Halit KARACA, Veli BERK, Mevlüde İNANÇ, Mustafa DİKİLİTAŞ, Metin ÖZKAN

ERCİYES ÜNİVERSİTESİ TIP FAKÜLTESİ TIBBİ ONKOLOJİ BİLİM DALI’NA 2006–2009 YILLARI ARASINDA BAŞVURAN KANSER HASTALARININ EPİDEMİYOLOJİK DEĞERLENDİRMESİ

Ülkemizde kanser görülme sıklığı, coğrafi ve etiyolojik faktörler açısından yeterli veriler bulunmamaktadır. Bu çalışmada Tıbbi Onkoloji Bilim Dalı kayıtları incelenerek Kayseri ve çevresindeki kanser sıklığını, hasta ve tümör özelliklerini belirlemek amaçlandı. Erciyes Üniversitesi Tıp Fakültesi Tıbbi Onkoloji Bilim Dalı’nda 1 Ocak 2006- 31 Aralık 2009 tarihleri arasında takip edilen 2432 hasta dosya kayıtlarından geriye dönük olarak incelendi. Hastaların başvuru yılı, tanısı, evresi, yaşı, cinsiyeti, tümör lokalizasyonu, yaşadıkları şehir, sigara kullanımı ve aile hikayeleri değerlendirildi. Hastaların 1242’si erkek (%51), 1190’ı kadın (%49) ve ortanca yaş 55 (sınırlar, 17–86) idi.Tüm hastalarda en sık beş kanser türü; meme kanseri (%23.1), akciğer kanseri (%22.9), kolorektal kanser (%16.2), genitoüriner kanserler (%10.3) ve mide kanseri (%10.1) idi.Hastaların %46.9’u ileri evrede-metastatik ve %53.1’i lokal-bölgeseldi. hastalarda % 32.6 idi vehastaların %9.7’sindeailede kanser hikayesi vardı. Merkezimize başvuran hastalarda son yıllarda erken evre hastaların oranında bir artış gözlenmiş olup, bu durum erken teşhise verilen önemin artması ve hastaların sağlık hizmetlerine ulaşımının kolaylaşması gibi sebeplere bağlanabilir.Ancak yıllara göre sigara kullanımının artması ile akciğer kanserinin insidansında ki artış paralellik göstermekte ve bu da sigara ile mücadelede daha etkin olunmasının gereğini ortaya koymaktadır

Anahtar Kelimeler:

Epidemiyolojik çalışma, kanser, Kayseri ve çevresi, Orta Anadolu

Epidemiologic Evaluation of the Patients Admitted to Department of Medical Oncology, Erciyes University, Medical Faculty, Between 2006 And 2009

There is no adequate data about cancer incidence, their geographic distribution and etiologic factors in our country. In this study, we examined the incidence of cancer from the records of Medical Oncology Department of Erciyes University Medical Faculty M. Kemal Dedeman Oncology Hospital in Kayseri and its vicinity to determine patient and tumor characteristics. Two thousand four hundred and thirty two patients were retrospectively analyzed between the years of 2006 and 2009. Patients’ diagnosis time, tumor localization, clinical grade, smoking habits and family history of malignancy were all recorded. One thousand two hundred and forty two (51%) male and 1190 (%49) female patients were enrolled in this study. Median age of the patients was 55 years (min: 17 max: 86). Five types cancer that was most frequently diagnosed were breast (23.1%), lung (22.9%), colorectal (16.2%), genitourinary (10.3%) and gastric cancers (10.1%). 46.9% patients were in advanced/ metastatic stage and 53.1% patients were in local stage. 32.6% patients were active smokers and 9.7% patients had a family history of malignancy. The recent increase in early cancer incidence is related to easy access to the medical facilities in our region. However, intensification of the incidence of lung cancer in nowadays is consistent with the increase in cigarette use, which emphasizes the need for more effective fight against smoking

Keywords:

Epidemiologic study, cancer, Kayseri and surroundings (Middle East Anatolia),

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