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Original Articles: Cervical Cancer
Increase in Cervical Adenocarcinoma Rate in Goiânia, GO, Brazil
  1. Edesio Martins, MsHSc*,
  2. Maria Paula Curado, MD, PhD*,†,
  3. Nilceana Maya Aires Freitas, MD, MsHSc‡,
  4. José Carlos De Oliveira, MD, PhD* and
  5. Ruffo Freitas-Junior, MD, PhD§
  1. *Population-Based Cancer Registry of Goiânia, Goiás Anticancer Association, Goiânia, Brazil;
  2. †Descriptive Epidemiology Production Group, International Agency for Research on Cancer, Lyon, France; Departments of
  3. ‡Radiotherapy, and
  4. §Gynecology and Breast, Araújo Jorge Hospital, Goiâs Anticancer Association, Goiânia, Brazil.
  1. Address correspondence and reprint requests to Ruffo Freitas-Junior, MD, PhD, Gynecology and Breast Department, Araújo Jorge Hospital, Goiás Anticancer Association, Rua 239, n.181 Leste Universitario, 74605-070, Goiânia, GO, Brazil. E-mail: ruffojr{at}terra.com.br.

Abstract

Aim: To analyze the incidence and mortality trends of cervical adenocarcinoma in Goiânia, Brazil.

Methods: The cases were identified from the database of the Population-based Cancer Registry of Goiânia. The primary site was confirmed from the medical files. For all variables studied, frequencies and linear and polynomial logistic regressions were calculated. The Statistical Package for the Social Sciences and Excel softwares were used.

Results: Cervical adenocarcinoma accounted for 7.02% of all cancer cases, between 1998 and 2002. The mean age was 44 years for the in situ form and 52 years for the invasive form, and the age group with the highest incidence was from 45 to 49 years. Adenocarcinoma not otherwise specified (68.1%) and stage I were most frequent. The standardized rate incidence increased from 1.47 per 100,000 to 2.84 per 100,000 in 1988 and 2002, respectively (R 2 = 0.424 and P = 0.008). The mortality rates due to cervical adenocarcinoma were 0.89 per 100,000 in 1988 and 0.51 per 100,000 in 2002.

Conclusions: An increasing incidence of cervical adenocarcinoma was observed in Goiânia, although the mortality rate remained stable.

  • Adenocarcinoma
  • Incidence
  • Mortality
  • Trends
  • Uterine cervix
  • Goiânia

https://doi.org/10.1111/IGC.0b013e3181a12ea6

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