Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/154743 |
Resumo: | OBJECTIVES: Cancer in young adults represents a great challenge, both biologically and socially, and understanding the unique characteristics of neoplasms in this age group is important to improving care. We aimed to evaluate the most common carcinomas and their characteristics, such as histological type and clinical stage, in young adults in the largest cancer hospital in Latin America. METHODS: The hospital registry was consulted for the period between 2008 and 2014. Young adults were defined as individuals aged 18 to 39 years, and older adults were defined as individuals aged 40 years and older. Differences between age groups were assessed through chi-square tests. RESULTS: Of the 39,389 patients included, 3,821 (9.7%) were young adults. Among the young adults, the most frequent cancer types were the following: breast, lymph node, colorectal, thyroid, testicle, hematopoietic and reticuloendothelial, uterine cervix, brain, soft tissue and stomach; these sites accounted for 74.5% of the observed tumors. Breast, colorectal and stomach cancers were more frequently diagnosed at advanced stages in young adults than in older adults (po0.001). The most common histological types were infiltrating ductal carcinoma (86.12%) for breast cancer, adenocarcinomas not otherwise specified (45.35%) for colorectal cancer, squamous cell carcinoma not otherwise specified (65.26%) for uterine cervix cancer, signet ring cell adenocarcinomas (49.32%) for stomach cancer and adenocarcinomas not otherwise specified (50.79%) for lung cancer. CONCLUSION: Young adults are diagnosed with cancer at more advanced stages, indicating that health professionals should be aware of cancer incidence in this age group. It is necessary to develop a better understanding of cancer in young adults and to implement dedicated health care strategies for these patients. |
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Clinics |
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|
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Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospitalNeoplasmsYoung AdultNeoplasm StagingHistologyOBJECTIVES: Cancer in young adults represents a great challenge, both biologically and socially, and understanding the unique characteristics of neoplasms in this age group is important to improving care. We aimed to evaluate the most common carcinomas and their characteristics, such as histological type and clinical stage, in young adults in the largest cancer hospital in Latin America. METHODS: The hospital registry was consulted for the period between 2008 and 2014. Young adults were defined as individuals aged 18 to 39 years, and older adults were defined as individuals aged 40 years and older. Differences between age groups were assessed through chi-square tests. RESULTS: Of the 39,389 patients included, 3,821 (9.7%) were young adults. Among the young adults, the most frequent cancer types were the following: breast, lymph node, colorectal, thyroid, testicle, hematopoietic and reticuloendothelial, uterine cervix, brain, soft tissue and stomach; these sites accounted for 74.5% of the observed tumors. Breast, colorectal and stomach cancers were more frequently diagnosed at advanced stages in young adults than in older adults (po0.001). The most common histological types were infiltrating ductal carcinoma (86.12%) for breast cancer, adenocarcinomas not otherwise specified (45.35%) for colorectal cancer, squamous cell carcinoma not otherwise specified (65.26%) for uterine cervix cancer, signet ring cell adenocarcinomas (49.32%) for stomach cancer and adenocarcinomas not otherwise specified (50.79%) for lung cancer. CONCLUSION: Young adults are diagnosed with cancer at more advanced stages, indicating that health professionals should be aware of cancer incidence in this age group. It is necessary to develop a better understanding of cancer in young adults and to implement dedicated health care strategies for these patients.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2019-02-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/15474310.6061/clinics/2018/e656sClinics; Vol. 73 No. Suppl. 1 (2018); e656sClinics; v. 73 n. Suppl. 1 (2018); e656sClinics; Vol. 73 Núm. Suppl. 1 (2018); e656s1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/154743/150775Copyright (c) 2019 Clinicsinfo:eu-repo/semantics/openAccessCormedi, Marina Candido VisontaiLopes, Edia Filomena Di TullioMaistro, SimoneRoela, Rosimeire AparecidaFolgueira, Maria Aparecida Azevedo Koike2019-05-14T11:48:25Zoai:revistas.usp.br:article/154743Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2019-05-14T11:48:25Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital |
title |
Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital |
spellingShingle |
Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital Cormedi, Marina Candido Visontai Neoplasms Young Adult Neoplasm Staging Histology |
title_short |
Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital |
title_full |
Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital |
title_fullStr |
Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital |
title_full_unstemmed |
Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital |
title_sort |
Clinical stage and histological type of the most common carcinomas diagnosed in young adults in a reference cancer hospital |
author |
Cormedi, Marina Candido Visontai |
author_facet |
Cormedi, Marina Candido Visontai Lopes, Edia Filomena Di Tullio Maistro, Simone Roela, Rosimeire Aparecida Folgueira, Maria Aparecida Azevedo Koike |
author_role |
author |
author2 |
Lopes, Edia Filomena Di Tullio Maistro, Simone Roela, Rosimeire Aparecida Folgueira, Maria Aparecida Azevedo Koike |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Cormedi, Marina Candido Visontai Lopes, Edia Filomena Di Tullio Maistro, Simone Roela, Rosimeire Aparecida Folgueira, Maria Aparecida Azevedo Koike |
dc.subject.por.fl_str_mv |
Neoplasms Young Adult Neoplasm Staging Histology |
topic |
Neoplasms Young Adult Neoplasm Staging Histology |
description |
OBJECTIVES: Cancer in young adults represents a great challenge, both biologically and socially, and understanding the unique characteristics of neoplasms in this age group is important to improving care. We aimed to evaluate the most common carcinomas and their characteristics, such as histological type and clinical stage, in young adults in the largest cancer hospital in Latin America. METHODS: The hospital registry was consulted for the period between 2008 and 2014. Young adults were defined as individuals aged 18 to 39 years, and older adults were defined as individuals aged 40 years and older. Differences between age groups were assessed through chi-square tests. RESULTS: Of the 39,389 patients included, 3,821 (9.7%) were young adults. Among the young adults, the most frequent cancer types were the following: breast, lymph node, colorectal, thyroid, testicle, hematopoietic and reticuloendothelial, uterine cervix, brain, soft tissue and stomach; these sites accounted for 74.5% of the observed tumors. Breast, colorectal and stomach cancers were more frequently diagnosed at advanced stages in young adults than in older adults (po0.001). The most common histological types were infiltrating ductal carcinoma (86.12%) for breast cancer, adenocarcinomas not otherwise specified (45.35%) for colorectal cancer, squamous cell carcinoma not otherwise specified (65.26%) for uterine cervix cancer, signet ring cell adenocarcinomas (49.32%) for stomach cancer and adenocarcinomas not otherwise specified (50.79%) for lung cancer. CONCLUSION: Young adults are diagnosed with cancer at more advanced stages, indicating that health professionals should be aware of cancer incidence in this age group. It is necessary to develop a better understanding of cancer in young adults and to implement dedicated health care strategies for these patients. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-02-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/154743 10.6061/clinics/2018/e656s |
url |
https://www.revistas.usp.br/clinics/article/view/154743 |
identifier_str_mv |
10.6061/clinics/2018/e656s |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/154743/150775 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 73 No. Suppl. 1 (2018); e656s Clinics; v. 73 n. Suppl. 1 (2018); e656s Clinics; Vol. 73 Núm. Suppl. 1 (2018); e656s 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222763743444992 |