48,9%. The 3-survival rates were 59,3%.

Conclusions: Obtained data shows that substantial decreasing of patients with early stages of cancer were resulted from considerable of screening programs in Russia what negative influenced on the survival rates.